China Oncology ›› 2016, Vol. 26 ›› Issue (1): 35-42.doi: 10.3969/j.issn.1007-3969.2016.01.006

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Re-differentiating therapy of radioiodine-refractory differentiated thyroid cancer

CHENG Lingxiao, CHEN Libo   

  1. Department of Nuclear Medicine, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
  • Online:2016-01-30 Published:2016-02-26
  • Contact: CHEN Libo E-mail: libochen888@hotmail.com

Abstract: Clinical management of radioiodine-refractory differentiated thyroid cancer (RR-DTC) is extremely difficult. Re-differentiation compounds, such as retinoids, peroxisome proliferator-activated receptor (PPAR) agonists, DNA methyltransferase inhibitors and histone deacetylase inhibitors, have been used in trials to increase iodine uptake in RR-DTC. However, data on these drugs failed to meet the initial high expectations. In recent years, targeted agents have been increasingly used in pre-clinical and clinical studies to induce re-differentiation and mediate 131I therapy, and the outcomes are encouraging.

Key words: Thyroid cancer, Re-differentiating therapy, Targeted agents, 131I