Edited by Xiao-Fan WangTransforming growth factor (TGF)- signaling in humans is stringently regulated to prevent excessive TGF- signaling. In tumors, TGF- signaling can both negatively and positively regulate tumorigenesis dependent on tumor type, but the reason for these opposite effects is unclear. TGF- signaling is mainly mediated via the Smad-dependent pathway, and herein we found that PDZK1-interacting protein 1 (PDZK1IP1) interacts with Smad4. PDZK1IP1 inhibited both the TGF- and the bone morphogenetic protein (BMP) pathways without affecting receptor-regulated Smad (R-Smad) phosphorylation. Rather than targeting R-Smad phosphorylation, PDZK1IP1 could interfere with TGF--and BMP-induced R-Smad/Smad4 complex formation. Of note, PDZK1IP1 retained Smad4 in the cytoplasm of TGF--stimulated cells. To pinpoint PDZK1IP1's functional domain, we created several PDZK1IP1 variants and found that its middle region, from Phe 40 to Ala 49 , plays a key role in its Smad4-regulating activity. PDZK1IP1 knockdown enhanced the expression of the TGF- target genes Smad7 and prostate transmembrane protein androgen-induced (TMEPAI) upon TGF- stimulation. In contrast, PDZK1IP1 overexpression suppressed TGF--induced reporter activities, cell migration, and cell growth inhibition. In a xenograft tumor model in which TGF- was previously shown to elicit tumor-promoting effects, PDZK1IP1 gain of function decreased tumor size and increased survival rates. Taken together, these findings indicate that PDZK1IP1 interacts with Smad4 and thereby suppresses the TGF- signaling pathway.