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In ACC, Wnt/Ξ²-catenin pathway activation is frequent and occurs via activating mutations in the CTNNB1 gene or inactivating mutations in ZNRF3 ( CTNNB1 mutation to exhibit higher expression of LEF-1 compared to non-tumour adrenal samples and ACCs without CTNNB1 mutation ( It has been shown in ovarian and colorectal cancer that Wnt/Ξ²-catenin pathway activation leads to significantly lower levels of mature CD8 + T cells
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