Colorectal Cancer-Associated Smad4 R361 Hotspot Mutations Boost Wnt/β-Catenin Signaling through Enhanced Smad4-LEF1 Binding
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Abstract
About 10% to 30% of patients with colorectal cancer harbor either loss of or missense mutations in SMAD4, a critical component of the TGFβ signaling pathway. The pathophysiologic function of missense mutations in Smad4 is not fully understood. They usually map to the MH2 domain, specifically to residues that are involved in heterodimeric complex formation with regulatory Smads (such as Smad2/3) and ensuing transcriptional activation. These detrimental effects suggest that SMAD4 missense mutations can be categorized as loss-of-function. However, they tend to cluster in a few hotspots, which is more consistent with them acting by a gain-of-function mechanism. In this study, we investigated the functional role of Smad4 R361 mutants by re-expressing two R361 Smad4 variants in several Smad4-null colorectal cancer cell lines. As predicted, R361 mutations disrupted Smad2/3-Smad4 heteromeric complex formation and abolished canonical TGFβ signaling. In that, they were similar to SMAD4 loss. However, RNA sequencing and subsequent RT-PCR assays revealed that Smad4mut cells acquired a gene signature associated with enhanced Lef1 protein function and increased Wnt signaling. Mechanistically, Smad4 mutant proteins retained binding to Lef1 protein and drove a commensurate increase in downstream Wnt signaling as measured by TOP/FOP luciferase assay and Wnt-dependent cell motility. Consistent with these findings, human colorectal cancers with SMAD4 missense mutations were less likely to acquire activating mutations in the key Wnt pathway gene CTNNB1 (encoding β-catenin) than colorectal cancers with truncating SMAD4 nonsense mutations. Implications: Our studies suggest that in colorectal cancer hotspot mutations in Smad4 confer enhanced Wnt signaling and possibly heightened sensitivity to Wnt pathway inhibitors.
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Paneth-like cells were readily induced by KRAS-EGFR inhibition in both SMAD4 wild-type models (LS174T and KRAS G12D PDOs) and SMAD4 mutant lines (SW1463 and RW7213) harboring the loss-of-function SMAD4 R361C mutation.
“Moreover, Paneth-like cells were readily induced by KRAS-EGFR inhibition in both SMAD4 wild-type models (LS174T and KRAS G12D PDOs) (Figures 1I–1N, S1J, and S1K) and SMAD4 mutant lines (SW1463 and RW7213) harboring the loss-of-function SMAD4 R361C mutation (Figures S1L–S1O).53”
From Paneth-like transition drives resistance to dual targeting of KRAS and EGFR in colorectal cancer (2026) · cites this paper as [53]
The Results section (‘Smad4 mutants do not support canonical TGFβ-induced transcriptional activity’; page unavailable) supports calling R361C loss-of-function for canonical TGFβ signaling. Our copy does not establish that SW1463 or RW7213 harbor R361C, or report Paneth-like cell induction after KRAS–EGFR inhibition; the citing sentence points to its own figures for the induction results. (LLM, conf=0.82)
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- Authors
- Lanauze, C. B., Sehgal, P., Hayer, K., Torres-Diz, M., Pippin, J. A., Grant, S. F. A., & Thomas-Tikhonenko, A.
- Affiliations
- Children's Hospital of Philadelphia (US)
- 1Division of Pathobiology, Children’s Hospital of Philadelphia, Pennsylvania.
- ORCID
- Venue
- Molecular Cancer Research
- Published
- 2021-02-19
- Volume
- 19
- Issue
- 5
- Pages
- 823-833
- ISSN
- 1541-7786 (ISSN-L)
- 1557-3125
- PMC
- PMC8137583
- OpenAlex
- W3129236693
- Cited by
- 17
- References
- 59
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 3 · 2023: 2 · 2021: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Molecular Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (R01 CA196299, 5T32 CA009140)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Wnt/β-catenin signaling in development and cancer
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Keywords
- SMAD4, colorectal cancer, Wnt/β-catenin signaling, LEF1, TGF-beta signaling, gain-of-function mutations, CTNNB1 mutation, Wnt pathway inhibitors, cell motility
- MeSH terms
- Humans, Mutation, Transfection, Colorectal Neoplasms, Lymphoid Enhancer-Binding Factor 1, Smad4 Protein, Wnt Signaling Pathway
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