Somatic mutations in the thyrotropin receptor gene cause hyperfunctioning thyroid adenomas

Nature. 1993 Oct 14;365(6447):649-51. doi: 10.1038/365649a0.


The pituitary hormone thyrotropin stimulates the function, expression of differentiation and growth of thyrocytes by cyclic AMP-dependent mechanisms. Tissue hyperplasia and hyperthyroidism are therefore expected to result when activation of the adenylyl cyclase-cAMP cascade is unregulated. This is observed in several situations, including when somatic mutations impair the GTPase activity of the G protein Gsa (ref 6, 7). Such a mechanism is probably responsible for the development of a minority of monoclonal hyperfunctioning thyroid adenomas. Here we identify somatic mutations in the carboxy-terminal portion of the third cytoplasmic loop of the thyrotropin receptor in three out of eleven hyperfunctioning thyroid adenomas. These mutations are restricted to tumour tissue and involve two different residues (aspartic acid at position 619 to glycine in two cases, and alanine at position 623 to isoleucine in one case). The mutant receptors confer constitutive activation of adenylyl cyclase when tested by transfection in COS cells. This shows that G-protein-coupled receptors are susceptible to constitutive activation by spontaneous somatic mutations and may thus behave as proto-oncogenes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoma / genetics*
  • Adenoma / metabolism
  • Adenoma / physiopathology
  • Adenylyl Cyclases / metabolism
  • Amino Acid Sequence
  • Animals
  • Base Sequence
  • Cell Line
  • Colforsin / pharmacology
  • Cyclic AMP / metabolism
  • DNA Mutational Analysis
  • DNA Primers
  • DNA, Neoplasm
  • Enzyme Activation
  • GTP-Binding Proteins / metabolism
  • Humans
  • Hyperthyroidism / genetics
  • Hyperthyroidism / metabolism
  • Inositol Phosphates / metabolism
  • Molecular Sequence Data
  • Mutation*
  • Protein Conformation
  • Receptors, Thyrotropin / genetics*
  • Thyroid Neoplasms / genetics*
  • Thyroid Neoplasms / metabolism
  • Thyroid Neoplasms / physiopathology
  • Thyrotropin / pharmacology
  • Transfection


  • DNA Primers
  • DNA, Neoplasm
  • Inositol Phosphates
  • Receptors, Thyrotropin
  • Colforsin
  • Thyrotropin
  • Cyclic AMP
  • GTP-Binding Proteins
  • Adenylyl Cyclases