TABLE 1

Common genetic alterations of Wnt pathway components in human cancers

GeneType of MutationPrimary Tissues% MutatedReference
APCMainly frameshift and nonsense mutations that lead to truncated APC proteins with compromised ability to degrade β-catenin; LOHLarge intestine70a
Stomach13a
Endometrium7a
Liver2.7a
AXIN1Mainly missense mutations, truncating mutations, and deep deletionsLiver7a
Stomach3a
Large intestine2.5a
CTNNB1Mainly missense mutations in the N-terminal Ser/Thr phosphorylation sites of β-catenin that prevent its degradationLiver29a
Endometrium18a
Adrenal cortex16a
Large intestine6a
Stomach6a
Pancreas2.7a
RNF43Mainly missense mutations and truncating mutations due to frameshift or nonsense mutations, LOH, and homozygous deletionOvary (mucinous carcinoma/mucinous borderline tumor)21/9Ryland et al., 2013
Stomach13a
Biliary tract (liver fluke-associated cholangiocarcinoma)9.3Ong et al., 2012
Large intestine9a
Pancreas7a
Endometrium4a
ZNRF3Mainly missense mutations and truncating mutations due to frameshift or nonsense mutations, LOH, and homozygous deletionAdrenal cortex20a
Large intestine4a
Stomach2.1a
RSPO2Chromosome rearrangement leading to the recurrent EIF3E-RSPO2 gene fusionsLarge intestine2.9Seshagiri et al., 2012
Others (lung, head and neck, esophagus, stomach, ovary, and breast)1–2Cardona et al., 2014; Li et al., 2018
RSPO3Chromosome rearrangement leading to the recurrent PTPRK-RSPO3 gene fusionsLarge intestine7.4Seshagiri et al., 2012
Others (lung, head and neck, esophagus, ovary, and breast)1–11Cardona et al., 2014