The WT1 tumor suppressor gene, implicated in hereditofamilial and sporadic
Wilms' tumor, is required for normal renal development and is up-regulated
during the mesenchymal-epithelial transition. NIH3T3 fibroblasts overexpres
sing WT1 were less proliferative, larger in size and more firmly attached t
o tissue culture plastic, suggesting an alteration of their state of differ
entiation. These cells were studied in vivo by subcutaneous injection into
nude mice, The resulting tumors exhibited epithelioid histopathology and fo
rmed desmosome-like structures. Molecular analyses of these WT1 expressing
fibroblasts grown in culture and in nude mice revealed significant alterati
ons in the expression of many kidney epithelial markers. These studies indi
cate that WT1 expression can initiate features of a program of epithelial d
ifferentiation consistent with a prominent role for WT1 in the mesenchymal
epithelial transition that occurs during renal development. Through this wo
rk we identified a number of novel target genes for the WT1 transcription f
actor, including uvomorulin, integrin alpha 8 and perlecan, and suggest tha
t WT1 may activate the IGF-II gene, also implicated in the development of W
ilms' tumor.