PDGFRα induces dedifferentiation of papillary thyroid cancer cells.
This depends on decreased phosphorylation and decreased nuclear targeting of TTF1.
Loss of nuclear TTF1 decreases thyroglobulin production and NaI transport.
PDGFRα expression is prognostic of PTC recurrence and treatment resistance.
Blocking PDGFRα activation is a potential therapeutic target.
Treatment of papillary thyroid cancer historically relied upon a combination of surgery and radioactive iodine ablation with few alternatives if the disease progresses. We found that platelet derived growth factor receptor alpha (PDGFRα) is a key driver of metastatic disease and resistance to radioactive iodine therapy. PDGFRα expression can be tested in tumor specimens to predict aggressive disease. In addition, we show that targeting PDGFRα could restore sensitivity to radioactive iodine treatment that might slow disease growth and spread.