SMAD4 Gene: Structure, Function, and Clinical Significance

A comprehensive overview of the SMAD4 gene, its protein product, associated diseases, expression patterns, and mutations.

Gene Information Card

Symbol SMAD4
Full Name SMAD family member 4
Gene Type Protein coding
Chromosomal Location 18q21.2
NCBI Gene ID 4089 ncbi.nlm.nih.gov/gene/4089
Ensembl ID ENSG00000141646
UniProt ID Q13485
OMIM ID 600993
HGNC ID 6770
Aliases DPC4, MADH4, MYHRS

Description

The SMAD4 gene encodes a critical intracellular mediator of the transforming growth factor-beta (TGF-beta) signaling pathway. SMAD4 forms complexes with receptor-regulated SMADs (R-SMADs) and translocates to the nucleus to regulate gene transcription. It acts as a tumor suppressor, and its loss or mutation is implicated in various cancers and developmental disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Juvenile polyposis syndrome Germline mutations in SMAD4 lead to haploinsufficiency or dominant-negative effects, disrupting TGF-beta signaling and promoting intestinal polyp formation. OMIM #174900; ClinVar
Pancreatic cancer Somatic loss or mutation of SMAD4 (often homozygous deletion) inactivates TGF-beta tumor suppressor activity, contributing to tumor progression and metastasis. COSMIC; ClinVar
Colorectal cancer SMAD4 mutations or loss of heterozygosity at 18q21 are frequent, impairing TGF-beta-mediated growth inhibition and promoting tumor invasion. COSMIC; ClinVar
Myhre syndrome Specific missense mutations in SMAD4 (e.g., p.Ile500Val, p.Arg496Cys) cause gain-of-function or dominant-negative effects, leading to connective tissue and skeletal abnormalities. OMIM #139210; ClinVar
Hereditary hemorrhagic telangiectasia Some SMAD4 mutations cause combined juvenile polyposis and hereditary hemorrhagic telangiectasia, affecting vascular development. OMIM #175050; ClinVar

Expression Profile

Tissue Expression
Tissue nTPM level
Pancreas High High
Small intestine High High
Colon High High
Stomach High High
Liver Medium Medium
Lung Medium Medium
Kidney Medium Medium
Brain Low Low
Heart Low Low
Skeletal muscle Low Low
Cell Line Expression
Cell Line nTPM Notes
HeLa (cervical cancer) High Ubiquitous expression; used in TGF-beta studies
A549 (lung cancer) Medium SMAD4 expression present; responsive to TGF-beta
MCF7 (breast cancer) Medium Expression varies; involved in estrogen/TGF-beta crosstalk
HCT116 (colorectal cancer) High Wild-type SMAD4; used in SMAD4 functional assays
PANC-1 (pancreatic cancer) Low Reduced SMAD4 expression; reflects pancreatic cancer phenotype
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1244_1245delAG (p.Glu415Valfs*3) Frameshift Rare Loss of function; truncates protein, impairing SMAD complex formation
c.1082G>A (p.Arg361His) Missense Rare Dominant-negative; disrupts DNA binding and transcriptional activity
c.1498A>G (p.Ile500Val) Missense Rare Gain-of-function; associated with Myhre syndrome
c.1486C>T (p.Arg496Cys) Missense Rare Gain-of-function; associated with Myhre syndrome
Whole gene deletion Copy number loss Common in pancreatic cancer Loss of function; complete loss of SMAD4 protein
Mutation functional classification

Loss of Function (LOF)

Most SMAD4 mutations in cancer are loss-of-function, including frameshift, nonsense, and homozygous deletions, leading to reduced or absent protein and impaired TGF-beta signaling.

Gain of Function (GOF)

Specific missense mutations (e.g., p.Ile500Val, p.Arg496Cys) in Myhre syndrome result in gain-of-function, enhancing SMAD4 transcriptional activity and causing abnormal TGF-beta responses.

Dominant Negative (DN)

Some missense mutations (e.g., p.Arg361His) act as dominant-negative, interfering with wild-type SMAD4 function by forming non-functional complexes with R-SMADs.

Gene Ontology (GO)

• DNA binding • Transcription factor activity
• Protein binding • Signal transducer activity
• TGF-beta receptor signaling pathway • Regulation of transcription by RNA polymerase II
• Cell cycle arrest • Apoptotic process
• Epithelial to mesenchymal transition • SMAD protein complex

Pathways

TGF-beta signaling pathway
Activin signaling pathway
BMP signaling pathway
Regulation of epithelial to mesenchymal transition
Colorectal cancer pathway
Pancreatic cancer pathway

Protein Summary

SMAD4 is a 552-amino acid protein with two conserved domains: MH1 (MAD homology 1) and MH2 (MAD homology 2), connected by a linker region. The MH1 domain mediates DNA binding, while the MH2 domain is involved in protein-protein interactions and transcriptional activation. SMAD4 acts as a common mediator SMAD (co-SMAD) that partners with receptor-regulated SMADs (SMAD1/2/3/5/8) to transduce TGF-beta family signals. It shuttles between cytoplasm and nucleus, and its activity is regulated by phosphorylation, ubiquitination, and interaction with various cofactors. Loss of SMAD4 function is a hallmark of several cancers, while gain-of-function mutations cause developmental syndromes.

Related Products

Product name Cat.No. Species Gene ID
SMAD4 Knockout HEK293 Cell Line EDJ-KQ401 Human 4089 Details Get a Quote
SMAD4 Knockout A-549 Cell Line EDJ-KQ18640 Human 4089 Details Get a Quote
SMAD4 Knockout HCT 116 Cell Line EDJ-KQ18641 Human 4089 Details Get a Quote
SMAD4 Knockout HeLa Cell Line EDJ-KQ18642 Human 4089 Details Get a Quote
SMAD4 Knockout HTR-8/SVneo Cell Line EDJ-KZ479 Human 4089 Details Get a Quote
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