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Molecular Biology and Genetics |
Department of Pathology, M.D. Anderson Cancer Center, Houston, Texas 77030-4095 [A.R., S.B.]; Shanghai Cancer Institute [Y-T.G., J.D.], Department of Pathology, Shanghai Cancer Hospital [M-C.S.], and Department of General Surgery, Zhongshan Hospital [B-S.W.], Shanghai, China; and Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Maryland 20892 [J.F.F., A.W.H.]
ß-Catenin is an ubiquitously expressed cytoplasmic protein that has a crucial role in both cadherin-mediated cell-cell adhesion and as a downstream signaling molecule in the wingless/Wnt pathway. Activating mutations in exon 3 of the ß-catenin gene, at the phosphorylation sites for ubiquitination and degradation of ß-catenin, are present in a variety of cancers. Because alterations of the adenomatous polyposis coli (APC) gene are present in biliary tract cancers and the APC protein modulates levels of ß-catenin, we evaluated the role of ß-catenin in biliary tract cancer by sequencing the third exon of the ß-catenin gene among 107 biliary tract cancers and 7 gallbladder adenomas from a population-based study in China. Point mutations of serine or threonine phosphorylation sites in exon 3 of ß-catenin were present in 8 of 107 (7.5%) biliary tract cancers and 4 of 7 (57.1%) gallbladder adenomas. Mutations of ß-catenin were more frequent in ampullary and gallbladder carcinomas than in bile duct carcinomas (P = 0.04) and in papillary adenocarcinomas than other histological types of carcinomas (P = 0.02). These results suggest that the molecular pathways of biliary tract neoplasms vary by anatomical subsite and histological subtype.
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