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Updated: May 16, 2026

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Published on: August 23, 2019
FOXO1 controls thyroid cell proliferation in response to TSH and IGF-I and is involved in thyroid tumorigenesis
Miguel A Zaballos1, Pilar Santisteban
1Instituto de Investigaciones Biomédicas Alberto Sols, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, 28029 Madrid, Spain.
Abstract:
TSH and insulin/IGF-I synergistically induce the proliferation of thyroid cells mainly through the cAMP and phosphatidylinositol 3-kinase (PI3K) pathways. However, the events involved in this cooperative induction remain unknown, and molecules that are potentially controlled by both TSH and IGF-I are interesting candidates as integrators of both stimuli. The finding that the PI3K pathway is frequently activated in thyroid malignancies has attracted attention to this pathway in the thyroid field. One of the targets of PI3K is Forkhead box O (FoxO)-1, a widely expressed transcription factor involved in a variety of cellular processes such as differentiation, proliferation, and apoptosis. Here we show that FoxO1 is highly expressed in differentiated rat thyroid cells and human thyroid tissue compared with human thyroid tumor-derived cells and surgically removed thyroid tumors, in which its expression is reduced. In differentiated cells, TSH/cAMP treatment decreases FoxO1 mRNA and protein levels through proteasome activation, whereas both TSH and IGF-I control FoxO1 localization by promoting a rapid exclusion from the nucleus in an Akt-dependent manner. FoxO1 can control p27(KIP1) expression in differentiated and tumor cells of the thyroid. Furthermore, FoxO1 reexpression in tumor cells promotes a decrease in their proliferation rate, whereas FoxO1 interference in differentiated cells increases their proliferation. These data point to an important role of FoxO1 in mediating the effects of TSH and IGF-I on thyroid cell proliferation and provide a link between loss of FoxO1 expression and the uncontrolled proliferation of thyroid tumor cells.
Insights
Thyroid-stimulating hormone (TSH) and insulin/IGF-I signaling impact thyroid cell proliferation. Forkhead box O (FoxO)1 acts as a key regulator, with its reduced expression linked to thyroid tumor growth.
Area of Science:
- Endocrinology
- Molecular Biology
- Oncology
Background:
- Thyroid-stimulating hormone (TSH) and insulin/IGF-I synergistically promote thyroid cell proliferation via cAMP and phosphatidylinositol 3-kinase (PI3K) pathways.
- The PI3K pathway's activation in thyroid malignancies highlights its significance.
- Forkhead box O (FoxO)-1, a PI3K target, is crucial for cellular processes including proliferation and apoptosis.
Purpose of the Study:
- To investigate the role of FoxO1 as an integrator of TSH and IGF-I signaling in thyroid cell proliferation.
- To determine the expression patterns of FoxO1 in normal and cancerous thyroid tissues.
- To elucidate the regulatory mechanisms of FoxO1 by TSH and IGF-I and its impact on thyroid cell growth.
Main Methods:
- Quantitative analysis of FoxO1 mRNA and protein levels in differentiated thyroid cells and tumor cells.
- Assessment of FoxO1 nuclear exclusion via Akt-dependent signaling pathways.
- Manipulation of FoxO1 expression in thyroid cells to evaluate its effect on proliferation rates.
Main Results:
- FoxO1 expression is significantly reduced in thyroid tumor cells compared to differentiated thyroid cells.
- TSH/cAMP decreases FoxO1 levels through proteasome degradation, while TSH and IGF-I promote nuclear exclusion via Akt.
- FoxO1 re-expression inhibits tumor cell proliferation, and its interference increases differentiated cell proliferation.
Conclusions:
- FoxO1 plays a critical role in mediating the proliferative effects of TSH and IGF-I on thyroid cells.
- Reduced FoxO1 expression is associated with the uncontrolled proliferation observed in thyroid tumors.
- FoxO1 represents a potential therapeutic target for thyroid cancer treatment.
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