International Journal of Molecular Sciences (Nov 2023)

High Filamin a Expression in Adrenocortical Carcinomas Is Associated with a Favourable Tumour Behaviour: A European Multicentric Study

  • Rosa Catalano,
  • Barbara Altieri,
  • Anna Angelousi,
  • Maura Arosio,
  • Francesca Bravi,
  • Letizia Canu,
  • Giorgio A. Croci,
  • Mario Detomas,
  • Emanuela Esposito,
  • Emanuele Ferrante,
  • Stefano Ferrero,
  • Carmina T. Fuss,
  • Gregory Kaltsas,
  • Otilia Kimpel,
  • Laura-Sophie Landwehr,
  • Michaela Luconi,
  • Valentina Morelli,
  • Gabriella Nesi,
  • Emma Nozza,
  • Silviu Sbiera,
  • Andreea L. Serban,
  • Cristina L. Ronchi,
  • Giovanna Mantovani,
  • Erika Peverelli

DOI
https://doi.org/10.3390/ijms242316573
Journal volume & issue
Vol. 24, no. 23
p. 16573

Abstract

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The insulin-like growth factor 2 (IGF2) promotes cell growth by overactivating the IGF system in an autocrine loop in adrenocortical carcinomas (ACCs). The cytoskeleton protein filamin A (FLNA) acts as a repressor of IGF2 mitogenic signalling in ACC cells. The aims of this study were to test FLNA expression by immunohistochemistry in 119 ACCs and 26 adrenocortical adenomas (ACAs) and to evaluate its relationship with clinicopathological features and outcome in ACCs. We found that 71.4% of ACCs did not express FLNA, whereas FLNA absence was a rare event in ACAs (15.4%, p p p < 0.05). In conclusion, our data suggest that FLNA may represent a “protective” factor in ACCs, and the integration of FLNA immunohistochemical expression in ACC tissues along with other clinical and molecular markers could be helpful to improve diagnostic accuracy and prognosis prediction in ACCs.

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