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Yu-Ling Lu Department of Internal Medicine, New Taipei Municipal TuCheng Hospital, New Taipei City, Taiwan
Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Chang Gung University, Taoyuan, Taiwan

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Yu-Tung Huang Center for Big Data Analytics and Statistics, Chang Gung Memorial Hospital, Taoyuan, Taiwan

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Ming-Hsien Wu Department of Internal Medicine, New Taipei Municipal TuCheng Hospital, New Taipei City, Taiwan
Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Chang Gung University, Taoyuan, Taiwan

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Ting-Chao Chou Laboratory of Preclinical Pharmacology Core, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

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Richard J Wong Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

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Shu-Fu Lin Department of Internal Medicine, New Taipei Municipal TuCheng Hospital, New Taipei City, Taiwan
Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan
Chang Gung University, Taoyuan, Taiwan

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Introduction Anaplastic thyroid cancer (ATC) is a rare disease with an incidence of 1–2 per million people per year. ATC is classified as stage IV disease and is one of the most lethal cancers with a median survival of 3–5 months upon

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Amit Mehta Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA
Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Lisa Zhang Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Myriem Boufraqech Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Yaqin Zhang Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Dhaval Patel Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Min Shen Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Electron Kebebew Endocrine Oncology Branch, Geisel School of Medicine at Dartmouth, National Institutes of Health, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA

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Introduction Thyroid cancer is the most common endocrine malignancy ( Howlader et al . 2013 ). Anaplastic thyroid cancer (ATC) accounts for 1–2% of all thyroid cancers, but is the most common cause of thyroid-cancer-related deaths ( Kebebew et al

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Francesca Marano Department of Medical Sciences, University of Turin, Turin, Italy

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Roberto Frairia Department of Medical Sciences, University of Turin, Turin, Italy

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Letizia Rinella Department of Medical Sciences, University of Turin, Turin, Italy

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Monica Argenziano Department of Drug Science and Technology, University of Turin, Turin, Italy

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Benedetta Bussolati Department of Molecular Biotechnology and Health Sciences, University of Turin, Turin, Italy

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Cristina Grange Department of Medical Sciences, University of Turin, Turin, Italy

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Raffaella Mastrocola Department of Clinical and Biological Sciences, University of Turin, Turin, Italy

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Isabella Castellano Department of Medical Sciences, University of Turin, Turin, Italy

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Laura Berta Med & Sport 2000 Srl, Turin, Italy

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Roberta Cavalli Department of Drug Science and Technology, University of Turin, Turin, Italy

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Maria Graziella Catalano Department of Medical Sciences, University of Turin, Turin, Italy

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Introduction Anaplastic thyroid cancer (ATC) is one of the most lethal cancers, its median survival being only 5 months, and 1-year survival being less than 20% ( Smallridge & Copland 2010 ). To date, a standard therapy for ATC does not exist

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Clotilde Sparano Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France
Endocrinology Unit, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Florence, Italy

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Yann Godbert Nuclear Medicine, and Thyroid Oncology Department, Institut Bergonié, Bordeaux, France

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Marie Attard Radiology, Gustave Roussy and Université Paris Saclay, Villejuif, France

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Christine Do Cao Endocrinology, Diabetology and Metabolism, CHRU Lille, Lille, France

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Slimane Zerdoud Nuclear medicine, Claudius-Regaud Institute, Oncology University Institute-IUCT-Oncopole, Toulouse, France

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Nathalie Roudaut Department of Endocrinology, University Hospital of Brest, Brest, France

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Charlotte Joly Department of Oncology, Henri-Mondor Hospital, Créteil, France

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Amandine Berdelou Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France

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Julien Hadoux Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France

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Livia Lamartina Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France

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Martin Schlumberger Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France

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Sophie Leboulleux Nuclear Medicine and Endocrine Oncology, Gustave Roussy, Université Paris Saclay, Villejuif, France

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Introduction Anaplastic thyroid cancer (ATC) is a rare aggressive thyroid malignancy, with a median overall survival (OS) rate of only 5 months and a 1-year survival rate <20% ( Smallridge et al. 2012 ). In the absence of initial distant

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Xumeng Wang Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Tianxing Ying Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Jimeng Yuan Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Yue Wang Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Xingyun Su Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Shitu Chen Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Yurong Zhao Institute of Environmental Medicine and Hepatobiliary and Pancreatic Surgery of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
Zhejiang Laboratory for Systems & Precision Medicine, Zhejiang University Medical Center, Hangzhou, China

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Yuanyuan Zhao Institute of Environmental Medicine and Hepatobiliary and Pancreatic Surgery of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
Zhejiang Laboratory for Systems & Precision Medicine, Zhejiang University Medical Center, Hangzhou, China

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Jinghao Sheng Zhejiang Laboratory for Systems & Precision Medicine, Zhejiang University Medical Center, Hangzhou, China
Institute of Environmental Medicine of Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Lisong Teng Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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Chi Luo Institute of Environmental Medicine and Hepatobiliary and Pancreatic Surgery of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
Zhejiang Laboratory for Systems & Precision Medicine, Zhejiang University Medical Center, Hangzhou, China

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Weibin Wang Department of Surgical Oncology of The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

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statistically significant at P < 0.05 and highly significant at P < 0.01. Data were analyzed using GraphPad Prism 8. Results Warburg effect promotes global lactylation in anaplastic thyroid cancer Lysine lactylation (La) is a newly discovered

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Kyungmin Lee Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Sang-Hyun Lee Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea

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Wooil Kim Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea
Department of Biomolecular Science, KRIBB School of Bioscience, Korea University of Science & Technology, Daejeon, Republic of Korea

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Jangwook Lee Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea

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Jong-Gil Park Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea

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Jang-Seong Kim Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea

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Jung Tae Kim Department of Medical Science, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Yea Eun Kang Department of Endocrinology and Metabolism, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Minho Shong Department of Internal Medicine, Chungnam National University, School of Medicine, Daejeon, Republic of Korea

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Hyo Jin Lee Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Jin-Man Kim Department of Pathology, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Won Gu Kim Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

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Bon Seok Koo Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon, Republic of Korea

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Koon Soon Kim Department of Endocrinology and Metabolism, College of Medicine, Chungnam National University, Daejeon, Republic of Korea
Daejeon Endo Internal Medicine, Daejeon, Republic of Korea

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Jeong-Ki Min Biotherapeutics Translational Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon, Republic of Korea
Department of Biomolecular Science, KRIBB School of Bioscience, Korea University of Science & Technology, Daejeon, Republic of Korea

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Introduction Anaplastic thyroid cancer (ATC) is one of the most aggressive and lethal thyroid carcinomas. Although it accounts for <1–2% of all thyroid cancers ( Hundahl et al. 1998 ), its associated mortality is high owing to uncontrolled

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Xuguang Zhu Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA

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Sunmi Park Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA

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Woo Kyung Lee Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA

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Sheue-yann Cheng Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA

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Introduction Anaplastic thyroid cancer (ATC) is one of the most aggressive endocrine malignancies. Patients rarely survive more than 1 year after diagnosis and have very limited treatment options. In addition to genetic alterations, aberrant

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Xuguang Zhu Laboratory of Molecular Biology, National Cancer Institute, Bethesda, Maryland, USA

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Li Zhao Laboratory of Molecular Biology, National Cancer Institute, Bethesda, Maryland, USA

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Woo Kyung Lee Doolittle Laboratory of Molecular Biology, National Cancer Institute, Bethesda, Maryland, USA

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Sheue-yann Cheng Laboratory of Molecular Biology, National Cancer Institute, Bethesda, Maryland, USA

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Introduction Anaplastic thyroid cancer (ATC) is one of the most aggressive solid cancers in humans. ATC is usually resistant to conventional radioactive iodine therapy or chemotherapy. At the time of diagnosis, most ATC patients are ineligible

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Robert C Smallridge Division of Endocrinology, Department of Cancer Biology, Department of Internal Medicine

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Laura A Marlow Division of Endocrinology, Department of Cancer Biology, Department of Internal Medicine

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John A Copland Division of Endocrinology, Department of Cancer Biology, Department of Internal Medicine

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, Rocha et al . (2003) evaluated 17 poorly differentiated (but no anaplastic) thyroid cancers. They found loss of cadherin 1, type 1, E-cadherin (epithelial) membrane expression, but no nuclear localization of catenin (cadherin-associated protein), beta

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Jiajun Wu Graduate Department, Bengbu Medical College, Bengbu, Anhui, China
Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Juyong Liang Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Ruiqi Liu Graduate Department, Bengbu Medical College, Bengbu, Anhui, China

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Tian Lv Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Kangyin Fu Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Liehao Jiang Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Wenli Ma Graduate Department, Bengbu Medical College, Bengbu, Anhui, China
Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Yan Pan Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Zhuo Tan Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Qing Liu Department of Thyroid and Breast Surgery, Zhejiang Provincial People’s Hospital Bijie Hospital, Bijie, Guizhou, China

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Weihua Qiu Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Minghua Ge Graduate Department, Bengbu Medical College, Bengbu, Anhui, China
Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China

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Jiafeng Wang Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People’s Hospital (Affiliated People’s Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, People’s Republic of China
Key Laboratory of Endocrine Gland Diseases of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Clinical Research Center for Cancer of Zhejiang Province, Hangzhou, Zhejiang, People’s Republic of China
Department of Thyroid and Breast Surgery, Zhejiang Provincial People’s Hospital Bijie Hospital, Bijie, Guizhou, China

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. (D) and (E) Images and quantifications of TUNEL assay and IHC staining of Ki67, P62, LC3B, HO-1, and GPX4. (F) Schematic of anlotinib-mediated autophagy-ferroptosis signaling in anaplastic thyroid cancer. Tumorigenic markers were assayed by

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