Transforming growth factor-beta 1 (TGF beta 1) is a potent inhibitor of cel
l proliferation in vitro, and recent studies demonstrated TGF beta 1 overex
pression in several different tumors. The role of TGF beta 1 in hyperplasti
c and neoplastic thyroid diseases, however, has not been fully explored. Th
is study was aimed at evaluating the expression of TGF beta 1, both at the
messenger RNA (mRNA) and protein levels, in normal thyroid and in benign (h
yperplastic and adenomatous) and malignant thyroid lesions, and at assessin
g its clinicopathologic correlates. The results demonstrated significantly
increased TGF beta 1 expression (p = 0.0009) in benign and malignant neopla
sms, in comparison with nonneoplastic tissues; higher prevalence of TGF bet
a 1 expression in thyroid carcinomas, as compared with adenomatous thyroids
(p = 0.0008) was detected. Furthermore, TGF beta 1 immunoreactivity was co
nsistently correlated with a corresponding expression of mRNA in epithelial
cells (p = 0.019). These data suggest that TGF beta 1 is actively involved
in thyroid tumorigenesis and that its overexpression in thyroid malignanci
es is attributable mainly to the actual synthesis by the neoplastic cells.
We were unable, however, to document any correlation between TGF beta 1 exp
ression and thyroid tumor progression, which makes unlikely an adverse effe
ct of TGF beta 1 on the prognosis of thyroid carcinoma patients.