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CTNND1 is involved in germline predisposition to early-onset gastric cancer by affecting cell-to-cell interactions

  • Cristina Herrera-Pariente,
  • Laia Bonjoch,
  • Jenifer Muñoz,
  • Guerau Fernàndez,
  • Yasmin Soares de Lima,
  • Romesa Mahmood,
  • Miriam Cuatrecasas,
  • Teresa Ocaña,
  • Sandra Lopez-Prades,
  • Gemma Llargués-Sistac,
  • Xavier Domínguez-Rovira,
  • Joan Llach,
  • Irina Luzko,
  • Marcos Díaz-Gay,
  • Conxi Lazaro,
  • Joan Brunet,
  • Carmen Castillo-Manzano,
  • María Asunción García-González,
  • Angel Lanas,
  • Marta Carrillo,
  • Raquel Hernández San Gil,
  • Enrique Quintero,
  • Nuria Sala,
  • Gemma Llort,
  • Lara Aguilera,
  • Laura Carot,
  • Pilar Diez-Redondo,
  • Rodrigo Jover,
  • Teresa Ramon y Cajal,
  • Joaquín Cubiella,
  • Antoni Castells,
  • Francesc Balaguer,
  • Luis Bujanda,
  • Sergi Castellví-Bel,
  • Leticia Moreira

摘要

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 findings 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 identified 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.