OVEREXPRESSION OF NRCAM IN PAPILLARY THYROID CARCINOMA IS ASSOCIATED WITH UPREGULATION OF THE ?-CATENIN AND CYCLIN D1 GENES AND ABERRANT ?-CATENIN LOCALIZATION

1Department of Clinical Biochemistry and Molecular Biology, Warsaw, Poland, 2Department of Gastroenterology and Hepatology Warsaw, Poland, 3Department of Pathology, Medical Centre for Postgraduate Education, Warsaw, Poland, 4Department of Pathology, Swietokrzyskie Oncology Centre, Kielce, Poland

Abstract

Βeta-catenin is a protein functioning in cell adhesion which also acts as a nuclear effector of Wnt signalling, where it associates with the DNA-binding proteins TCF/LEF. These complexes activate the expression of genes involved in cell proliferation, transformation and intercellular adhesion. NrCAM, a cell adhesion molecule found primarily in the nervous system, was recently shown to be overexpressed in papillary thyroid carcinomas (PTC).
To examine whether Wnt signalling plays a role in regulating NrCAM expression we analyzed NrCAM, β-catenin and cyclin D1 gene and protein expression in a series (38) of PTC and paired normal tissues (NT) using Q-RT-PCR, immunochemistry and Western blot methods.
Q-RT-PCR analysis showed a clear increase in the abundance of RNA transcripts encoding NrCAM, β-catenin and cyclin D1 in thyroid carcinomas compared to normal tissue (P < 0.0001). NrCAM mRNA levels were significantly correlated with expression of the β-catenin (R = 0.79, P < 0.0001) and cyclin D1 (R = 0.60, P < 0.0001) genes in tumours, but not in NT. Using a panel of tissue samples from different thyroid carcinoma patients, low or negligible NrCAM levels were detected by immunohistochemistry (IHC) in NT, whereas 78% (53/68) of PTC showed strong immunostaining for this protein. Western blot data validated the Q-RT-PCR and IHC NrCAM results. Immunohistochemically, β-catenin was observed in three distinct subcellular locations and all tumours showed overexpression of nuclear cyclin D1. Strong positive immunostaining for NrCAM was highly significantly correlated with cytoplasmic β-catenin translocation (P < 0.0029). Upregulation of NrCAM, β-catenin and cyclin D1 expression at both the mRNA and protein levels was seen regardless of the primary tumour stage (pT) or size.
Our findings indicate the involvement of Wnt/β-catenin signalling in NrCAM gene activation in PTC.
This work was supported by CMKP grant 501-1-1-22-01/07.