The paired-homeodomain transcription factor PAX4 is expressed in the early
pancreas, but is later restricted to beta cells and not expressed in mature
islets, suggesting an important role of PAX4 in differentiation and develo
pment of pancreatic islet. Here we show that PAX4 mRNA was highly expressed
in human insulinoma tissues, whereas little if any mRNA was expressed in n
ormal islets. Furthermore, this insulinoma associated expression of PAX4 mR
NA was accompanied with expression of its novel variant form (PAX4v). PAX4v
was generated by alternative splicing lacking the exon 7, and containing i
ntact paired and homeo domain followed by novel 35 amino acids. PAX4v rever
sed the wild-type PAX4 mediated repression of the insulin promoter in cotra
nsfection assays. PAX4v may play a role to antagonize the wild-type PAX4 fu
nction in human insulinoma. These data imply a role of PAX4 and PAX4v expre
ssion in tumorigenesis and development of insulinoma. (C) 2001 Academic Pre
ss.