Defective DNA damage response (DDR) can result in genomic instability (GIN) and lead to the transformation into cancer. P53-binding protein 1 (53BP1) belongs to a family of evolutionarily conserved DDR proteins. Because 53BP1 molecules localize at the sites of DNA double strand breaks (DSBs) and rapidly form nuclear foci, the presence of 53BP1 foci can be considered as a cytologic marker for endogenous DSBs reflecting GIN. Although it has been proposed that GIN has a crucial role in the progression of thyroid neoplasms, the significance of GIN during thyroid tumorigenesis remains unclear, particularly in patients. We analyzed, therefore, the level of GIN, as detected with immunofluorescence of 53BP1, in 40 cases of resected thyroid tissues. This study demonstrated a number of nuclear 53BP1 foci in thyroid cancers, suggesting a constitutive activation of DDR in thyroid cancer cells. Because follicular adenoma also showed a few 53BP1 nuclear foci, GIN might be induced at a precancerous stage of thyroid tumorigenesis. Furthermore, high-grade thyroid cancers prominently exhibited an intense and heterogeneous nuclear staining of 53BP1 immunoreactivity, which was also observed in radiation-associated cancers and in mouse colonic crypts as a delayed response to a high dose ionizing radiation, suggesting increased GIN with progression of cancer. Thus, the present study demonstrated a difference in the staining pattern of 53BP1 during thyroid carcinogenesis. We propose that immunofluorescence analysis of 53BP1 expression can be a useful tool to estimate the level of GIN and, simultaneously, the malignant potency of human thyroid tumors. ' 2007 Wiley-Liss, Inc.Key words: thyroid cancer; genomic instability; 53BP1; ATM; immunofluorescence DNA damage response (DDR) genes, such as p53, are frequently mutated in human cancer. Defective DDR responses can thus result in genomic instability (GIN) and lead to the transformation of normal cells into cancer cells. Thyroid cancer has been shown to display aneuploidy, one form of GIN. 1 It has been proposed that GIN has a crucial role in the progression of thyroid neoplasms. 2 Thus, transfection of mutant HRAS V12 or mutant BRAF V600E induced GIN in a rat thyroid cell line, manifesting as loss of chromosomal material, mitotic bridge formation and misaligned chromosomes. 3-5 Recently, we found RET oncogene amplification in human thyroid cancers. 6 Oncogene amplification is common in solid tumors and correlates with a poor prognosis for patients with ovarian cancer (HER-2/neu), breast cancer (C-MYC, HER-2/neu), neuroblastoma (N-MYC), or small cell lung cancer (C-MYC). [7][8][9][10] In thyroid cancers, RET amplification correlated with radiation-induced and high-grade malignancy, providing further evidence for the involvement of GIN in tumor progression. 6 P53-binding protein 1 (53BP1) belongs to a family of evolutionarily conserved DDR proteins with C-terminal BRCT domains. 11,12 The ataxia-teleangiactasis mutated (ATM) DDR kinase is well known as a sensor molecule for DNA damage. Both...