ZNRF3 and adrenal cortex carcinoma: More recently, an integrated genomic characterization of ACC, combining exome sequencing, SNP arrays, DNA methylation analysis, mRNA expression arrays, and microRNAs (miRNAs) sequencing provided a comprehensive overview of known drivers genes (CTNNB1, TP53, CDKN2A, RB1, and MEN1) and newly identified altered pathways (ZNRF3, DAXX, TERT, and MED12) in ACC (26).