Smad4 loss in mice causes spontaneous head and neck cancer with increased genomic instability and inflammation
Sophia Bornstein, … , Shi-Long Lu, Xiao-Jing Wang
Sophia Bornstein, … , Shi-Long Lu, Xiao-Jing Wang
Published October 19, 2009
Citation Information: J Clin Invest. 2009;119(11):3408-3419. https://doi.org/10.1172/JCI38854.
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Research Article

Smad4 loss in mice causes spontaneous head and neck cancer with increased genomic instability and inflammation

Abstract

Smad4 is a central mediator of TGF-β signaling, and its expression is downregulated or lost at the malignant stage in several cancer types. In this study, we found that Smad4 was frequently downregulated not only in human head and neck squamous cell carcinoma (HNSCC) malignant lesions, but also in grossly normal adjacent buccal mucosa. To gain insight into the importance of this observation, we generated mice in which Smad4 was deleted in head and neck epithelia (referred to herein as HN-Smad4–/– mice) and found that they developed spontaneous HNSCC. Interestingly, both normal head and neck tissue and HNSCC from HN-Smad4–/– mice exhibited increased genomic instability, which correlated with downregulated expression and function of genes encoding proteins in the Fanconi anemia/Brca (Fanc/Brca) DNA repair pathway linked to HNSCC susceptibility in humans. Consistent with this, further analysis revealed a correlation between downregulation of Smad4 protein and downregulation of the Brca1 and Rad51 proteins in human HNSCC. In addition to the above changes in tumor epithelia, both normal head and neck tissue and HNSCC from HN-Smad4–/– mice exhibited severe inflammation, which was associated with increased expression of TGF-β1 and activated Smad3. We present what we believe to be the first single gene–knockout model for HNSCC, in which both HNSCC formation and invasion occurred as a result of Smad4 deletion. Our results reveal an intriguing connection between Smad4 and the Fanc/Brca pathway and highlight the impact of epithelial Smad4 loss on inflammation.

Authors

Sophia Bornstein, Ruth White, Stephen Malkoski, Masako Oka, Gangwen Han, Timothy Cleaver, Douglas Reh, Peter Andersen, Neil Gross, Susan Olson, Chuxia Deng, Shi-Long Lu, Xiao-Jing Wang

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Figure 1

Smad4 downregulation is common in human HNSCC.

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Smad4 downregulation is common in human HNSCC. (A) SMAD4 mRNA expression...
(A) SMAD4 mRNA expression examined by qRT-PCR of 7 normal sleep apnea control samples, 36 HNSCC samples, and 36 matched adjacent mucosa samples. The relative expression of SMAD4 in sleep apnea controls was arbitrarily set as 100%. SMAD4 downregulation was defined as less than 50% that of normal sleep apnea controls. The average SMAD4 expression from each group is presented in the inset. Error bars indicate SEM, and significance was determined using Student’s t test. (B) Smad4 IHC staining (brown). Thirty-six samples per group were stained, and a representative image is presented showing Smad4 protein loss in an HNSCC and matched adjacent mucosa compared with a normal sleep apnea control sample. Scale bar: 40 μm (all panels).