The cyclic AMP pathway is a major regulator of thyrocyte function and proliferation and, predictably, its inappropriate activation is associated with a sub-set of human thyroid tumours. Activating mutations are, however, more common in the thyrotropin receptor (TSHR) than in its downstream transducer, Gas. To investigate whether this re¯ects an inherent di erence in their oncogenic potency, we compared the e ects of retrovirally-transduced mutant (A623I) TSHR or (Q227L) Gas (GSP), using the rat thyroid cell line FRTL5 and primary human thyrocytes. In FRTL5, expression of GSP or mutant (m) TSHR induced a 2 ± 3-fold increase in basal levels of cAMP. This was associated with TSH-independent proliferation (assessed by both cell number and DNA synthesis) and function (as shown by increased expression of thyroglobulin (Tg) and the sodium/iodide symporter). In primary cultures, expression of mTSHR, but not GSP, consistently induced formation of colonies with epithelial morphology and thyroglobulin expression, capable of 10 ± 15 population doublings (PD) compared to less than three in controls. Thus, while mTSHR and GSP exert similar e ects in FRTL5, use of primary cultures reveals a major di erence in their ability to induce sustained proliferation in normal human thyrocytes, and provides the ®rst direct evidence that mTSHR is su cient to initiate thyroid tumorigenesis.