PMID- 24712572 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20211203 IS - 1945-7197 (Electronic) IS - 0021-972X (Print) IS - 0021-972X (Linking) VI - 99 IP - 7 DP - 2014 Jul TI - mTOR Inhibition promotes TTF1-dependent redifferentiation and restores iodine uptake in thyroid carcinoma cell lines. PG - E1368-75 LID - 10.1210/jc.2014-1171 [doi] AB - CONCEPT: Redifferentiation of thyroid carcinoma cells has the potential to increase the efficacy of radioactive iodine therapy in treatment-refractory, nonmedullary thyroid carcinoma (TC), leading to an improved disease outcome. Mammalian target of rapamycin (mTOR) is a key regulator of cell fate affecting survival and differentiation, with autophagy and inflammation as prominent downstream pathways. METHODS: The effects of mTOR inhibition were studied for its redifferentiation potential of the human TC cell lines BC-PAP, FTC133, and TPC1 by assessment of mRNA and protein expression of thyroid-specific genes and by performance of iodine uptake assays. RESULTS: In thyroid transcription factor 1 (TTF1)-expressing cell lines, mTOR inhibition promoted redifferentiation of TC cells by the up-regulation of human sodium-iodine symporter mRNA and protein expression. Furthermore, these cells exhibited markedly elevated iodine uptake capacity. Surprisingly, this redifferentiation process was not mediated by autophagy induced during mTOR inhibition or by inflammatory mediators but through transcriptional effects at the level of TTF1 expression. Accordingly, small interfering RNA inhibition of TTF1 completely abrogated the induction of human sodium-iodine symporter by mTOR inhibition. CONCLUSION: The present study has identified the TTF1-dependent molecular mechanisms through which the inhibition of mTOR leads to the redifferentiation of TC cells and subsequently to increased radioactive iodine uptake. FAU - Plantinga, Theo S AU - Plantinga TS AD - Departments of Internal Medicine (T.S.P., B.H., M.G.N., L.A.B.J., A.R.M.M.H., J.W.A.S., R.T.N.-M.) and Nuclear Medicine (D.G., W.J.G.O., O.C.B.) and Division of Endocrinology (T.S.P., A.R.M.M.H., J.W.A.S., R.T.N.-M.), Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands; and Division of Endocrinology, Diabetes, and Metabolism (R.E.S., B.R.H.), University of Colorado Denver, Aurora, Colorado 80045. FAU - Heinhuis, Bas AU - Heinhuis B FAU - Gerrits, Danny AU - Gerrits D FAU - Netea, Mihai G AU - Netea MG FAU - Joosten, Leo A B AU - Joosten LA FAU - Hermus, Ad R M M AU - Hermus AR FAU - Oyen, Wim J G AU - Oyen WJ FAU - Schweppe, Rebecca E AU - Schweppe RE FAU - Haugen, Bryan R AU - Haugen BR FAU - Boerman, Otto C AU - Boerman OC FAU - Smit, Johannes W A AU - Smit JW FAU - Netea-Maier, Romana T AU - Netea-Maier RT LA - eng GR - P30 CA046934/CA/NCI NIH HHS/United States GR - R01 CA175994/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140408 PL - United States TA - J Clin Endocrinol Metab JT - The Journal of clinical endocrinology and metabolism JID - 0375362 RN - 0 (DNA-Binding Proteins) RN - 0 (Interleukin-6) RN - 0 (Iodine Radioisotopes) RN - 0 (TTF1 protein, human) RN - 0 (Transcription Factors) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Autophagy/drug effects/genetics MH - Carcinoma, Papillary, Follicular/genetics/*metabolism/pathology MH - Cell Differentiation/*drug effects/genetics MH - Cell Line, Tumor MH - DNA-Binding Proteins/*physiology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Inflammation/genetics/metabolism MH - Interleukin-6/pharmacology MH - Iodine Radioisotopes/*metabolism MH - Sirolimus/*pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors MH - Thyroid Neoplasms/genetics/*metabolism/pathology MH - Transcription Factors PMC - PMC5393487 EDAT- 2014/04/10 06:00 MHDA- 2014/09/30 06:00 PMCR- 2015/07/01 CRDT- 2014/04/10 06:00 PHST- 2014/04/10 06:00 [entrez] PHST- 2014/04/10 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - 14-1171 [pii] AID - 10.1210/jc.2014-1171 [doi] PST - ppublish SO - J Clin Endocrinol Metab. 2014 Jul;99(7):E1368-75. doi: 10.1210/jc.2014-1171. Epub 2014 Apr 8.