You have accessJournal of UrologyAdrenal1 Apr 2014PD1-12 PATHOGENESIS OF ADRENOCORTICAL TUMOR IS ASSOCIATED WITH EXTRACELLULAR ACTIVATION OF WNT SIGNALING THROUGH EPIGENETIC DYSREGULATION OF WNT INHIBITORY FACTOR-1 Yozo Mitsui, Miho Hiraki, Kohei Ogawa, Taichi Nagami, Haruki Anjiki, Chiaki Koike, Naoko Arichi, Shigenobu Nakamura, Takeo Hiraoka, Masahiro Sumura, Hiroaki Yasumoto, and Hiroaki Shiina Yozo MitsuiYozo Mitsui More articles by this author , Miho HirakiMiho Hiraki More articles by this author , Kohei OgawaKohei Ogawa More articles by this author , Taichi NagamiTaichi Nagami More articles by this author , Haruki AnjikiHaruki Anjiki More articles by this author , Chiaki KoikeChiaki Koike More articles by this author , Naoko ArichiNaoko Arichi More articles by this author , Shigenobu NakamuraShigenobu Nakamura More articles by this author , Takeo HiraokaTakeo Hiraoka More articles by this author , Masahiro SumuraMasahiro Sumura More articles by this author , Hiroaki YasumotoHiroaki Yasumoto More articles by this author , and Hiroaki ShiinaHiroaki Shiina More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.131AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Wingless-type (Wnt)/β-catenin signaling is a major regulator of and/or contributor to the pathogenesis of adrenocortical (AC) tumor development. Activation of β-catenin mutations appears to be common in some types of malignancy including these tumors. However, a large number of AC tumors show intracellular β-catenin accumulation in the absence of β-catenin mutations. Extracellular activation of Wnt signaling is controlled by Wnt antagonists such as Wnt inhibitory factor-1 (Wif-1) and low levels of Wif-1 expression caused by promoter CpG hypermethylation have been found in various human tumors. We speculate that Wif-1 plays an important role in adrenocortical pathogenesis. METHODS Promoter CpG methylation of the Wif-1 gene and the effects on Wnt signaling were analyzed in 42 AC tumors and 23 normal adrenal (NA) samples. Promoter CpG methylation was analyzed by methylation specific PCR using bisulfite-modified DNA as template. Wif-1 expression was measured by quantitative RT-PCR. RESULTS The AC tumors showed a high prevalence of Wif-1 promoter methylation and low prevalence of Wif-1 mRNA transcription as compared to the NA samples. Furthermore, a significant correlation was found between Wif-1 promoter methylation and mRNA transcription in the tumors. Either intracellular β-catenin accumulation or β-catenin mRNA transcription was significantly elevated in the AC tumors, which also showed an inverse correlation with Wif-1 mRNA transcription. Cyclin D1, a target gene of Wnt signaling, was also up-regulated in the AC tumors as compared with the NA samples. In addition, down-regulation of Wif-1was correlated with increased cyclin D1 at both mRNA and protein levels. However, despite the proposed activation of Wnt signaling in AC tumors, only 2 of 20 (10%) with intracellular β-catenin accumulation showed β-catenin mutations. CONCLUSIONS This is the first report inactivation of the Wif-1 gene via epigenetic pathways in AC tumors. Genetic alterations of β-catenin and epigenetics-related Wif-1 promoter hypermethylation may be important mechanisms underlying AC tumor formation though aberrant canonical Wnt/β-catenin signaling activation. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e14 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Yozo Mitsui More articles by this author Miho Hiraki More articles by this author Kohei Ogawa More articles by this author Taichi Nagami More articles by this author Haruki Anjiki More articles by this author Chiaki Koike More articles by this author Naoko Arichi More articles by this author Shigenobu Nakamura More articles by this author Takeo Hiraoka More articles by this author Masahiro Sumura More articles by this author Hiroaki Yasumoto More articles by this author Hiroaki Shiina More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...