Wilms' tumor Is a childhood kidney tumor that is a striking example of the
way that cancer may arise through development gone awry, A proportion of th
ese tumors develop as a result of the loss of function mutations in the Wil
ms' tumor suppressor gene, WT1. Inherited mutations in the WT1 gene can lea
d to childhood kidney cancer, severe gonadal dysplasia, and life-threatenin
g hypertension. Knockouts show that the gene is essential for the early sta
ges of kidney and gonad formation. These tissues are completely absent in n
ull mice. The WT1 gene encodes numerous protein isoforms, all of which shar
e four zinc fingers. There is a large body of evidence supporting the notio
n that WT1 is a transcription factor, particularly a transcriptional repres
sor, Recently, however, we obtained evidence that WT1 colocalizes and is ph
ysically associated with splice factors. What is more, one alternative spli
ce isoform of WT1 containing three amino acids, Lys-Thr-Ser (KTS; inserted
between zinc fingers 3 and it) is preferentially associated with splice fac
tors, whereas the other alternative splice version, lacking these three ami
no acids, preferentially associates with the transcriptional apparatus, Bot
h genetic and evolutionary considerations suggest that these two different
forms of the protein have different functions. We will discuss recent evide
nce to further implicate WT1 in splicing. Our results raise the possibility
that regulation of splicing is a crucial factor in the development of the
genitourinary system, and that tumors may arise through aberrant splicing,
To pursue the regulation and function of WT1 in whole animals, we have been
introducing the human gene and large flanking regions cloned in yeast arti
ficial chromosomes directly into mice. These studies have allowed us to dis
sect the function of WT1 at late as well as at early stages in organogenesi
s and to identify new sites and surprising new potential functions for the
gene.