2010
DOI: 10.1053/j.gastro.2009.11.004
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Antimetastatic Role of Smad4 Signaling in Colorectal Cancer

Abstract: Background & Aims-Transforming growth factor (TGF)-β signaling occurs through Smads 2/3/4, which translocate to the nucleus to regulate transcription; TGF-β has tumor suppressive effects in some tumor models and pro-metastatic effects in others. In patients with colorectal cancer (CRC), mutations or reduced levels of Smad4 have been correlated with reduced survival. However, the function of Smad signaling and the effects of TGF-β receptor kinase inhibitors (TRKI) have not been analyzed during CRC metastasis. W… Show more

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Cited by 201 publications
(171 citation statements)
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References 21 publications
(37 reference statements)
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“…Our results are further confirmed by the observation that in addition to loss of P53, SMAD4 inactivation plays a key role in late stages of CRC, such as migration and metastatic outgrowth potential. SMAD4 inactivation appeared to block differentiation, which is in line with previous findings where SMAD4 loss was associated with cell spreading, liver metastasis, and a poor disease prognosis (2,(20)(21)(22)(23). Together, our study depicts metastasis as an extremely inefficient process where at least four genetic alterations are required for tumor cells to seed and grow out at distant sites independently of stem cell niche factors.…”
Section: Discussionsupporting
confidence: 79%
“…Our results are further confirmed by the observation that in addition to loss of P53, SMAD4 inactivation plays a key role in late stages of CRC, such as migration and metastatic outgrowth potential. SMAD4 inactivation appeared to block differentiation, which is in line with previous findings where SMAD4 loss was associated with cell spreading, liver metastasis, and a poor disease prognosis (2,(20)(21)(22)(23). Together, our study depicts metastasis as an extremely inefficient process where at least four genetic alterations are required for tumor cells to seed and grow out at distant sites independently of stem cell niche factors.…”
Section: Discussionsupporting
confidence: 79%
“…Therefore, crosstalk between Smad and the non-Smad pathway plays a critical role in regulating tumor progression, although the exact mechanism of this crosstalk remains elusive. We previously showed that Smad4 overexpression reverses TGF-β from a tumor promoter to a tumor suppressor (10). In the present study, we identified that Smad4 deficiency in CT26 cells induced tumor progression in vivo and in vitro.…”
Section: Discussionsupporting
confidence: 49%
“…The liver metastasis model was established by splenic injection of CT26 cells in BALB/c mice as previously described (10). Liver metastases were removed 4 weeks after cell inoculation and cut into small pieces in phosphate-buffered saline (PBS).…”
Section: Methodsmentioning
confidence: 99%
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“…This function may be correlated with the decreased expression of TβR I, TβR II and common-mediator Smads (Smad4), which limit the downward propagation of the TGF-β1/Smad4 signal and subsequently cause tumor growth inhibition to reduce or even become deficient. Certain animal experiments and clinical studies (28)(29)(30)(31) have also revealed that, within the tumor, several types of mutations in the TβR II and Smad4 genes have been identified. The loss of TβR II function may cause tumor cells to deregulate the expression of the receptor protein, obstruct the transmission of the TGF-β1 growth inhibiting signal (32) and subsequently display malignant proliferation and invasion.…”
Section: Discussionmentioning
confidence: 99%