PMID- 24590585 OWN - NLM STAT- MEDLINE DCOM- 20140623 LR - 20220309 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 464 IP - 5 DP - 2014 May TI - APC alterations are frequently involved in the pathogenesis of acinar cell carcinoma of the pancreas, mainly through gene loss and promoter hypermethylation. PG - 553-64 LID - 10.1007/s00428-014-1562-1 [doi] AB - Genetic and epigenetic alterations involved in the pathogenesis of pancreatic acinar cell carcinomas (ACCs) are poorly characterized, including the frequency and role of gene-specific hypermethylation, chromosome aberrations, and copy number alterations (CNAs). A subset of ACCs is known to show alterations in the APC/beta-catenin pathway which includes mutations of APC gene. However, it is not known whether, in addition to mutation, loss of APC gene function can occur through alternative genetic and epigenetic mechanisms such as gene loss or promoter methylation. We investigated the global methylation profile of 34 tumor suppressor genes, CNAs of 52 chromosomal regions, and APC gene alterations (mutation, methylation, and loss) together with APC mRNA level in 45 ACCs and related peritumoral pancreatic tissues using methylation-specific multiplex ligation probe amplification (MS-MLPA), fluorescence in situ hybridization (FISH), mutation analysis, and reverse transcription-droplet digital PCR. ACCs did not show an extensive global gene hypermethylation profile. RASSF1 and APC were the only two genes frequently methylated. APC mutations were found in only 7 % of cases, while APC loss and methylation were more frequently observed (48 and 56 % of ACCs, respectively). APC mRNA low levels were found in 58 % of cases and correlated with CNAs. In conclusion, ACCs do not show extensive global gene hypermethylation. APC alterations are frequently involved in the pathogenesis of ACCs mainly through gene loss and promoter hypermethylation, along with reduction of APC mRNA levels. FAU - Furlan, Daniela AU - Furlan D AD - Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy. FAU - Sahnane, Nora AU - Sahnane N FAU - Bernasconi, Barbara AU - Bernasconi B FAU - Frattini, Milo AU - Frattini M FAU - Tibiletti, Maria Grazia AU - Tibiletti MG FAU - Molinari, Francesca AU - Molinari F FAU - Marando, Alessandro AU - Marando A FAU - Zhang, Lizhi AU - Zhang L FAU - Vanoli, Alessandro AU - Vanoli A FAU - Casnedi, Selenia AU - Casnedi S FAU - Adsay, Volkan AU - Adsay V FAU - Notohara, Kenji AU - Notohara K FAU - Albarello, Luca AU - Albarello L FAU - Asioli, Sofia AU - Asioli S FAU - Sessa, Fausto AU - Sessa F FAU - Capella, Carlo AU - Capella C FAU - La Rosa, Stefano AU - La Rosa S LA - eng PT - Journal Article DEP - 20140304 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 SB - IM MH - Carcinoma, Acinar Cell/*genetics MH - *DNA Methylation MH - DNA Mutational Analysis MH - Gene Dosage MH - *Genes, APC MH - Genes, Tumor Suppressor MH - Humans MH - In Situ Hybridization, Fluorescence MH - Multiplex Polymerase Chain Reaction MH - Pancreatic Neoplasms/*genetics MH - *Promoter Regions, Genetic MH - Reverse Transcriptase Polymerase Chain Reaction EDAT- 2014/03/05 06:00 MHDA- 2014/06/24 06:00 CRDT- 2014/03/05 06:00 PHST- 2013/10/19 00:00 [received] PHST- 2014/02/16 00:00 [accepted] PHST- 2014/01/24 00:00 [revised] PHST- 2014/03/05 06:00 [entrez] PHST- 2014/03/05 06:00 [pubmed] PHST- 2014/06/24 06:00 [medline] AID - 10.1007/s00428-014-1562-1 [doi] PST - ppublish SO - Virchows Arch. 2014 May;464(5):553-64. doi: 10.1007/s00428-014-1562-1. Epub 2014 Mar 4.