Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2008-11-18
pubmed:abstractText
The role of Wnt pathway in digestive endocrine tumours is debated. The aim of this work is to investigate key players in Wnt pathway by a multimodal approach. Sixty cases (49 well-differentiated and 11 poorly differentiated) were investigated for methylation of adenomatous polyposis coli (APC) and E-cadherin promoters, the loss of heterozygosity (LOH) at APC locus and beta-catenin and E-cadherin expression by immunohistochemistry. Tumours showing altered beta-catenin localization were tested for beta-catenin and APC mutations. APC promoter methylation was restricted to gastroduodenal tumours (21 out of 59, 36%), prevalent in poorly differentiated carcinomas (P=0.042) and correlating with aggressive features (high histology grade, P<0.02; tumour death, P=0.026; high fractional allelic loss, P=0.002, in turn correlating with short survival, P=0.017). LOH at APC locus was found in 14 out of 53 cases (26%, 10 gastroduodenal and 4 colorectal), prevalent in poorly differentiated carcinomas (P=0.002) and correlating with histology grade (P=0.012). beta-catenin abnormal expression was found in 41 out of 54 cases (76%), with nuclear staining correlating with APC alteration (P=0.047) and short survival (P=0.006). APC, but not beta-catenin, gene mutations were found (7 out of 35 tumours), 4 of which in the midgut. E-cadherin promoter methylation was rarely detected (2 out of 52 cases), with cytoplasmic expression in 18 out of 43 cases (42%), not correlating with any clinico-pathological feature. In conclusion, Wnt pathway alterations, as represented by abnormal beta-catenin localization, are common events in digestive endocrine tumours, but only nuclear expression correlates with tumour aggressiveness. Though with different alteration mechanisms according to anatomical site, APC plays a major role in Wnt pathway activation and in determining the high chromosomal instability observed in aggressive endocrine carcinomas.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1351-0088
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1013-24
pubmed:dateRevised
2009-12-1
pubmed:meshHeading
pubmed-meshheading:18632876-Adenomatous Polyposis Coli Protein, pubmed-meshheading:18632876-Adult, pubmed-meshheading:18632876-Aged, pubmed-meshheading:18632876-Aged, 80 and over, pubmed-meshheading:18632876-Cell Nucleus, pubmed-meshheading:18632876-Chromosomal Instability, pubmed-meshheading:18632876-Cytoplasm, pubmed-meshheading:18632876-DNA Methylation, pubmed-meshheading:18632876-Endocrine Gland Neoplasms, pubmed-meshheading:18632876-Female, pubmed-meshheading:18632876-Gastrointestinal Neoplasms, pubmed-meshheading:18632876-Humans, pubmed-meshheading:18632876-Immunoenzyme Techniques, pubmed-meshheading:18632876-Loss of Heterozygosity, pubmed-meshheading:18632876-Male, pubmed-meshheading:18632876-Middle Aged, pubmed-meshheading:18632876-Mutation, pubmed-meshheading:18632876-Promoter Regions, Genetic, pubmed-meshheading:18632876-Wnt Proteins, pubmed-meshheading:18632876-Young Adult, pubmed-meshheading:18632876-beta Catenin
pubmed:year
2008
pubmed:articleTitle
Adenomatous polyposis coli alteration in digestive endocrine tumours: correlation with nuclear translocation of beta-catenin and chromosomal instability.
pubmed:affiliation
Section of Pathological Anatomy, Department of Pathology and Laboratory Medicine, University of Parma, via Gramsci, 14, I-43100 Parma, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't