We examined IQGAP1 copy
gain and its relationship with clinicopathologic outcomes of
thyroid cancer and investigated its role in
cell invasion and molecules involved in the process. We found IQGAP1 copy number (CN)
gain ?3 in 1 of 30 (3%) of benign
thyroid tumor, 24 of 74 (32%) follicular variant
papillary thyroid cancer (FVPTC), 44 of 107 (41%) follicular
thyroid cancer (FTC), 8 of 16 (50%) tall
cell papillary thyroid cancer (PTC), and 27 of 41 (66%) anaplastic
thyroid cancer, in increasing order of invasiveness of these tumors. A similar tumor distribution trend of CN ?4 was also seen. IQGAP1 copy
gain was positively correlated with IQGAP1
protein expression. It was significantly associated with extrathyroidal and vascular invasion of FVPTC and FTC and, remarkably, a 50%-60% rate of multifocality and recurrence of BRAF
mutation-positive PTC (P=0.01 and 0.02, respectively). The siRNA knock-down of IQGAP1 dramatically inhibited
thyroid cancer cell invasion and
colony formation. Co-
immunoprecipitation assay showed direct interaction of IQGAP1 with E-
cadherin, a known invasion-suppressing molecule, which was upregulated when IQGAP1 was knocked down. IQGAP1, through genetic copy gain, plays an important role in the invasiveness of
thyroid cancer and represents a useful prognostic marker and therapeutic target for this and other cancers.