Penile
squamous cell carcinoma (PeCa) is a rare
malignancy and little is known regarding the molecular mechanisms involved in
carcinogenesis of PeCa. The Wnt signaling pathway, with the transcription activator ß-
catenin as a major transducer, is a key cellular pathway during development and in disease, particularly
cancer. We have used PeCa tissue arrays and multi-fluorophore labelled, quantitative, immunohistochemistry to interrogate the expression of WNT4, a Wnt
ligand, and three targets of Wnt-ß-
catenin transcription activation, namely, MMP7, cyclinD1 (CD1) and c-MYC in 141 penile tissue cores from 101 unique samples. The expression of all Wnt signaling
proteins tested was increased by 1.6 to 3 fold in PeCa samples compared to control tissue (normal or
cancer adjacent) samples (p<0.01). Expression of all
proteins, except CD1, showed a significant decrease in grade II compared to grade I
tumors. High magnification, deconvolved confocal images were used to measure differences in co-localization between the four
proteins. Significant (p<0.04-0.0001) differences were observed for various permutations of the combinations of
proteins and state of the tissue (control,
tumor grades I and II). Wnt signaling may play an important role in PeCa and
proteins of the Wnt signaling network could be useful targets for diagnosis and prognostic stratification of disease.