Different expression of TSH receptor and NIS genes in thyroid cancer: role of epigenetics
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Updated: May 4, 2026

In Vivo Inhibition of MicroRNA to Decrease Tumor Growth in Mice
Published on: August 23, 2019
Maria D'Agostino1, Marialuisa Sponziello, Cinzia Puppin
1Department of Health Sciences, University of Catanzaro 'Magna Graecia', Campus 'S. Venuta', Viale Europa, Germaneto, 88100 Catanzaro, Italy Departments of Internal Medicine and Medical Specialties Surgical Sciences, University of Roma 'Sapienza', 00161 Roma, Italy Department of Medical and Biological Sciences, University of Udine, 33100 Udine, Italy.
Abstract:
The TSH receptor (TSHR) and sodium/iodide symporter (NIS) are key players in radioiodine-based treatment of differentiated thyroid cancers. While NIS (SLC5AS) expression is diminished/lost in most thyroid tumors, TSHR is usually preserved. To examine the mechanisms that regulate the expression of NIS and TSHR genes in thyroid tumor cells, we analyzed their expression after inhibition of ras-BRAF-MAPK and PI3K-Akt-mTOR pathways and the epigenetic control occurring at the gene promoter level in four human thyroid cancer cell lines. Quantitative real-time PCR was used to measure NIS and TSHR mRNA in thyroid cancer cell lines (TPC-1, BCPAP, WRO, and FTC-133). Western blotting was used to assess the levels of total and phosphorylated ERK and Akt. Chromatin immunoprecipitation was performed for investigating histone post-translational modifications of the TSHR and NIS genes. ERK and Akt inhibitors elicited different responses of the cells in terms of TSHR and NIS mRNA levels. Akt inhibition increased NIS transcript levels and reduced those of TSHR in FTC-133 cells but had no significant effects in BCPAP. ERK inhibition increased the expression of both genes in BCPAP cells but had no effects in FTC-133. Histone post-translational modifications observed in the basal state of the four cell lines as well as in BCPAP treated with ERK inhibitor and FTC-133 treated with Akt inhibitor show cell- and gene-specific differences. In conclusion, our data indicate that in thyroid cancer cells the expression of TSHR and NIS genes is differently controlled by multiple mechanisms, including epigenetic events elicited by major signaling pathways involved in thyroid tumorigenesis.
Insights
Thyroid cancer treatment relies on TSH receptor (TSHR) and sodium/iodide symporter (NIS) expression. This study reveals that inhibiting key signaling pathways differentially affects TSHR and NIS gene expression and epigenetic modifications in thyroid tumor cells.
Area of Science:
- Molecular Biology
- Oncology
- Endocrinology
Background:
- Differentiated thyroid cancers (DTCs) are often treated with radioiodine, targeting the sodium/iodide symporter (NIS) and TSH receptor (TSHR).
- NIS expression is frequently lost in DTCs, while TSHR is usually retained, complicating treatment efficacy.
- Understanding the regulation of NIS and TSHR gene expression is crucial for improving radioiodine therapy outcomes.
Purpose of the Study:
- To investigate the regulatory mechanisms of NIS and TSHR gene expression in thyroid tumor cells.
- To analyze the impact of inhibiting ras-BRAF-MAPK and PI3K-Akt-mTOR signaling pathways on NIS and TSHR expression.
- To explore the role of epigenetic modifications in controlling NIS and TSHR gene expression in thyroid cancer.
Main Methods:
- Quantitative real-time PCR (qPCR) to measure NIS and TSHR mRNA levels.
- Western blotting to assess total and phosphorylated ERK and Akt protein levels.
- Chromatin immunoprecipitation (ChIP) to investigate histone modifications at NIS and TSHR gene promoters.
Main Results:
- Inhibition of Akt signaling increased NIS mRNA and decreased TSHR mRNA in FTC-133 cells, with varied effects in BCPAP cells.
- Inhibition of ERK signaling upregulated both NIS and TSHR mRNA in BCPAP cells but not in FTC-133 cells.
- Epigenetic modifications at NIS and TSHR gene promoters exhibited cell- and gene-specific differences under basal conditions and after pathway inhibition.
Conclusions:
- TSHR and NIS gene expression in thyroid cancer cells is differentially regulated by multiple mechanisms.
- Major signaling pathways (MAPK, PI3K-Akt-mTOR) influence NIS and TSHR expression through epigenetic events.
- These findings highlight the complex regulatory network governing NIS and TSHR expression in thyroid tumorigenesis, impacting therapeutic strategies.
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