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Genetic alterations in thyroid hyperfunctioning adenomas

D Russo1, F Arturi, R Wicker

  • 1Dipartimento di Medicina Sperimentale e Clinica, Facoltà di Farmacia, Università di Reggio Calabria, Catanzaro, Italy.

The Journal of Clinical Endocrinology and Metabolism
|April 1, 1995
PubMed
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Mutations in the TSH receptor (TSHR) and G alpha s (gsp) genes were found in thyroid adenomas. These genetic changes may drive tumor growth by constantly activating the cAMP pathway.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Oncology

Background:

  • Thyroid autonomously hyperfunctioning adenomas are benign tumors characterized by excessive hormone production.
  • The molecular mechanisms underlying thyroid adenoma development, particularly the role of specific gene mutations, require further elucidation.

Purpose of the Study:

  • To investigate the prevalence of mutations in the TSH receptor (TSHR), G alpha s (gsp), and ras genes in thyroid hyperfunctioning adenomas.
  • To determine the functional consequences of identified mutations on cellular signaling pathways, specifically cAMP activation.

Main Methods:

  • Genomic DNA was extracted from 37 thyroid adenomas and adjacent normal tissues.
  • Polymerase chain reaction (PCR) was used to amplify specific gene fragments (TSHR exon 10, gsp exons 8-9, ras genes).

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  • Direct nucleotide sequencing and hybridization with synthetic probes were employed to detect mutations. Functional studies involved transfecting cells with mutated TSHR cDNA to assess cAMP levels.
  • Main Results:

    • A point mutation (Ala623Ser) in the TSHR gene was identified in 3 out of 37 adenomas, confirmed as somatic and heterozygous.
    • This TSHR mutation led to constitutive activation, demonstrated by increased basal cAMP levels in transfected cells.
    • Activating mutations were also found in the gsp gene (9 cases) and the ras gene (1 case). No simultaneous mutations were observed in the studied genes.

    Conclusions:

    • Mutational activation of the TSH receptor (TSHR) and G alpha s (gsp) genes plays a significant role in the tumorigenesis of hyperfunctioning thyroid adenomas.
    • Constitutive activation of the cAMP pathway, driven by these genetic alterations, is a key mechanism in thyroid adenoma development.
    • These findings highlight the importance of specific gene mutations in the pathogenesis of endocrine tumors.