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The Wnt signaling pathway has regulatory roles in cell proliferation, differentiation, andpolarity. Aberrant Wnt pathway regulation can lead to abnormal cell proliferation andcancer, and loss of Wnt7a expression has been demonstrated in lung cancer cell lines. E-cadherin keeps intercellular integrity and prevents metastasis. Therefore, E-cadherin hasbeen known as a prognostic factor in cancer. In the present study, we investigated theE-cadherin expression status by immunohistochemical stain and the Wnt7a promotermethylation status in human non-small cell lung carcinoma (NSCLC) by methylationspecificPCR. We also analyzed their correlations with clinicopathological factors. Methylation of the Wnt7a gene promoter was detected in the lung tissues of 32 of 121(26.4%) patients with NSCLC. Wnt7a promoter methylation was correlated with advancedtumor stage (P = 0.036) and distant metastasis (P = 0.037). In addition, Wnt7a promotermethylation showed correlation with loss of E-cadherin expression (P < 0.001). However,Wnt7a promoter methylation was not closely related with gender, age, histological type,or smoking habit. Even though Wnt7a methylation could not show significant correlationwith the long term survival of the patients with limited follow up data, these findingssuggest that loss of the Wnt7a gene induced by promoter methylation might be anotherprognostic factor for NSCLC and that restoration of Wnt7a may be a promising treatmentfor NSCLC. Keywords: Carcin

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