of the thyroid (MCT), a tumor of calcitonin (CT)\p=m-\secret-ing C cells, can display a variable malignant potential with poor prognosis linked to decreased cell differentiation. In vitro study of MCT has been hampered by the fact that few cell lines derived from this neoplasm have been available for study. Herein are reported the characteristics of two new lines derived from human MCT that are tumorigenic in athymic mice and do not secrete CT. After treatment with various concentrations of retinoic acid (a vitamin A derivative) and cyclic adenosine monophosphate, both lines exhibit the traits of more differentiated cells with a decrease in cellular proliferation and an increase in cytoplasmic CT content as shown by in situ immunoperoxidase staining. These cell lines should prove of great value in the study of the biology of MCT and the mechanisms underlying induced differentiation in this type of tumor.In 1959, Hazard et al1 proposed the designation of medullary carcino¬ ma of the thyroid (MCT) for a solid, nonfollicular tumor characterized by high amounts of stromal amyloid and a proclivity for lymph node métasta¬ ses. This neoplasm accounts for approximately 5% to 12% of all thy¬ roid tumors and is one component of the multiple endocrine neoplasia type 2 syndrome, which consists of tumors of the thyroid, adrenal medulla, and parathyroid. Two forms of this syn¬ drome are recognized, a sporadic, nonheritable type as well as a familial form that is inherited as an autosomal dominant trait. The natural history of treated MCT reveals it to be potential¬ ly aggressive, with a ten-year survival rate of 50% to 67%. The tumor's ulti¬ mate behavior is influenced by the type of initial treatment, anatomic location, and chronologic age at recur¬ rence.23Williams4 in 1966 suggested that MCT arose from the neural crestderived C cells of the thyroid, which synthesize and secrete the hypocalcé¬ mie substance calcitonin (CT). With the advent of radioimmunoassay, it became feasible to examine blood CT levels and utilize these as unique markers for detecting and monitoring disease activity. Following treatment, elevation in CT levels may signify disease recurrence, whereas a drop in CT levels may signal cure or a loss of the tumor's ability to secrete the hor¬ mone; this in turn is associated with a poorer prognosis.3·5 Once MCT metastasizes, it can exhibit aggressive behavior with a poor response to radi¬ ation therapy or chemotherapy. Since conventional therapies appear to have limited efficacy, alternative ap¬ proaches to treating disseminated MCT are needed.As a first approach to studying the biologic behavior of this neoplasm, accessible in vitro models are required. To date, only a limited num¬ ber of short-term cultured cell lines derived from human MCT have been reported.68 Moreover, long-term studies of cells derived from human MCT surgical specimens are ham¬ pered by instability in cell population as judged by time-dependent de¬ creases in medium CT concentra¬ tions.9 The most widely used MCT culture is the TT line fir...