Role of Smad in cancer Defects in Smad signaling can result in TGF-B resistance, causing dysregulation of cell growth. Deregulation of TGF-B signaling has been implicated in many cancer types, including pancreatic, colon, breast, lung, and prostate cancer. Smad4 is most commonly mutated in human cancers, particularly pancreatic and colon cancer. Smad4 is inactivated in nearly half of all pancreatic cancers. As a result, Smad4 was first termed Deleted in Pancreatic Cancer Locus 4 (DPC4) upon its discovery. Germline Smad4 mutations are partially responsible for genetic disposition for human familial
juvenile polyposis, which puts a person at high risk of developing potentially cancerous gastrointestinal
polyps. Experimental supporting evidence for this observation comes from a study showing that heterozygous Smad4 knockout mice (±) uniformly developed gastrointestinal polyps by 100 weeks. Many familial Smad4 mutants occur on the MH2 domain, which disrupts the protein's ability to form
homo- or
hetero-oligomers, thus impairing TGF-B signal transduction. Despite evidence showing that Smad3 is more critical than Smad2 in TGF-B signaling, the rate of Smad3 mutations in cancer is lower than that of Smad2.
Choriocarcinoma tumor cells are TGF-B signaling resistant, as well as lacking Smad3 expression. Studies show that reintroducing Smad3 into choriocarcinoma cells is sufficient to increase TIMP-1 (tissue inhibitor of metalloprotease-1) levels, a mediator of TGF-B's anti-invasive effect, and thus restore TGF-B signaling. However, reintroducing Smad3 was not sufficient to rescue the anti-invasive effect of TGF-B. This suggests that other signaling mechanisms in addition to Smad3 are defective in TGF-B resistant choriocarcinoma. This finding is seemingly paradoxical, as TGF-B has previously been shown to have neuroprotective effects on Alzheimer's patients. This suggests that some aspect of TGF-B signaling is defective, causing TGF-B to lose its neuroprotective effects. Research has shown that phosphorylated Smad2 is ectopically localized to cytoplasmic granules rather than the nucleus, in hippocampal neurons of patients with Alzheimer's disease. Specifically, the ectopically located phosphorylated Smad2s were found within
amyloid plaques, and attached to
neurofibrillary tangles. These data suggest that Smad2 is involved in the development of Alzheimer's disease. Recent studies show that the
peptidyl-prolyl cis-trans isomerase NIMA-interacting 1 (PIN1) is involved in promoting the abnormal localization of Smad2. Pin1 was found to co-localize with Smad2/3 and phosphorylated
tau proteins within the cytoplasmic granules, suggesting a possible interaction. Transfecting Smad2 expressing cells with Pin1 causes proteasome-mediated Smad2 degradation, as well as increased association of Smad2 with phosphorylated tau. This feedback loop is bidirectional; Smad2 is also capable of increasing Pin1 mRNA synthesis. Thus, the two proteins could be caught in a "vicious cycle" of regulation. Pin1 causes both itself and Smad2 to be associated in insoluble neurofibrillary tangles, resulting in low levels of both soluble proteins. Smad2 then promotes Pin1 RNA synthesis to try and compensate, which only drives more Smad2 degradation and association with neurofibrillary tangles.
TGF-β/Smad signaling in kidney disease Dysregulation of TGF-B/Smad signaling is a possible pathogenic mechanism of
chronic kidney disease. In the kidneys, TGF-B1 promotes accumulation of the
extracellular matrix (ECM) by increasing its production and inhibiting its degradation, which is characteristic of renal
fibrosis. TGF-B1 signal is transduced by the R-Smads Smad2 and Smad3, both of which are found to be overexpressed in diseased kidneys. Smad3 knockout mice display reduced progression of renal fibrosis, suggesting its importance in regulating the disease. Conversely, inhibiting Smad2 in kidney cells (full Smad2 knockouts are embryonic lethal) actually leads to more severe fibrosis, suggesting that Smad2 works antagonistically to Smad3 in the progression of renal fibrosis. Unlike the R-Smads, Smad7 protein is typically under-expressed in diseased kidney cells. This loss of TGF-B inhibition results in increased amounts of active Smad2/3, which contribute to the progression of renal fibrosis as described above. ==Notes==