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Endocrinology, doi:10.1210/en.2004-0780
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Endocrinology Vol. 145, No. 12 5465-5470
Copyright © 2004 by The Endocrine Society


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Unraveling the Amyloid Associated with Human Medullary Thyroid Carcinoma

Ritu Khurana, Amit Agarwal, Virendra K. Bajpai, Nidhi Verma, Ashok K. Sharma, Ram P. Gupta and Kunnath P. Madhusudan

Molecular and Structural Biology Division (R.K., N.V.), Electron Microscopy Unit (V.K.B.), Sophisticated Analytical Instrument Facility (K.P.M.), Central Drug Research Institute, Chattar Manzil Building, Lucknow 226001; and Department of Endocrine Surgery (A.A.), Sanjay Gandhi Post Graduate Institute, Lucknow 226014; and Central Electronics and Engineering Research Institute (A.K.S., R.P.G.), Pilani 333031, India

Address all correspondence and requests for reprints to: Dr. Ritu Khurana, Centre for Cellular and Molecular Biology, Uppal Road, Hyderabad 500007, India. E-mail: rkhurana{at}ccmb.res.in.

Medullary thyroid carcinoma (MTC) is associated with amyloid deposition in the surrounding tissues. MTC-positive tumor thyroid tissues surgically removed from patients were used in our study to extract amyloid. We tested the MTC extracts for the presence of amyloid by measuring fold enhancement of thioflavin T fluorescence. Transmission electron microscopic study and atomic force microscopy of MTC patient extracts revealed typical amyloid fibrils. Matrix-assisted laser desorption ionization-time of flight mass spectrometric analysis demonstrated full-length calcitonin as the constituent of the MTC amyloid from seven patients. Our results unequivocally demonstrated that full-length calcitonin is the sole constituent of amyloid in MTC.




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