Different expression of TSH receptor and NIS genes in thyroid cancer: role of epigenetics

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.

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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