Resumen: Background: CDH1 and CTNNA1 remain as the main genes for hereditary gastric cancer. However, they only explain a small fraction of gastric cancer cases with suspected inherited basis. In this study, we aimed to identify new hereditary genes for early-onset gastric cancer patients (EOGC;<50 years old).
Methods: After germline exome sequencing in 20 EOGC patients and replication of relevant fndings by gene-panel sequencing in an independent cohort of 152 patients, CTNND1 stood out as an interesting candidate gene, since its protein product (p120ctn) directly interacts with E-cadherin. We proceeded with functional characterization by generating two knockout CTNND1 cellular models by gene editing and introducing the detected genetic variants using a lentiviral delivery system. We assessed β-catenin and E-cadherin levels, cell detachment, as well as E-cadherin localization and cell-to-cell interaction by spheroid modeling.
Results: Three CTNND1 germline variants [c.28_29delinsCT, p.(Ala10Leu); c.1105C>T, p.(Pro369Ser); c.1537A > G, p.(Asn513Asp)] were identifed in our EOGC cohorts. Cells encoding CTNND1 variants displayed altered E-cadherin levels and intercellular interactions. In addition, the p.(Pro369Ser) variant, located in a key region in the E-cadherin/p120ctn binding domain, showed E-cadherin mislocalization.
Conclusions: Defects in CTNND1 could be involved in germline predisposition to gastric cancer by altering E-cadherin and, consequently, cell-to-cell interactions. In the present study, CTNND1 germline variants explained 2% (3/172) of the cases, although further studies in larger external cohorts are needed. Idioma: Inglés DOI: 10.1007/s10120-024-01504-7 Año: 2024 Publicado en: Gastric Cancer 27, 4 (2024), 747-759 ISSN: 1436-3291 Factor impacto JCR: 5.1 (2024) Categ. JCR: ONCOLOGY rank: 68 / 326 = 0.209 (2024) - Q1 - T1 Categ. JCR: GASTROENTEROLOGY & HEPATOLOGY rank: 25 / 147 = 0.17 (2024) - Q1 - T1 Factor impacto SCIMAGO: 2.489 - Cancer Research (Q1) - Oncology (Q1) - Medicine (miscellaneous) (Q1) - Gastroenterology (Q1)