Since the specific accumulation of
iodide in thyroid was found in 1915, radioiodine has been widely applied to diagnose and treat
thyroid cancer.
Iodide uptake occurs across the membrane of the thyroid follicular cells and
cancer cells through an active transporter process mediated by the
sodium iodide symporter (NIS). The NIS coding genes were cloned and identified from rat and human in 1996. Evaluation of the NIS gene and
protein expression is critical in the management of
thyroid cancer, and several approaches have been tried to increase NIS levels. Identification of the NIS gene has provided a means of expanding its role in the
radionuclide gene therapy of nonthyroidal
cancers as well as
thyroid cancer. In this article, we explain the relationship between NIS expression and the treatment of
thyroid carcinoma with I-131, and we include a review of the results of our experimental and clinical trials.