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(American Journal of Pathology. 1999;155:703-710.)
© 1999 American Society for Investigative Pathology


Short Communication

Nuclear Accumulation of Mutated ß-Catenin in Hepatocellular Carcinoma Is Associated with Increased Cell Proliferation

Jeanne Tran Van Nhieu*, Claire Angélique Renard{dagger}, Yu Wei{dagger}, Daniel Cherqui{ddagger}, Elie Serge Zafrani* and Marie Annick Buendia{dagger}

From the Département de Pathologie*
and Service de Chirurgie,{ddagger}
Hôpital Henri Mondor - AP-HP, Créteil; and the Unité de Recombinaison et Expression Génétique,{dagger}
Institut National de la Santé et de la Recherche Médicale U163, Institut Pasteur, Paris, France

Inappropriate activation of the Wnt pathway resulting from ß-catenin gene alterations has recently been implicated in the development of hepatocellular carcinoma (HCC). To explore the in vivo effects of mutated ß-catenin, HCC specimens from 32 patients carrying one or several tumors were screened for somatic mutations in exon 3 of the ß-catenin gene, and the expression and subcellular localization of ß-catenin was studied by immunohistochemistry. Missense mutations or interstitial deletions in ß-catenin exon 3 were detected in 12 of 35 (34%) HCC samples. After immunostaining, most tumors exhibited increased membranous and/or cytoplasmic expression of ß-catenin compared with adjacent nontumoral liver. Strong nuclear accumulation of ß-catenin was observed either focally or uniformly in 15 of 35 (43%) tumor specimens, but not in cirrhotic nodules or dysplastic liver cells in adjacent liver. Aberrant nuclear expression of ß-catenin was significantly associated with the presence of mutations in the ß-catenin gene (P < 0.005). Moreover, nuclear ß-catenin staining correlated significantly with increased Ki-67 proliferative index in tumor (P < 0.001) and seemed to be associated with poor outcome in patients with HCC. In conclusion, our data indicate that activation of the Wnt/ß-catenin pathway in HCC results mainly from somatic mutations in the ß-catenin gene and may promote tumor progression by stimulating tumor cell proliferation.





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