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Updated: Aug 17, 2026

Spontaneous Murine Model of Anaplastic Thyroid Cancer
Published on: February 3, 2023
A complex pattern of mutations and abnormal splicing of Smad4 is present in thyroid tumours
Davide Lazzereschi1, Francesco Nardi, Alessandra Turco
1Department of Experimental Medicine and Pathology, I Faculty of Medicine, University of Rome 'La Sapienza', V.le Regina Elena 324, Rome 00161, Italy. davide.lazzereschi@uniroma1.it
Abstract:
Sensitivity to transforming growth factor-beta is impaired in thyroid tumours. Similar to Mad -- Mother Against Decapentaplegic-(Smad)4 is frequently altered in cancers, but its involvement in this system is unknown. We analysed 56 thyroid tumours of various histotypes for Smad4 mutations by PCR-SSCP and sequencing, linking them to Smad4 reactivity as examined by immunohistochemistry (IHC), and 29 of them also for abnormalities in RNA expression due to alternative splicing. In all, 15/56 cases (27%), both benign and malignant lesions, harbour alterations of Smad4 coding sequence. We found several novel intragenic mutations (13 missense, two silent, one frameshift and one large insertion-deletion), with high incidence in the linker region. A subset of mutated tumours failed to express Smad4 protein by IHC. We have also detected four alternatively spliced tumour-associated Smad4 isoforms, lacking portions of the linker region, and three more due to unreported internal exon-exon rearrangements. Smad4 is both frequently mutated and deregulated by aberrant splicing in thyroid tumours and these alterations may contribute as an early event to thyroid tumorigenesis.
Insights
Transforming growth factor-beta (TGF-β) signaling is impaired in thyroid tumors. Smad4 gene mutations and alternative splicing are frequent in these tumors, suggesting early involvement in tumorigenesis.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Transforming growth factor-beta (TGF-β) signaling is crucial in cellular processes.
- Impaired TGF-β sensitivity is observed in thyroid tumors.
- The role of Mad Mother Against Decapentaplegic homolog 4 (Smad4) in thyroid tumorigenesis is largely unknown.
Purpose of the Study:
- To investigate the frequency and nature of Smad4 alterations in thyroid tumors.
- To correlate Smad4 mutations with Smad4 protein expression.
- To identify Smad4 alternative splicing events in thyroid lesions.
Main Methods:
- Analysis of 56 thyroid tumors (benign and malignant) for Smad4 mutations using PCR-SSCP and sequencing.
- Immunohistochemistry (IHC) to assess Smad4 protein expression.
- RNA expression analysis for alternative splicing in 29 tumors.
Main Results:
- Smad4 alterations were found in 27% (15/56) of thyroid tumors.
- Novel intragenic Smad4 mutations, including missense, silent, frameshift, and indel mutations, were identified, predominantly in the linker region.
- Tumors with Smad4 mutations showed reduced or absent Smad4 protein expression by IHC.
- Four tumor-associated Smad4 splice variants and three additional variants due to exon-exon rearrangements were detected.
Conclusions:
- Smad4 is frequently mutated and aberrantly spliced in thyroid tumors.
- These genetic and splicing alterations in Smad4 may play a role as an early event in thyroid tumorigenesis.
- Further research is warranted to elucidate the functional impact of these Smad4 alterations on TGF-β signaling in thyroid cancer.
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