Wilms' tumor 1 susceptibility (WT1) gene products are selectively expressed in malignant mesothelioma

Am J Pathol. 1995 Feb;146(2):344-56.


The distinction between malignant mesothelioma and other neoplastic processes involving the pleura is difficult, partly due to the lack of specific markers expressed on mesothelioma. Because of evidence suggesting that the Wilms' tumor susceptibility gene (WT1), unlike other tumor suppressor genes, is restricted mostly to mesenchymally derived tissues, we hypothesized that the WT1 gene products could serve as a potential marker for mesothelioma. The expression of WT1 mRNA was analyzed in 19 malignant mesothelioma cell lines and 9 tumors and compared with the expression of WT1 in 10 non-small cell lung cancer lines and 9 lung cancer specimens. WT1 mRNA was detectable by Northern analysis in 16 of 19 mesothelioma cell lines and in 5 of 8 malignant mesothelioma tumors. In contrast, WT1 mRNA was not detected by Northern analysis in non-small cell lung cancer lines or carcinomas. Immunoprecipitation with an anti-WT1 monoclonal antibody showed that a 52- to 54-kd protein was present in 4 mesothelioma cell lines. Immunostaining with this antibody localized the WT1 protein to the nucleus in two mesothelioma lines and in 20 of 21 mesothelioma tumors examined. This distinctive pattern of nuclear immunoreactivity was absent in 26 non-mesothelioma tumors involving the lung, including 20 non-small cell lung carcinomas. The detection of WT1 mRNA or protein may thus provide a specific molecular or immunohistochemical marker for differentiation of mesothelioma from other pleural tumors, in particular, adenocarcinoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Biomarkers, Tumor / analysis*
  • Carcinoma, Non-Small-Cell Lung / chemistry
  • Carcinoma, Non-Small-Cell Lung / genetics*
  • DNA-Binding Proteins / analysis*
  • Female
  • Gene Expression Regulation, Neoplastic
  • Genes, Wilms Tumor*
  • Humans
  • Lung Neoplasms / chemistry
  • Lung Neoplasms / genetics*
  • Male
  • Mesothelioma / chemistry
  • Mesothelioma / genetics*
  • Middle Aged
  • Molecular Sequence Data
  • RNA, Messenger / analysis*
  • RNA, Neoplasm / analysis*
  • Transcription Factors / analysis*
  • Tumor Cells, Cultured
  • WT1 Proteins


  • Biomarkers, Tumor
  • DNA-Binding Proteins
  • RNA, Messenger
  • RNA, Neoplasm
  • Transcription Factors
  • WT1 Proteins