help button home button Endocrine Society JCEM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a related Letter to the Editor
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heaney, A. P.
Right arrow Articles by Horwitz, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Heaney, A. P.
Right arrow Articles by Horwitz, G.
The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 10 5025-5032
Copyright © 2001 by The Endocrine Society


Other Original Articles

Transforming Events in Thyroid Tumorigenesis and Their Association with Follicular Lesions

Anthony P. Heaney, Viera Nelson, Manory Fernando and Gregory Horwitz

Departments of Medicine (A.P.H., M.F., G.H.) and Pathology (V.N.), Cedars-Sinai Research Institute, University of California School of Medicine, Los Angeles, California 90048

Address all correspondence and requests for reprints to: Anthony P. Heaney, M.D., Becker-126, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, B-2015, Los Angeles, California 90048. E-mail: heaneya{at}csmc.edu

Abstract

Thyroid tumors comprise a broad spectrum of neoplastic phenotypes, and distinct molecular events have been implicated in their pathogenesis. Pituitary tumor transforming gene, originally isolated from GH4 pituitary cells, is tumorigenic in vivo, regulates basic fibroblast growth factor secretion, and is homologous to a securin inhibitor of chromatid separation. Pituitary tumor transforming gene 1 is expressed at low levels in several normal human tissues and is abundantly expressed in neoplasms, including colorectal carcinoma, where pituitary tumor transforming gene expression correlated highly with tumor invasiveness. As pituitary tumor transforming gene is regulated by E and as thyroid cancer shows a strong female preponderance, we examined pituitary tumor transforming gene 1 expression and action in human thyroid tumors and in normal human and rat thyroid cells. Increased pituitary tumor transforming gene 1 expression was evident early in thyroid tumors and was most abundantly expressed in a subset of thyroid hyperplasia, follicular adenomas, and follicular carcinomas (1.8-fold; P < 0.0001). Pituitary tumor transforming gene 1 overexpression in rat FRTL5 thyroid cells and in primary human thyroid cell cultures causes in vitro transformation and produces a dedifferentiated neoplastic phenotype.

As pituitary tumor transforming gene 1 was abundantly overexpressed in follicular adenoma and follicular carcinoma, we propose that pituitary tumor transforming gene overexpression may play a role in the early molecular events leading to divergent development of follicular and papillary carcinoma.

THYROID CANCERS ACCOUNT for about 90% of newly diagnosed endocrine malignancies and for approximately 1200 deaths/yr in the U.S. These tumors comprise a broad spectrum of neoplastic phenotypes, including follicular adenomas, well differentiated follicular and papillary carcinoma, and invasive and almost universally fatal anaplastic carcinoma (1).

Distinct molecular events (2) occurring in thyroid neoplasia include ras mutations, detected early in both benign and malignant tumors (3, 4, 5), and activating TSH receptor and Gs{alpha}-subunit mutations, reported in some follicular carcinomas (6). 11q13 allelic losses are found in follicular, but not papillary, lesions (7). In contrast, ret rearrangements are common in radiation-associated papillary carcinomas (8, 9, 10), and p53 inactivation marks the transition to aggressive follicular and the anaplastic phenotypes (11).

Pituitary tumor transforming gene (PTTG), originally isolated from GH4 pituitary cells, is tumorigenic in vivo, regulates basic fibroblast growth factor (bFGF) secretion (12, 13), and is homologous to a securin inhibitor of chromatid separation (14). The human PTTG family consists of at least four homologous genes, of which PTTG1 is located on chromosome 5q33 (15) and is expressed at low levels in several normal human tissues and abundantly in neoplasms, including pituitary tumors (16, 17, 18). We recently demonstrated that pituitary pttg is regulated by E (19) and is also overexpressed in colorectal carcinoma (16).

As PTTG may predispose to chromosomal instability, and thyroid cancer shows a strongly female preponderance, we hypothesized that PTTG1 expression may be related to the divergent molecular events that occur in thyroid tumorigenesis.

We show here that early increased PTTG1 expression in thyroid tumors is most abundant in a subset of thyroid hyperplasia, follicular adenomas, and follicular carcinomas. We also demonstrate that PTTG1 overexpression in rat FRTL5 thyroid epithelial cells and primary human thyroid cell cultures causes in vitro transformation and produces a dedifferentiated phenotype. PTTG may therefore play a role in the early molecular events leading to divergent development of follicular and papillary carcinoma.

Subjects and Methods

Patients and tissues

Samples of thyroid tumors (thyroid hyperplasia, n = 15; follicular adenoma, n = 9; follicular carcinoma, n = 2; papillary carcinoma, n = 8; Hashimoto’s disease, n = 3; Table 1Go) were obtained from 46 consecutive unselected patients after surgical resection. Nondegraded RNA of suitable quality was obtained from 37 of the 46 tissue samples and used for further analysis. Normal adjacent thyroid tissue was obtained from 29 of the 37 analyzed cases with thyroid tumors, and postmortem normal thyroid tissue was obtained from an additional 5 cases (Brain and Tissue Banks for Developmental Disorders, University of Maryland, Baltimore, MD). Sample aliquots were either immersed in liquid nitrogen and stored at -70 C or fixed in 10% formalin until analysis.


View this table:
[in this window]
[in a new window]
 
Table 1. Patient demographics, histological diagnosis, and PTTG1 expression in 37 thyroid tumors in comparison to PTTG1 expression in normal thyroid tissue

 
Northern blot analysis

Total RNA was extracted from cell cultures (~3 x 107 cells/group) and excised tissues (after tissue homogenization) with TRIzol (Life Technologies, Inc., Gaithersburg, MD). RNA derived from JEG-3 choriocarcinoma cells or rat testis served as a positive control for PTTG1 expression. Electrophoresed RNA was transferred to Hybond-N nylon membranes (Amersham International, Little Chalfont, UK). The membrane was cross-linked, prehybridized (1 h), and hybridized (2 h) at 68 C with human PTTG cDNA in the presence of 100 µg/ml salmon sperm DNA (Stratagene, La Jolla, CA). A 900-bp human PTTG1 cDNA fragment spanning the entire coding region was labeled with [{alpha}-32P]deoxy-CTP using Klenow enzyme (Life Technologies, Inc.). Sodium iodide symporter (NIS) cDNA was a gift from Nancy Carrasco (Albert Einstein College of Medicine, New York, NY). Posthybridization washes were followed by air-drying and autoradiography. PTTG1 mRNA expression was quantitated using scanning densitometry, normalized to 18S rRNA expression, and expressed as the fold increase compared with PTTG1/18S rRNA ratios in either adjacent normal thyroid tissue (29 of 37) or the mean PTTG1/18S rRNA ratio measured in 32 normal thyroid tissues (mean ± 2 SD). The mean ± SEM PTTG1/18S rRNA ratio in normal thyroid tissue was 0.56 ± 0.04 arbitrary units.

Western blot analysis

Proteins were prepared from thyroid tissues and cells using RIPA buffer (100 mM NaCl, 0.1% Triton X-100, and 50 mM Tris, pH 8.3) containing a cocktail of enzyme inhibitors (1 mM phenylmethylsulfonylfluoride, 2 µg/ml aprotinin, and 200 µg/ml leupeptin) and denatured (2 min, 100 C) in loading buffer. The protein concentration was determined by the Bradford assay using BSA as a standard. Soluble proteins (50 µg) were separated by electrophoresis in 12% SDS-PAGE gels, transferred to polyvinylidene difluoride membranes (Amersham Pharmacia Biotech), and incubated in 5% nonfat milk in PBS-0.05% Tween solution, followed by incubation with antibodies to PTTG (1:5000) for 24 h at 4 C or with proliferating cytoplasmic nuclear antigen (PCNA) for 2 h at room temperature. After washing in PBS-0.05% Tween (six times, 10 min each time), blots were incubated with appropriate horseradish peroxidase-conjugated anti-IgGs for 1 h at room temperature. After further washes, antigen-antibody complexes were visualized by the ECL chemiluminescence detection system on Hyperfilm ECL (Amersham International).

Immunocytochemistry

Cells cultured on microscope slides in 100-mm plates were fixed in 4% paraformaldehyde, incubated with monoclonal antibody to PCNA (clone PC10, DAKO Corp., Carpinteria, CA), followed by biotinylated secondary antibodies and streptavidin-horseradish peroxidase. Antibody localization was effected using 3,3'-diaminobenzidene tetrachloride. Appropriate positive and negative controls were included.

Animals

Ovariectomized Fischer 344 rats (140–150 g; Harlan Sprague Dawley, Inc., Indianapolis, IN) were housed in a controlled environment (lights on, 0600–1800 h; 22 ± 1 C) with free access to food and water. The use of rats was approved by the institutional animal care and use committee. Subcutaneously implanted osmotic pumps (100 µl; Alzet, Palo Alto, CA), containing 17ß-E2 (1–1000 ng) or 4-hydroxytamoxifen (860 µg) in 90% polyethylene glycol/10% ethanol solution were employed to administer E and/or anti-E (19). Rats were euthanized by CO2 inhalation, thyroid tissues were immersed in liquid N2 and stored at -80 C for RNA and/or protein extraction, and serum was collected for E2 and progesterone assays (20).

Cell culture

Rat FRTL5 cells (American Type Culture Collection, Manassas, VA) were maintained in Coon’s modified F-12 (Life Technologies, Inc.) supplemented with antibiotics, 5% calf serum, and six growth factors as previously described (21). TSH was omitted overnight before TSH induction studies. For primary thyroid cultures, normal thyroid tissue obtained at surgery was minced mechanically and digested for 3 h at 37 C with 10 mg collagenase, 1 mg hyaluronidase, and 1 mg deoxyribonuclease I (Sigma, St. Louis, MO) in 10 ml F-12 medium. Cells were then cultured for 48 h in Coon’s modified medium as described above for 24 h before transient transfection studies (below).

Cell transfection

FRTL-5 cells were transfected with wild-type (Wt) and mutant human PTTG cDNA (13) subcloned in-frame into the mammalian expression vector pCiNeo (Promega Corp., Madison, WI) using Effectene (QIAGEN, Chatsworth, CA), and transfected cells were selected and maintained in medium supplemented with G418 (Geneticin, Life Technologies, Inc.; 1 mg/ml), before screening for mRNA and protein expression. FRTL5 cells transfected with the original pCiNeo vector served as controls, and all experiments were carried out within 20 passages to minimize aging effects in the FRTL5 cells. Primary thyroid cells cultures were transiently transfected using Effectene (QIAGEN, Stanford, Valencia, CA), 48 h after initial culture with Wt-PTTG or vector alone, along with a PSVß-galactosidase expression vector. Measurement of ß-galactosidase expression confirmed equivalent transfection efficiency in vector- and Wt-PTTG transfectants.

Cell proliferation assay

Cell proliferation was measured using CellTiter 96 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide nonradioactive cell proliferation assay according to the manufacturer’s protocol (Promega Corp.). This is a colorimetric assay to determine the number of viable cells based on the cellular conversion of a tetrazolium salt into medium soluble formazan. Absorbance at 490 nm is directly proportional to the number of living cells in culture. Cells (n = 5000) were seeded in 96-well plates (8 wells for each clone in each assay) and incubated at 37 C for 24–72 h. At each time point, dye (20 µl) was added to the wells, and after further incubation at 37 C (4 h), absorbance was recorded at 490 nm using an ELISA reader.

Assays of iodide uptake

125I uptake was measured as previously described with minor modifications (22). FRTL5 cells (2 x 105) were seeded into 24-well tissue culture plates (Costar, Cambridge, MA). Twenty-four hours after transfection with Wt-PTTG or vector control (primary human thyroid cultures; n = 3) or 2–3 d after plating (FRTL5 cells), culture medium was aspirated, and cells were washed with 1 ml HBSS. Iodide uptake was initiated by adding 500 µl HBSS containing 0.1 µCi carrier-free Na125I and 10 µm/liter sodium iodide for 60 min at 37 C. The assays were terminated by aspiration of radioactive medium and washing with 1 ml ice-cold HBSS; 1.0 ml 95% ethanol was added to each well for 1 h and then transferred to vials before counting in a {gamma}-counter. The DNA content in each well was measured, and results were expressed as counts per min/µg DNA. All experiments were performed multiple times (8 wells for each FRTL5 clone and 3 wells for primary human thyroid cultures) on 2 separate occasions.

PTTG transformation in vitro

For soft agar assay, 60-mm tissue culture plates were coated with 5 ml soft agar (20% 2x F-12, 50% F-12, 10% FBS, and 20% 2.5% agar). Two milliliters of cells suspended in medium were combined with 4 ml agar mixture, and 1.5 ml were added to each plate. Cells were plated (104/dish) and incubated for 14 d, and the number of large colonies (>20 cells) was counted.

Statistical analysis

Results are expressed as the mean ± SEM, and statistical analysis was performed using ANOVA (Bonferroni’s multiple comparison test), taking P < 0.05 as significant.

Results

PTTG overexpression is associated with follicular lesions

Increased PTTG1 mRNA expression was observed in 10 of 15 cases of thyroid hyperplasia (mean ± SEM: PTTG1 mRNA, 1.7 ± 0.5-fold increase; P < 0.01, by ANOVA), 7 of 9 follicular adenomas (PTTG1 mRNA, 1.9 ± 0.9-fold increase; P < 0.01), 2 of 2 minimally invasive follicular carcinomas (PTTG1 mRNA, 2.0 ± 0.4-fold increase). Modest PTTG increase was noted in 4 of 8 papillary carcinomas (PTTG1 mRNA, 0.84 ± 0.15-fold increase; P = NS; Table 1Go and Fig. 1Go, A and B) compared to mean ± 2 SD PTTG1 mRNA expression in 32 normal thyroid tissues. The highest expression (up to 7.2 PTTG1 mRNA fold increase) was observed in a subset of thyroid hyperplasia, follicular adenomas, and the 2 follicular carcinomas examined (Table 1Go). PTTG1 mRNA expression in 3 of 3 cases of Hashimoto’s disease was similar to that observed in normal thyroid tissue.



View larger version (48K):
[in this window]
[in a new window]
 
Figure 1. PTTG expression in human thyroid tumors. Northern (A) and Western (B) blot analyses of normal (N) and thyroid tumor (T) tissue for the expression of PTTG1 mRNA. JEG-3 choriocarcinoma cells served as a positive control.

 
PTTG induces thyroid cellular transformation in vitro

PTTG contains a proline-rich region containing a PXXP motif near the C-terminus of the PTTG protein (2). We previously described the importance of this potential SH3-binding motif in PTTG-mediated actions and showed that mutation of this proline-rich (P163A, P170L, P172A, P173L) motif abrogates PTTG-mediated cellular actions (2). To explore the role of PTTG in thyroid tumorigenesis, mutant and wild-type PTTG cDNA cloned into a mammalian expression vector under the control of the cytomegalovirus promoter were stably transfected into rat FRTL5 cells. Overexpression of wild-type and mutant PTTG in transfected clones was confirmed by Northern (Fig. 2AGo) and Western (Fig. 2BGo) blot analyses. Wt-PTTG stable thyroid cell transfectants exhibited increased bFGF expression compared with vector- or mutant-PTTG transfectants (Fig. 2CGo), confirming our previous observations in 3T3 fibroblasts (13). The ability of these cells to undergo transformation was tested in an anchorage-independent growth assay. FRTL5 cells overexpressing wild-type PTTG formed numerous large colonies (44 ± 6 to 72 ± 6 colonies/plate, mean ± SEM) on soft agar, compared with FRTL5 cells transfected with vector only (Fig. 2Go, D and E; 7 ± 1 to 13 ± 1 colonies/plate; P < 0.001). FRTL5 cells expressing mutant PTTG formed fewer colonies than cells overexpressing wild-type PTTG and were similar to those observed for cells transfected with vector alone (ranging from 2 ± 0.3 to 19 ± 1 colonies/plate; P < 0.001). These results demonstrate in vitro transforming activity of human PTTG and support our previous observation that a signaling protein(s) containing an SH3 domain(s) mediates PTTG transforming action.



View larger version (22K):
[in this window]
[in a new window]
 
Figure 2. Wt and mutant PTTG expression in transfected FRTL5 cells. Representative Northern (A) and Western (B) blots showing PTTG1 mRNA expression in clonal cell lines and a Western blot (C) showing increased bFGF expression in Wt-PTTG transfectants are presented. D and E, Colony formation of PTTG-expressing FRTL5 cells in soft agar. Each transfectant cell line was seeded in three different plates, and colonies were counted on the 14th d. Only colonies consisting of 40 or more cells were counted. FRTL5 cells were transfected with vector only (control), Wt-PTTG, or mutant PTTG (PXXP motif mutated: P163A, P170L, P172A, and P173L) expression vector.

 
PTTG overexpression is associated with a dedifferentiated phenotype

FRTL5 cells transfected with wild-type PTTG exhibited increased proliferation rates compared with cells transfected with vector alone (Fig. 3Go, A and B; P < 0.001). Cells transfected with PTTG constructs harboring mutations in the proline-rich region exhibited an intermediate proliferation rate, which was higher than vector-transfected controls (Fig. 3Go, A and B; P < 0.001). In keeping with the enhanced proliferation of these cells, Western blot demonstrated increased PCNA expression in wild-type PTTG transfectants (Fig. 3CGo), and immunohistochemistry confirmed that some cells exhibited intense PCNA immunostaining (Fig. 3DGo). We examined Tg levels in the PTTG-transfected cells as a marker of a differentiated thyrocyte (23). Rat thyrocytes overexpressing wild-type PTTG expressed lower Tg levels than thyrocytes transfected with mutant- PTTG or vector alone (Fig. 3EGo).



View larger version (23K):
[in this window]
[in a new window]
 
Figure 3. FRTL5 PTTG overexpression causes increased proliferation and is associated with a dedifferentiated phenotype. Vector control-, Wt-PTTG-, or mutant PTTG-transfected FRTL5 cells (~5000) were seeded onto 96-well plates in culture medium (see Subjects and Methods), and cell growth was determined by the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide assay (A). Results at 24 h ({square}) and 48 h ({blacksquare}) are shown for individual clones (control, n = 2; Wt-PTTG, n = 3; mutant PTTG, n = 3) in multiplicate (n = 8) as the mean ± SEM and compared by ANOVA. Western blot (C) and immunocytochemical analysis (D) demonstrate increased PCNA and decreased Tg (E) expression in Wt-PTTG-transfected FRTL5 cells compared with vector- and/or mutant-PTTG-transfected controls.

 
Thyroidal PTTG overexpression causes reduced iodide uptake

Rat FRTL5 cells overexpressing wild-type PTTG1 exhibited decreased 125I uptake compared with vector-transfected controls (Fig. 4AGo; P < 0.001). We therefore examined iodide symporter (NIS) expression in these cells and found that thyrocytes overexpressing wild-type PTTG1 have reduced NIS expression compared with vector-transfected controls (Fig. 4BGo), providing a mechanism for the reduced 125I uptake. Treatment of parental or vector-transfected FRTL5 cells with bFGF (5–10 ng/ml) for 48 h led to a 50% decrease in 125I uptake (Fig. 4CGo; P < 0.001) similar to PTTG-transfected cells, suggesting that the observed PTTG-mediated phenotypic alterations are due to secreted bFGF acting in a paracrine/autocrine manner. Transient overexpression of Wt-PTTG in normal human thyroid cells in vitro led to a 10% decrease in 125I uptake (Fig. 4DGo; P = 0.02), extending and confirming our observations in the stably transfected FRTL5 cells.



View larger version (13K):
[in this window]
[in a new window]
 
Figure 4. Thyroidal PTTG overexpression causes reduced iodide uptake and reduced NIS mRNA expression. Vector- and Wt-PTTG-transfected FRTL5 cells (2 x 105) were seeded onto 24-well plates, and iodide uptake was assayed after the addition of 0.1 µCi carrier-free Na125I for 60 min at 37 C. The total DNA content in each well was measured, and results are expressed as the mean ± SEM counts oer min/µg DNA (A). All experiments were performed multiple times (eight wells for each clone) on two separate occasions, and results were compared by ANOVA. Northern blot analysis showed NIS and ß-actin mRNA expression in vector- and Wt-PTTG-transfected FRTL5 cells (B). Iodide uptake was determined after bFGF (5–10 ng/ml) treatment of FRTL5 cells (C) and Wt-PTTG overexpression in human thyroid cells (D) in vitro compared with vector-transfected cells. *, P < 0.05; **, P < 0.001.

 
PTTG is induced by thyroid growth factors

TSH is an important thyroid growth factor, and the cooperative regulation of thyrocyte growth by TSH and sex steroids has been supported by both animal studies and epidemiological analyses (24, 25). TSH treatment (5–25 µ/ml) of cultured rat FRTL5 cells or primary human thyroid cells induced pttg expression in vitro (pttg increase, 5.9- and 2.4-fold, respectively; P = 0.01; Fig. 5Go, A and B).



View larger version (34K):
[in this window]
[in a new window]
 
Figure 5. Regulation of PTTG by TSH in vitro and E in vivo. Primary cultures of human thyroid cells (A) or FRTL5 cells (B) were incubated in TSH-free medium overnight before the addition of TSH (5–10 µ/ml) for 24 h, and PTTG expression was analyzed by Northern blot. Northern blot analysis of thyroid tissue extracts for pttg from rats (groups of three) treated with E (1000 ng/48 h) or E (1000 ng/48 h) in combination with anti-E (E + AE; 4-hydroxytamoxifen, 860 µg/48 h) or vehicle only (C).

 
Administration of E (1000 ng/48 h) by mini-osmotic pump infusion to Fischer 344 rats (n = 3 for each group) induced rat thyroidal pttg (Fig. 5CGo; pttg increase, 5.3-fold). E-mediated thyroidal pttg induction was abrogated by coadministration of the anti-E 4-hydroxytamoxifen (860 µg/48 h; pttg increase, 2.4-fold).

Discussion

In a model of thyroid tumorigenesis, a single transformed cell appears to gain a growth advantage due to loss of proliferative regulation. Genomic instability renders the cell prone to large scale chromosomal aberrations, amplifications, deletions, and translocations (1). Allelic deletions are an indication of chromosomal instability, and in several studies of tumor LOH patterns, specific chromosomal regions, such as 3p, 2p, 2q, and 11q, appear more susceptible to allelic loss in thyroid tumors (26, 27, 28, 29, 30, 31). A comprehensive analysis of LOH studies revealed a higher tendency to loose genetic material in follicular neoplasms, particularly follicular carcinomas compared to papillary carcinomas (31), and it was suggested that a fundamental difference may exist for mechanisms controlling chromosomal stability in these two forms of thyroid cancer (31). In this study we demonstrate increased PTTG1 mRNA expression in 10 of 15 thyroid hyperplasias, 7 of 9 follicular adenomas, and 2 of 2 minimally invasive follicular carcinomas, compared with normal thyroid tissue. In contrast, modestly increased PTTG1 mRNA expression was seen in only 4 of 8 papillary carcinomas, and in these tumors, PTTG1 mRNA abundance was lower than in follicular lesions (P = 0.02), although PTTG mRNA expression varied considerably in both follicular and papillary thyroid tumors. As PTTG exhibits cell cycle-dependant expression (32), some of the observed increases in thyroidal tumor PTTG mRNA expression, as with other cell cycle-dependant factors, may in part be secondary to increased mitotic rates, and it is often difficult in a study such as this to discern direct PTTG-mediated effects on the tumor from those secondary to increased proliferation.

As a securin protein, which inhibits sister chromatid separation, PTTG overexpression would inhibit the exit of cells from mitosis, and we have previously demonstrated that transient PTTG overexpression induces both G2/M arrest (32) and apoptosis (33). However, in stable transfectants overexpressing PTTG, as employed in our current studies, we have preselected clones that have survived PTTG-mediated proapoptotic actions and G2/M arrest, presumably due to the acquisition of additional transforming events. These observations indicate that increased PTTG expression in the thyroid tumors is not completely attributable to increased mitotic rates, and that overexpressed or prolonged PTTG expression, by whatever mechanism, during early stage thyroid transformation may lead to dysregulated chromosome separation during mitosis and facilitate the occurrence of LOH events. Overexpressed PTTG may therefore be a key factor in the critical molecular events that determine the development of distinct thyroid tumor phenotypes. Furthermore, the differentially abundant PTTG expression demonstrable in thyroid tumors makes PTTG a potentially important marker of thyroid tumor progression and a target for subcellular thyroid tumor therapies.

Although epidemiological and experimental evidence supports the role of female sex hormones in thyroid neoplasia, it remains unclear whether E and/or androgens are primary tumor promoters. Thyroid cancer is 3 times more common in Caucasian women than in men (1), well differentiated follicular carcinomas occur predominantly in postpubertal and premenopausal women, and ER expression is expressed in about 25% of cases of thyroid carcinoma (24). Here we demonstrate E-mediated induction of thyroidal PTTG expression in vivo. This may be a direct effect or, given that TSH regulates thyroidal PTTG mRNA expression and E administration increases serum TSH (34), may be indirectly mediated via pituitary-secreted TSH. The complex interplay between sex steroids and TSH on thyroid cell growth has been emphasized by animal studies in which both male and female rats were more susceptible to radiation-induced thyroid tumors in the presence of TSH stimulation (25), whereas ovariectomy or castration attenuated thyroid tumor occurrence. These findings suggest that E and a low iodine diet may cooperatively promote pituitary TSH secretion, facilitating TSH-mediated growth and the development of thyroid tumors. PTTG is regulated by E in several tissues, including the thyroid, and also by TSH, indicating the importance of this transforming factor in thyroid tumorigenesis.

125I uptake and Tg are phenotypic markers of a mature thyrocyte (23, 35), and reduced iodide uptake and Tg have been described in thyroid cancers (36, 37) due in part to reduced iodide symporter expression (37). We show here that thyrocytes overexpressing wild-type PTTG1 have reduced NIS expression, reduced 125I uptake, and decreased Tg expression compared with vector-transfected controls, in keeping with a transformed dedifferentiated phenotype, as has been observed after overexpression of other transforming factors in thyroid cells (38, 39). FRTL5 cells overexpressing Wt-PTTG exhibit increased bFGF expression, and bFGF treatment led to reduced 125I uptake, similar to that observed after treatment of FRTL5 cells with other growth factors (40, 41). Thus, PTTG-directed phenotypic alterations in these thyroid cells appear mediated at least in part by secreted bFGF, acting in a paracrine/autocrine manner. bFGF is an important angiogenic factor in many tumor types, including thyroid tumors (42). bFGF stimulates the proliferation of rat FRTL5 thyroid cells (43), which express the high affinity bFGF (Flg) receptor (44), emphasizing bFGF’s role as an important autocrine regulator of thyroid follicular cell growth. Furthermore, TSH induces bFGF expression in cultured thyroid cells in vitro (45) and in experimental models of thyroid hyperplasia, goiter development is associated with concomitant increases in thyroid angiogenesis and follicular bFGF expression (46). We have recently demonstrated PTTG-mediated angiogenesis (47) and previously correlated PTTG expression with vascularity in colorectal tumors (16). Interestingly, a recent report shows E-mediated reduction in NIS expression in rat thyrocytes (48), and here we demonstrate E regulation of thyroid pttg in vivo, and that PTTG overexpression independently reduces NIS expression. Although it is unclear from our studies whether the NIS reduction is a direct effect of E-mediated pttg induction, is a consequence of the pttg-mediated transformed phenotype, or is mediated by secreted bFGF from these transformed cells, E-mediated pttg induction may provide a mechanism for reduced NIS expression in thyroid tumors. These observations integrate the cooperative interactions between hormones, growth factors, and transforming genes, facilitating the thyroid cell transformation process. Given our observed in vitro regulation of thyroidal PTTG mRNA expression by TSH, it would be interesting to examine correlations between PTTG mRNA expression in thyroid tumors and serum TSH levels and/or iodide uptake in these patients.

In conclusion, the transforming factor PTTG is overexpressed in thyroid tumors and is particularly abundant in follicular neoplasms. PTTG overexpression in rat thyrocytes causes cellular transformation and dedifferentiated phenotypic traits. Furthermore, as PTTG is regulated by TSH, E, and bFGF, the sexual discordance observed in thyroid cancer may represent a link between early PTTG-mediated transforming cellular events, such as aneuploidy, and the consequential disruption of growth factor signaling with its attendant phenotypic alterations. We propose that PTTG overexpression in follicular neoplasms leads to increased chromosomal instability, relatively commonly observed in thyroid follicular lesions, but infrequent in papillary thyroid cancers. Downstream targets of PTTG therefore appear implicated in the divergence of follicular vs. papillary thyroid cancer phenotypes.

Acknowledgments

We thank Shlomo Melmed for his considerable contribution and critical reading of the manuscript, and Nancy Carrasco for the gift of rat NIS cDNA.

Footnotes

This work was supported by grants from Thyroid Research Advisory Council (TRAC) (to A.P.H.) and the Doris Factor Molecular Endocrinology Laboratory.

Abbreviations: bFGF, basic fibroblast growth factor; NIA, sodium iodide symporter; PCNA, proliferating cytoplasmic nuclear antigen; PTTG, pituitary tumor transforming gene; Wt, wild type.

Received February 1, 2001.

Accepted June 6, 2001.

References

  1. Fagin JA 2000 Molecular genetics of thyroid follicular cells. In: Braverman LE, Utiger RD, eds. The thyroid. Philadelphia: Lippincott-Williams & Wilkins; 886–898
  2. Farid NR, Shi Y, Zou M 1994 Moecular basis of thyroid cancer. Endocr Rev 15:202–232[Abstract/Free Full Text]
  3. Namba H, Matsuo K, Fagin JA 1990 Clonal composition of benign and malignant human thyroid tumors. J Clin Invest 86:120–125
  4. Lemoline NR, Mayall ES, Wyllie FS, Williams ED, Goyns M, Stringer B, Wynford-Thomas D 1989 High frequency of ras oncogene activation in all stages of human thyroid tumorigenesis. Oncogene 4:159–164[Medline]
  5. Namba H, Rubin SA, Fagin JA 1990 Point mutations of ras oncogenes are an early event in thyroid tumorigenesis. Mol Endocrinol 4:1474–1479[Abstract/Free Full Text]
  6. Surez HG, du Villard JA, Caillou B, Schlumberger M, Parmentier C, Monie R 1991 gsp mutations in human thyroid tumors. Oncogene 6:677–679[Medline]
  7. Matsuo K, Tang SH, Fagin JA 1991 Allelotype of human thyroid tumors: loss of chromosome 11q13 sequences in follicular neoplasms. Mol Endocrinol 5:1873–1879[Abstract/Free Full Text]
  8. Santoro M, Carlomagno F, Hay ID 1992 Ret oncogene activation in human thyroid neoplasms is restricted to the papillary cancer subtype. J Clin Invest 89:1517–1522
  9. Bounacer A, Wicker R, Caillou B, et al. 1997 High prevalence of activating RET proto-oncogene rearrangements in thyroid tumors from patients who have received external radiation. Oncogene 15:1263–73[CrossRef][Medline]
  10. Fuggazola L, Pilotti S, Pinchera A 1995 Oncogenic rearrangements of the RET proto-oncogene in papillary thyroid carcinoma from children exposed to the Chernobyl reactor accident. Cancer Res 55:5617–5620[Abstract/Free Full Text]
  11. Fagin JA, Matsuo K, Karmakar A, Chen DL, Tang SH, Koeffler HP 1993 High prevalence of mutations of the p53 gene in poorly differentiated human thyroid carcinoma. J Clin Invest 91:179–184
  12. Pei L, Melmed S 1997 Isolation and characterization of a pituitary tumor-transforming gene (PTTG). Mol Endocrinol 11:433–441[Abstract/Free Full Text]
  13. Zhang X, Horwitz GA, Prezant TP, et al. 1999 Structure, expression and function of human pituitary transforming gene (PTTG). Mol Endocrinol 13:156–166[Abstract/Free Full Text]
  14. Zou H, McGarry TJ, Bernal T, Kirschner MW 1999 Identification of a vertebrate sister-chromatid separation inhibitor involved in transformation and tumorigenesis. Science 285:418–422[Abstract/Free Full Text]
  15. Prezant TP, Kadioglu P, Melmed S 1999 An intronless homolog of human proto-oncogene hPTTG is expressed in pituitary tumors: evidence for hPTTG family. J Clin Endocrinol Metab 84:1149–1152[Abstract/Free Full Text]
  16. Heaney AP, Singson R, McCabe CJ, Nelson V, Nakashima M, Melmed S 2000 Pituitary tumor transforming gene: a novel marker in colorectal tumors. Lancet 355:716–719[CrossRef][Medline]
  17. Zhang X, Horwitz GA, Heaney AP, et al. 1999 Pituitary tumor transforming gene expression in human pituitary adenomas. J Clin Endocrinol Metab 84:761–767[Abstract/Free Full Text]
  18. Chen LL, Puri R, Lefkowitz EJ, Kakar SS 2000 Identification of the human pituitary tumor transforming gene (hPTTG) family: molecular structure, expression and chromosomal localization. Gene 248:41–50[CrossRef][Medline]
  19. Heaney AP, Horwitz GA, Wang Z, Singson R, Melmed S 1999 Early involvement of estrogen-induced pituitary tumor transforming gene (PTTG1) and fibroblast growth factor (bFGF) expression in prolactinoma pathogenesis. Nat Med 5:1317–1321[CrossRef][Medline]
  20. Lapolt PS, Matt DW, Judd HL, Lu JKH 1986 The relation of ovarian steroid levels in young female rats to subsequent estrous cyclicity and reproductive function during aging. Biol Reprod 35:1131–1139[Abstract]
  21. Ambesi-Impombiato FS, Coon HG 1979 Thyroid cells in culture. Int Rev Cytol 10:163–172
  22. Weiss SJ, Philp NJ, Grollman EF 1984 Iodide transport in a continuous line of cultured cells from rat thyroid. Endocrinology 114:1090–1098[Abstract/Free Full Text]
  23. Malthiery Y, Lissitzky S 1987 Primary structure of human thyroglobulin deduced from the sequence of its 8448-base complementary DNA. Eur J Biochem 165:491–498[Medline]
  24. Clark OH, Gerend PR, Davis BA, Goretzki PE, Hoffman PG 1985 Estrogen and thyroid-stimulating hormone (TSH) receptors in neoplastic and nonneoplastic human thyroid tissues. J Surg Res 38:89–96[CrossRef][Medline]
  25. Mori M, Naito M, Watanabe H, Takeichi N, Dohi K, Ito A 1990 Effects of sex difference, gonadectomy, and estrogen on N-methyl-N-nitrosurea induced rat thyroid tumors. Cancer Res 50:7662–7667[Abstract/Free Full Text]
  26. Kubo K, Yoshimoto K, Yokogoshi Y, Tsuyuguchi M, Saito S 1991 Loss of heterozygosity on chromosome 1p in thyroid adenoma and medullary carcinoma, but not in papillary carcinoma. Jpn J Cancer Res 82:1097–1103[CrossRef][Medline]
  27. Zedenius J, Wallin G, Svensson A, et al. 1995 Allelotyping of follicular thyroid tumors. Hum Genet 96:27–32[CrossRef][Medline]
  28. Grebe SKG, Hay ID, Jenkins RB, Wu S-C, Maciel L, Eberhardt NL 1996 Frequent loss of heterozygosity on the distal portions of chromosome 3p and 17p in follicular thyroid carcinoma is rarely associated with mutations in the known tumor suppressor genes VHL and p53 [Abstract]. Thyroid 137:S70–S79
  29. Tung WS, Shevlin DW, Kaleem Z, Tribune DJ, Wells SA, Goodfellow PJ 1997 Allelotype of follicular thyroid carcinoma reveals genetic instability consistent with frequent nondisjunctional chromosomal loss. Genes Chromosomes Cancer 19:43–51[CrossRef][Medline]
  30. Marsh DJ, Zheng Z, Zedenius J, et al. 1997 Differential loss of heterozygosity in the region of the Cowden locus within 10q22–23 in follicular thyroid adenomas and carcinomas. Cancer Res 57:50–503
  31. Ward LS, Brenta G, Medvedovic M, Fagin JA 1998 Studies of allelic loss in thyroid tumors reveal major differences in chromosomal instability between papillary and follicular lesions. J Clin Endocrinol Metab 83:525–530[Abstract/Free Full Text]
  32. Yu R, Ren S-G, Horwitz GA, Wang Z, Melmed S 2000 Pituitary tumor transforming gene (PTTG) regulates placental JEG-3 cell division and survival: evidence from live cell imaging. Mol Endocrinol 14:1137–1146[Abstract/Free Full Text]
  33. Yu R, Heaney AP, Lu W, Chen J, Melmed S 2000 Pituitary tumor transforming gene causes aneuploidy and p53-dependent and p-53 independent apoptosis. J Biol Chem 275:36502–36505[Abstract/Free Full Text]
  34. Marquess E, Braverman LE, Lawerence JE, Carroll JS, Seely EW 2000 The effect of droloxifene and estrogen on thyroid function in postmenopausal women. J Clin Endocrinol Metab 85:4407–4410[Abstract/Free Full Text]
  35. Carrasco N 1993 Iodide transport in the thyroid gland. Biochim Biophys Acta 1154:65–82[Medline]
  36. Schlumberger M, Challeton C, De Vathaire F, et al. 1996 Radioactive iodine treatment and external radiotherapy for lung and bone metasteses from thyroid carcinoma. J Nucl Med 37:598–605[Abstract/Free Full Text]
  37. Lazar V, Bidart J-M, Caillou B, et al. 1999 Expression of the Na+/I- symporter gene in human thyroid tumors: a comparison study with other thyroid-specific genes. J Clin Endocrinol Metab 84:3228–3234[Abstract/Free Full Text]
  38. Trapasso F, Martelli ML, Battaglia C, et al. 1996 The v-erbA oncogene selectively inhibits iodide uptake in rat thyroid cells. Oncogene 2:1879–1888
  39. Kupperman E, Wofford D, Wen W, Meinkoth JL 1996 Ras inhibits thyroglobulin expression but not cyclic adenosine monophosphate-mediated signaling in Wistar rat thyrocytes. Endocrinology 137:96–104[Abstract]
  40. Zakarija M, McKenzie JM 1989 Variations in the culture medium for FRTL5 cells: effects on growth and iodide uptake. Endocrinology 125:1253–1259[Abstract/Free Full Text]
  41. Roger PP, Christophe D, Dumont JE, Pirson I 1997 The dog thyroid primary culture system: a model of the regulation of function, growth and differentiation expression by cAMP and other well-defined signaling cascades. Eur J Endocrinol 137:579–598[CrossRef][Medline]
  42. Eggo MC, Hopkins JM, Franklyn JA, Johnson GD, Sanders DSA, Sheppard MC 1995 Expression of fibroblast growth factors in thyroid cancer. J Clin Endocrinol Metab 80:1006–1011[Abstract]
  43. Black EG, Logan A, Davis JR, Sheppard MC 1990 Basic fibroblast growth factor affects DNA synthesis and cell function and activates multiple signalling pathways in rat thyroid FRTL5 and pituitary GH3 cells. J Endocrinol 127:39–46[Abstract/Free Full Text]
  44. Logan A, Black EG, Gonzalez AM, Buscaglia M, Sheppard MC 1992 Basic fibroblast growth factor: an autocrine mitogen of rat thyroid follicular cells. Endocrinology 130:2363–2372[Abstract/Free Full Text]
  45. Hill DJ, Phillips ID, Wang JF, Becks GP 1994 Basic fibroblast growth factor (basic FGF) in isolated ovine thyroid follicles: thyrotropin stimulation and effects of basic FGF on DNA synthesis, iodine uptake and organification, and the release of insulin-like growth factors (IGFs) and IGF-binding proteins. Thyroid 4:77–85[Medline]
  46. Patel VA, Hill DJ, Eggo MC, Sheppard MC, Becks GP, Logan A 1996 Changes in immunohistochemical localisation of fibroblast growth factor-2, transforming growth factor-ß1 and thrombospondin-1 are associated with early angiogenic events in the hyperpalstic rat thyroid. J Endocrinol 148:485–499[Abstract/Free Full Text]
  47. Ishikawa H, Heaney AP, Yu R, Horwitz GA, Melmed S 2001 Human pituitary tumor-transforming gene induces angiogenesis. J Clin Endocrinol Metab 86:867–874[Abstract/Free Full Text]
  48. Furlanetto TW, Nguyen LQ, Jameson LJ 1999 Estradiol increases proliferation and down-regulates the sodium/iodide symporter gene in FRTL-5 cells. Endocrinology 140:5705–5711[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
J Mol EndocrinolHome page
Y. Tong and T. Eigler
Transcriptional targets for pituitary tumor-transforming gene-1
J. Mol. Endocrinol., November 1, 2009; 43(5): 179 - 185.
[Abstract] [Full Text] [PDF]


Home page
J. Cell Sci.Home page
V. E. Smith, M. L. Read, A. S. Turnell, R. J. Watkins, J. C. Watkinson, G. D. Lewy, J. C. W. Fong, S. R. James, M. C. Eggo, K. Boelaert, et al.
A novel mechanism of sodium iodide symporter repression in differentiated thyroid cancer
J. Cell Sci., September 15, 2009; 122(18): 3393 - 3402.
[Abstract] [Full Text] [PDF]


Home page
Endocr Relat CancerHome page
F. Salehi, K. Kovacs, B. W Scheithauer, R. V Lloyd, and M. Cusimano
Pituitary tumor-transforming gene in endocrine and other neoplasms: a review and update
Endocr. Relat. Cancer, September 1, 2008; 15(3): 721 - 743.
[Abstract] [Full Text] [PDF]


Home page
CarcinogenesisHome page
C. S. Kim, H. Ying, M. C. Willingham, and S.-y. Cheng
The pituitary tumor-transforming gene promotes angiogenesis in a mouse model of follicular thyroid cancer
Carcinogenesis, May 1, 2007; 28(5): 932 - 939.
[Abstract] [Full Text] [PDF]


Home page
Endocr. Rev.Home page
G. Vlotides, T. Eigler, and S. Melmed
Pituitary Tumor-Transforming Gene: Physiology and Implications for Tumorigenesis
Endocr. Rev., April 1, 2007; 28(2): 165 - 186.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
G. Vlotides, M. Cruz-Soto, T. Rubinek, T. Eigler, C. J. Auernhammer, and S. Melmed
Mechanisms for Growth Factor-Induced Pituitary Tumor Transforming Gene-1 Expression in Pituitary Folliculostellate TtT/GF Cells
Mol. Endocrinol., December 1, 2006; 20(12): 3321 - 3335.
[Abstract] [Full Text] [PDF]


Home page
Clin Med ResHome page
J. Tfelt-Hansen, D. Kanuparthi, and N. Chattopadhyay
The emerging role of pituitary tumor transforming gene in tumorigenesis.
Clin. Med. Res., June 1, 2006; 4(2): 130 - 137.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
C. Saez, M. A. Martinez-Brocca, C. Castilla, A. Soto, E. Navarro, M. Tortolero, J. A. Pintor-Toro, and M. A. Japon
Prognostic Significance of Human Pituitary Tumor-Transforming Gene Immunohistochemical Expression in Differentiated Thyroid Cancer
J. Clin. Endocrinol. Metab., April 1, 2006; 91(4): 1404 - 1409.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
A. L. Stratford, K. Boelaert, L. A. Tannahill, D. S. Kim, A. Warfield, M. C. Eggo, N. J. L. Gittoes, L. S. Young, J. A. Franklyn, and C. J. McCabe
Pituitary Tumor Transforming Gene Binding Factor: A Novel Transforming Gene in Thyroid Tumorigenesis
J. Clin. Endocrinol. Metab., July 1, 2005; 90(7): 4341 - 4349.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
S.-J. Tsai, S.-J. Lin, Y.-M. Cheng, H.-M. Chen, and L.-Y. C. Wing
Expression and Functional Analysis of Pituitary Tumor Transforming Growth Factor-1 in Uterine Leiomyomas
J. Clin. Endocrinol. Metab., June 1, 2005; 90(6): 3715 - 3723.
[Abstract] [Full Text] [PDF]


Home page
J Mol EndocrinolHome page
K Boelaert, R Yu, L A Tannahill, A L Stratford, F L Khanim, M C Eggo, J S Moore, L S Young, N J L Gittoes, J A Franklyn, et al.
PTTG's C-terminal PXXP motifs modulate critical cellular processes in vitro
J. Mol. Endocrinol., December 1, 2004; 33(3): 663 - 677.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
J. Tfelt-Hansen, S. Yano, S. Bandyopadhyay, R. Carroll, E. M. Brown, and N. Chattopadhyay
Expression of Pituitary Tumor Transforming Gene (PTTG) and Its Binding Protein in Human Astrocytes and Astrocytoma Cells: Function and Regulation of PTTG in U87 Astrocytoma Cells
Endocrinology, September 1, 2004; 145(9): 4222 - 4231.
[Abstract] [Full Text] [PDF]


Home page
FASEB J.Home page
K. BOELAERT, L. A. TANNAHILL, J. N. BULMER, S. KACHILELE, S. Y. CHAN, D. KIM, N. J. L. GITTOES, J. A. FRANKLYN, M. D. KILBY, and C. J. MCCABE
A potential role for PTTG/securin in the developing human fetal brain
FASEB J, September 1, 2003; 17(12): 1631 - 1639.
[Abstract] [Full Text] [PDF]


Home page
CarcinogenesisHome page
H. Ying, H. Suzuki, H. Furumoto, R. Walker, P. Meltzer, M. C. Willingham, and S.-Y. Cheng
Alterations in genomic profiles during tumor progression in a mouse model of follicular thyroid carcinoma
Carcinogenesis, September 1, 2003; 24(9): 1467 - 1479.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Endocrinol. Metab.Home page
K. Boelaert, C. J. McCabe, L. A. Tannahill, N. J. L. Gittoes, R. L. Holder, J. C. Watkinson, A. R. Bradwell, M. C. Sheppard, and J. A. Franklyn
Pituitary Tumor Transforming Gene and Fibroblast Growth Factor-2 Expression: Potential Prognostic Indicators in Differentiated Thyroid Cancer
J. Clin. Endocrinol. Metab., May 1, 2003; 88(5): 2341 - 2347.
[Abstract] [Full Text] [PDF]


Home page
Mol. Endocrinol.Home page
J. A. Fagin
Minireview: Branded from the Start--Distinct Oncogenic Initiating Events May Determine Tumor Fate in the Thyroid
Mol. Endocrinol., May 1, 2002; 16(5): 903 - 911.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a related Letter to the Editor
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow Request Copyright Permission
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Heaney, A. P.
Right arrow Articles by Horwitz, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Heaney, A. P.
Right arrow Articles by Horwitz, G.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Endocrinology Endocrine Reviews J. Clin. End. & Metab.
Molecular Endocrinology Recent Prog. Horm. Res. All Endocrine Journals