1.FOXA1 in prostate cancer.
Hui-Yu DONG ; Lei DING ; Tian-Ren ZHOU ; Tao YAN ; Jie LI ; Chao LIANG
Asian Journal of Andrology 2023;25(3):287-295
		                        		
		                        			
		                        			Most prostate cancers initially respond to androgen deprivation therapy (ADT). With the long-term application of ADT, localized prostate cancer will progress to castration-resistant prostate cancer (CRPC), metastatic CRPC (mCRPC), and neuroendocrine prostate cancer (NEPC), and the transcriptional network shifted. Forkhead box protein A1 (FOXA1) may play a key role in this process through multiple mechanisms. To better understand the role of FOXA1 in prostate cancer, we review the interplay among FOXA1-targeted genes, modulators of FOXA1, and FOXA1 with a particular emphasis on androgen receptor (AR) function. Furthermore, we discuss the distinct role of FOXA1 mutations in prostate cancer and clinical significance of FOXA1. We summarize possible regulation pathways of FOXA1 in different stages of prostate cancer. We focus on links between FOXA1 and AR, which may play different roles in various types of prostate cancer. Finally, we discuss FOXA1 mutation and its clinical significance in prostate cancer. FOXA1 regulates the development of prostate cancer through various pathways, and it could be a biomarker for mCRPC and NEPC. Future efforts need to focus on mechanisms underlying mutation of FOXA1 in advanced prostate cancer. We believe that FOXA1 would be a prognostic marker and therapeutic target in prostate cancer.
		                        		
		                        		
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Androgen Antagonists/therapeutic use*
		                        			;
		                        		
		                        			Androgens/metabolism*
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 3-alpha/metabolism*
		                        			;
		                        		
		                        			Mutation
		                        			;
		                        		
		                        			Prostatic Neoplasms, Castration-Resistant/drug therapy*
		                        			;
		                        		
		                        			Receptors, Androgen/metabolism*
		                        			
		                        		
		                        	
2.Sortilin-induced lipid accumulation and atherogenesis are suppressed by HNF1b SUMOylation promoted by flavone of Polygonatum odoratum.
Fang LIU ; Shirui CHEN ; Xinyue MING ; Huijuan LI ; Zhaoming ZENG ; Yuncheng LV
Journal of Zhejiang University. Science. B 2023;24(11):998-1013
		                        		
		                        			
		                        			This study aims to investigate the impact of hepatocyte nuclear factor 1β (HNF1b) on macrophage sortilin-mediated lipid metabolism and aortic atherosclerosis and explore the role of the flavone of Polygonatum odoratum (PAOA-flavone)-promoted small ubiquitin-related modifier (SUMO) modification in the atheroprotective efficacy of HNF1b. HNF1b was predicted to be a transcriptional regulator of sortilin expression via bioinformatics, dual-luciferase reporter gene assay, and chromatin immunoprecipitation. HNF1b overexpression decreased sortilin expression and cellular lipid contents in THP-1 macrophages, leading to a depression in atherosclerotic plaque formation in low-density lipoprotein (LDL) receptor-deficient (LDLR-/-) mice. Multiple SUMO1-modified sites were identified on the HNF1b protein and co-immunoprecipitation confirmed its SUMO1 modification. The SUMOylation of HNF1b protein enhanced the HNF1b-inhibited effect on sortilin expression and reduced lipid contents in macrophages. PAOA-flavone treatment promoted SUMO-activating enzyme subunit 1 (SAE1) expression and SAE1-catalyzed SUMOylation of the HNF1b protein, which prevented sortilin-mediated lipid accumulation in macrophages and the formation of atherosclerotic plaques in apolipoprotein E-deficient (ApoE-/-) mice. Interference with SAE1 abrogated the improvement in lipid metabolism in macrophage cells and atheroprotective efficacy in vivo upon PAOA-flavone administration. In summary, HNF1b transcriptionally suppressed sortilin expression and macrophage lipid accumulation to inhibit aortic lipid deposition and the development of atherosclerosis. This anti-atherosclerotic effect was enhanced by PAOA-flavone-facilitated, SAE1-catalyzed SUMOylation of the HNF1b protein.
		                        		
		                        		
		                        		
		                        			Mice
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Polygonatum/metabolism*
		                        			;
		                        		
		                        			Sumoylation
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-beta/metabolism*
		                        			;
		                        		
		                        			Atherosclerosis/metabolism*
		                        			;
		                        		
		                        			Flavones
		                        			;
		                        		
		                        			Lipids
		                        			
		                        		
		                        	
3.Analysis of HNF1B gene variant in a fetus featuring infantile polycystic kidney disease.
Yan ZHANG ; Lina ZENG ; Li LIN ; Xian DONG
Chinese Journal of Medical Genetics 2022;39(2):205-208
		                        		
		                        			OBJECTIVE:
		                        			To explore the genetic basis for a fetus featuring infantile polycystic kidney disease (IPKD).
		                        		
		                        			METHODS:
		                        			Following elective abortion, fetal tissue and peripheral blood samples of its parents were collected for the extraction of genomic DNA. Whole exome sequencing was carried out to detect potential variants correlated with the phenotype.
		                        		
		                        			RESULTS:
		                        			The fetus was found to harbor a heterozygous c.1370C>T (p.P457L) variant of the HNF1B gene, which was unreported previously. The same variant was not detected in either parent.
		                        		
		                        			CONCLUSION
		                        			The heterozygous c.1370C>T (p.P457L) variant of the HNF1B gene probably underlay the IPKD in this fetus. Above finding has enabled genetic counseling and prenatal diagnosis for the family.
		                        		
		                        		
		                        		
		                        			Female
		                        			;
		                        		
		                        			Fetus
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-beta/genetics*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Mutation
		                        			;
		                        		
		                        			Phenotype
		                        			;
		                        		
		                        			Polycystic Kidney, Autosomal Recessive
		                        			;
		                        		
		                        			Pregnancy
		                        			;
		                        		
		                        			Prenatal Diagnosis
		                        			;
		                        		
		                        			Whole Exome Sequencing
		                        			
		                        		
		                        	
4.HNF1A-AS1 inhibits proliferation, migration and invasion of IL-6-induced hemangioma endothelial cells by targeting miR-363-3p.
Wenhao XU ; Shengneng TAO ; Xiaoyu ZHU
Chinese Journal of Medical Genetics 2021;38(11):1091-1096
		                        		
		                        			OBJECTIVE:
		                        			To explore the effect of HNF1A-AS1 on the proliferation, migration and invasion of IL-6-induced hemangioendothelial cells (HemEC) and possible mechanism.
		                        		
		                        			METHODS:
		                        			RT-qPCR was used to detect the expression level of HNF1A-AS1 and miR-363-3p in the tumor tissue and adjacent normal skin tissue from 35 patients with hemangioma. Pearson correlation was used to analyze the correlation between the expression of HNF1A-AS1 and miR-363-3p in tumor tissues. HemEC were isolated and cultured in vitro.Dual luciferase reporter gene experiment was used to study the regulatory effect between HNF1A-AS1 and miR-363-3p. IL-6 was added to HemEC transfected with si-NC, si-HNF1A-AS1, si-HNF1A-AS1 and anti-miR-NC, or si-HNF1A-AS1 and anti-miR-363-3p, respectively. CCK-8 method and clone formation experiment were used to detect cell proliferation in each group. Transwell method was used to detect cell migration and invasion in each group. Western blotting was used to detect the expression of Ki67, MMP-2 and MMP-9 proteins in each group.
		                        		
		                        			RESULTS:
		                        			Compared with normal skin tissues, the expression of IL-6 mRNA in hemangioma tissues was increased (P<0.05), and the expression of IL-6 mRNA in the proliferative phase was lower than that in the degenerative phase (P<0.05). Expression of HNF1A-AS1 in hemangioma tissue was increased (P<0.05), while that of miR-363-3p was decreased (P<0.05), and the two were negatively correlated (r=-0.758, P<0.05). HNF1A-AS1 down-regulated the expression of miR-363-3p in HemEC.IL-6 promoted the expression of HNF1A-AS1, OD value, number of colonies, number of migration and invasion of HemEC cells, and the expression of Ki67, MMP-2 and MMP-9proteins (P<0.05), while reduced the expression of miR-363-3p (P<0.05). Down-regulating si-HNF1A-AS1 reduced the IL-6-induced HemEC cell OD value, colony numbers, migration and invasion and the expression of Ki67, MMP-2 and MMP-9 proteins (P<0.05). Down-regulating miR-363-3p attenuated the inhibitory effect of down-regulating si-HNF1A-AS1 on the proliferation, migration and invasion of HemEC cells induced by IL-6 (P<0.05).
		                        		
		                        			CONCLUSION
		                        			Expression of HNF1A-AS1 is increased in hemangioma tissues. Down-regulating HNF1A-AS1 may inhibit proliferation, migration and invasion of IL-6-induced hemangioma endothelial cells by targeted up-regulation of miR-363-3p.
		                        		
		                        		
		                        		
		                        			Cell Line, Tumor
		                        			;
		                        		
		                        			Cell Movement
		                        			;
		                        		
		                        			Cell Proliferation
		                        			;
		                        		
		                        			Endothelial Cells
		                        			;
		                        		
		                        			Gene Expression Regulation, Neoplastic
		                        			;
		                        		
		                        			Hemangioma/genetics*
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-alpha/genetics*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Interleukin-6/genetics*
		                        			;
		                        		
		                        			MicroRNAs/genetics*
		                        			;
		                        		
		                        			RNA, Long Noncoding
		                        			
		                        		
		                        	
5.Pioneer of prostate cancer: past, present and the future of FOXA1.
Mona TENG ; Stanley ZHOU ; Changmeng CAI ; Mathieu LUPIEN ; Housheng Hansen HE
Protein & Cell 2021;12(1):29-38
		                        		
		                        			
		                        			Prostate cancer is the most commonly diagnosed non-cutaneous cancers in North American men. While androgen deprivation has remained as the cornerstone of prostate cancer treatment, resistance ensues leading to lethal disease. Forkhead box A1 (FOXA1) encodes a pioneer factor that induces open chromatin conformation to allow the binding of other transcription factors. Through direct interactions with the Androgen Receptor (AR), FOXA1 helps to shape AR signaling that drives the growth and survival of normal prostate and prostate cancer cells. FOXA1 also possesses an AR-independent role of regulating epithelial-to-mesenchymal transition (EMT). In prostate cancer, mutations converge onto the coding sequence and cis-regulatory elements (CREs) of FOXA1, leading to functional alterations. In addition, FOXA1 activity in prostate cancer can be modulated post-translationally through various mechanisms such as LSD1-mediated protein demethylation. In this review, we describe the latest discoveries related to the function and regulation of FOXA1 in prostate cancer, pointing to their relevance to guide future clinical interventions.
		                        		
		                        		
		                        		
		                        			Amino Acid Sequence
		                        			;
		                        		
		                        			Epigenesis, Genetic
		                        			;
		                        		
		                        			Epithelial-Mesenchymal Transition
		                        			;
		                        		
		                        			Gene Expression Regulation, Neoplastic
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 3-alpha/metabolism*
		                        			;
		                        		
		                        			Histone Demethylases/metabolism*
		                        			;
		                        		
		                        			Histones/metabolism*
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Male
		                        			;
		                        		
		                        			Mutation
		                        			;
		                        		
		                        			Prostate/pathology*
		                        			;
		                        		
		                        			Prostatic Neoplasms/pathology*
		                        			;
		                        		
		                        			Protein Binding
		                        			;
		                        		
		                        			Protein Processing, Post-Translational
		                        			;
		                        		
		                        			Receptors, Androgen/metabolism*
		                        			;
		                        		
		                        			Signal Transduction
		                        			;
		                        		
		                        			Transcription, Genetic
		                        			
		                        		
		                        	
6.Clinical phenotype and genetic analysis of three pedigrees with 17q12 microdeletion syndrome.
Qinghua WU ; Saisai YANG ; Can WANG ; Huirong SHI ; Xiangdong KONG ; Shumin REN ; Zhihui JIAO ; Ning LIU ; Panlai SHI
Chinese Journal of Medical Genetics 2020;37(4):397-400
		                        		
		                        			OBJECTIVE:
		                        			To explore the genetic etiology of three pedigrees with a gestational history of fetal renal anomalies.
		                        		
		                        			METHODS:
		                        			Peripheral venous blood or skin samples were derived from the probands of the three pedigrees. Copy number variation sequencing (CNV-seq) was applied to detect alterations of genome CNVs.
		                        		
		                        			RESULTS:
		                        			The patient from pedigree 1 and the fetuses from pedigrees 2 and 3 all carried a heterozygous 17q12 deletion, with the size ranging from 1.4 Mb to 1.48 Mb encompassing the HNF1B gene.
		                        		
		                        			CONCLUSION
		                        			The diagnosis of 17q12 microdeletion may be difficult during fetal period for its variable phenotypes. Alterations of chromosomal copy numbers need to be excluded in such patients.
		                        		
		                        		
		                        		
		                        			Chromosome Deletion
		                        			;
		                        		
		                        			Chromosomes, Human, Pair 17
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			DNA Copy Number Variations
		                        			;
		                        		
		                        			Fetus
		                        			;
		                        		
		                        			Genetic Testing
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-beta
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Pedigree
		                        			;
		                        		
		                        			Phenotype
		                        			
		                        		
		                        	
7.Effects of Transcription Factor MZF-1 on Transcriptive Regulation of Acute Monocytic Leukemia-related Gene MLAA-34.
Bo LEI ; Wang-Gang ZHANG ; Ai-Li HE ; Yin-Xia CHEN ; Xing-Meim CAO ; Peng-Yu ZHANG ; Wan-Hong ZHAO ; Jian-Li WANG ; Jie LIU ; Xiao-Rong MA ; Yan-Ping ZHANG ; Hui ZHANG
Journal of Experimental Hematology 2019;27(5):1463-1468
		                        		
		                        			OBJECTIVE:
		                        			To investigate the transcriptional regulation of transcription factor MZF-1 on acute monocytic leukemia-related gene MLAA-34.
		                        		
		                        			METHODS:
		                        			The effect of MZF-1 on the transcriptional activity of MLAA-34 gene promoter was analyzed by luciferase reporter gene detection system and site-directed mutation technique. The EMSA and ChIP assay were used to verify whether MZF-1 directly and specifically binds to the core region of MLAA-34 promoter. The over-expression vector and interference vector of MZF-1 were constructed to transfect U937 cells, and RT-PCR and Western blot were used to detect the transcription and expression changes of MLAA-34 gene.
		                        		
		                        			RESULTS:
		                        			The transcription factor MZF-1 had a regulatory effect on MLAA-34 gene expression, and the relative luciferase activity was decreased after MZF-1 binding point mutation (P<0.01). EMSA and ChIP experiments demonstrated that MZF-1 could directly bind to MLAA-34 promoter and play a regulatory role. In the over-expression test, the increase of MZF-1 could up-regulate the expression of MLAA-34 (P<0.05). In the interference test, the decrease of MZF-1 could down-regulate the expression of MLAA-34 (P<0.05).
		                        		
		                        			CONCLUSION
		                        			Transcription factor MZF-1 can bind to the transcriptional regulatory region on the promoter of MLAA-34 gene and promote the transcription of MLAA-34 gene in acute monocytic leukemia.
		                        		
		                        		
		                        		
		                        			Antigens, Neoplasm
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Apoptosis Regulatory Proteins
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Gene Expression Regulation, Neoplastic
		                        			;
		                        		
		                        			Genes, Reporter
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-alpha
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Kruppel-Like Transcription Factors
		                        			;
		                        		
		                        			metabolism
		                        			;
		                        		
		                        			Leukemia, Monocytic, Acute
		                        			;
		                        		
		                        			Promoter Regions, Genetic
		                        			;
		                        		
		                        			Transcription, Genetic
		                        			
		                        		
		                        	
8.Increased glucose metabolism and alpha-glucosidase inhibition in Cordyceps militaris water extract-treated HepG2 cells.
Dae Jung KIM ; Yun Hwan KANG ; Kyoung Kon KIM ; Tae Woo KIM ; Jae Bong PARK ; Myeon CHOE
Nutrition Research and Practice 2017;11(3):180-189
		                        		
		                        			
		                        			BACKGROUND/OBJECTIVES: Recent living condition improvements, changes in dietary habits, and reductions in physical activity are contributing to an increase in metabolic syndrome symptoms including diabetes and obesity. Through such societal developments, humankind is continuously exposed to metabolic diseases such as diabetes, and the number of the victims is increasing. This study investigated Cordyceps militaris water extract (CMW)-induced glucose uptake in HepG2 cells and the effect of CMW treatment on glucose metabolism. MATERIALS/METHODS: Colorimetric assay kits were used to determine the glucokinase (GK) and pyruvate dehydrogenase (PDH) activities, glucose uptake, and glycogen content. Either RT-PCR or western blot analysis was performed for quantitation of glucose transporter 2 (GLUT2), hepatocyte nuclear factor 1 alpha (HNF-1α), phosphatidylinositol 3-kinase (PI3k), protein kinase B (Akt), phosphorylated AMP-activated protein kinase (pAMPK), phosphoenolpyruvate carboxykinase, GK, PDH, and glycogen synthase kinase 3 beta (GSK-3β) expression levels. The α-glucosidase inhibitory activities of acarbose and CMW were evaluated by absorbance measurement. RESULTS: CMW induced glucose uptake in HepG2 cells by increasing GLUT2 through HNF-1α expression stimulation. Glucose in the cells increased the CMW-induced phosphorylation of AMPK. In turn, glycolysis was stimulated, and glyconeogenesis was inhibited. Furthermore, by studying the mechanism of action of PI3k, Akt, and GSK-3β, and measuring glycogen content, the study confirmed that the glucose was stored in the liver as glycogen. Finally, CMW resulted in a higher level of α-glucosidase inhibitory activity than that from acarbose. CONCLUSION: CMW induced the uptake of glucose into HepG2 cells, as well, it induced metabolism of the absorbed glucose. It is concluded that CMW is a candidate or potential use in diabetes prevention and treatment.
		                        		
		                        		
		                        		
		                        			Acarbose
		                        			;
		                        		
		                        			alpha-Glucosidases*
		                        			;
		                        		
		                        			AMP-Activated Protein Kinases
		                        			;
		                        		
		                        			Blotting, Western
		                        			;
		                        		
		                        			Cordyceps*
		                        			;
		                        		
		                        			Food Habits
		                        			;
		                        		
		                        			Glucokinase
		                        			;
		                        		
		                        			Glucose Transport Proteins, Facilitative
		                        			;
		                        		
		                        			Glucose*
		                        			;
		                        		
		                        			Glycogen
		                        			;
		                        		
		                        			Glycogen Synthase Kinase 3
		                        			;
		                        		
		                        			Glycolysis
		                        			;
		                        		
		                        			Hep G2 Cells*
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-alpha
		                        			;
		                        		
		                        			Hypoglycemic Agents
		                        			;
		                        		
		                        			Liver
		                        			;
		                        		
		                        			Metabolic Diseases
		                        			;
		                        		
		                        			Metabolism*
		                        			;
		                        		
		                        			Motor Activity
		                        			;
		                        		
		                        			Obesity
		                        			;
		                        		
		                        			Oxidoreductases
		                        			;
		                        		
		                        			Phosphatidylinositol 3-Kinase
		                        			;
		                        		
		                        			Phosphoenolpyruvate
		                        			;
		                        		
		                        			Phosphorylation
		                        			;
		                        		
		                        			Proto-Oncogene Proteins c-akt
		                        			;
		                        		
		                        			Pyruvic Acid
		                        			;
		                        		
		                        			Social Conditions
		                        			;
		                        		
		                        			Water*
		                        			
		                        		
		                        	
9.Effect of Inhibiting and Activating Wnt Signalling Pathway on NSC67657-inducing Monocytic Differentiation of HL-60 Cells.
Wei-Jia WANG ; Xiu-Ming ZHANG ; Yan ZHANG ; Jin-Shu WANG
Journal of Experimental Hematology 2016;24(2):341-346
OBJECTIVETo investigate the effect of inhibiting and activating Wnt signalling pathway on monocyte differentiation of HL-60 cells induced with a new steroidal drug NSC67657 and its possible mechamism.
METHODSThe HL-60 cells were treated with 5, 10 and 20 µmol/L XAV-939 (inhibitor of Wnt signalling pathway) for 3 days, and with 10, 20 and 30 mmol/L LiCl (activator of Wnt signalling pathway) for 1 day; the expression levels of down-stream genes and proteins of Wnt signolling pathway were detected by RT-PCR and Western blot, respectively; the expression of cell surface differentiation antigen CD14 and early apoptosis of HL-60 cells was detected by flow cytometry, moreover the most suitable concentration of Wnt inhibitor and activator for HL-60 cells was determined. Then the HL-60 cells with inhibited and activated Wnt pathway were treated with NSC67657 of 10 µmol/L for 3 days; the expression levels of CD14 and down-stream target proteins of Wnt signalling pathway in blank control (culture mediam) group, simple NSC67657-treated group, NSC67657 combined with inhibitor group and NSC67657 combined activator group were compared and analyzed.
RESULTS20 µmol/L XAV-939 and 20 mmol/L LiCl could effectively inhibit and activate Wnt signalling pathway of HL-60 cells respectively, could significantly down- and up-regulate the expression of cyclinD1, TCF1 and c-Jun genes (P < 0.05) and proteins (P < 0.05); moreover, the number of CD10(+) HL-60 cells in these conditions was below 1%, no early apoptosis of HL-60 cells was found. In the simple NSC67657-treated groups, the expression of cyclinD1, TCF1 and c-Jun proteins was down-regulated (P < 0.05), and the percentage of CD14(+) HL-60 cells accounted for 62.13 ± 9.44; after the HL-60 cells were treated with XAV-939, the NSC67657 could more significantly down-regulate the expression of cyclinD1, TCF1 and c-Jun proteins and the percentage of CD14(+) HL-60 cell accounted for 84.17 ± 5.39%, as compared with simple NSC67657-treated group; as compared with blank controls group, the expression of cyclinD1, TCF1 and c-Jun proteins was more obviously down-regulated and the percentage of CD14(+) HL-60 cells decreased to 33.99 ± 8.37% in NSC67657 combined LiC1 streated group, but which were higher than those in simple NSC67657-treated group (P < 0.05).
CONCLUSION20 µmol/L XAV-939 and 20 mmol/L LiCl as effective inhabitor and activator of Wnt signalling pathway respectively can significantly down- and up-regulate the expression of Wnt down-stream pathway target genes and proteins. The influence of XAV-939 and LiC1 on differentiation of HL-60 cells induced by NSC67657 suggests that Wnt signalling pathway plays a key role in monocyte differentiction of HL-60 cells induced by NSC67657.
Apoptosis ; Cell Differentiation ; Cyclin D1 ; metabolism ; Flow Cytometry ; HL-60 Cells ; Hepatocyte Nuclear Factor 1-alpha ; metabolism ; Humans ; Lipopolysaccharide Receptors ; metabolism ; Mesylates ; pharmacology ; Monocytes ; cytology ; Proto-Oncogene Proteins c-jun ; metabolism ; Steroids ; pharmacology ; Wnt Signaling Pathway
10.Benign hepatocellular nodules of healthy liver: focal nodular hyperplasia and hepatocellular adenoma.
Massimo RONCALLI ; Amedeo SCIARRA ; Luca Di TOMMASO
Clinical and Molecular Hepatology 2016;22(2):199-211
		                        		
		                        			
		                        			Owing to the progress of imaging techniques, benign hepatocellular nodules are increasingly discovered in the clinical practice. This group of lesions mostly arises in the context of a putatively normal healthy liver and includes either pseudotumoral and tumoral nodules. Focal nodular hyperplasia and hepatocellular adenoma are prototypical examples of these two categories of nodules. In this review we aim to report the main pathological criteria of differential diagnosis between focal nodular hyperplasia and hepatocellular adenoma, which mainly rests upon morphological and phenotypical features. We also emphasize that for a correct diagnosis the clinical context such as sex, age, assumption of oral contraceptives, associated metabolic or vascular disturbances is of paramount importance. While focal nodular hyperplasia is a single entity epidemiologically more frequent than adenoma, the latter is representative of a more heterogeneous group which has been recently and extensively characterized from a clinical, morphological, phenotypical and molecular profile. The use of the liver biopsy in addition to imaging and the clinical context are important diagnostic tools of these lesions. In this review we will survey their systematic pathobiology and propose a diagnostic algorithm helpful to increase the diagnostic accuracy of not dedicated liver pathologists. The differential diagnosis between so-called typical and atypical adenoma and well differentiated hepatocellular carcinoma will also be discussed.
		                        		
		                        		
		                        		
		                        			Adenoma/*diagnosis/surgery
		                        			;
		                        		
		                        			Carcinoma, Hepatocellular/diagnosis
		                        			;
		                        		
		                        			Diagnosis, Differential
		                        			;
		                        		
		                        			Focal Nodular Hyperplasia/*diagnosis/surgery
		                        			;
		                        		
		                        			Hepatocyte Nuclear Factor 1-alpha/metabolism
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Liver/pathology
		                        			;
		                        		
		                        			Liver Neoplasms/*diagnosis/surgery
		                        			;
		                        		
		                        			beta Catenin/genetics/metabolism
		                        			
		                        		
		                        	
            
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