%0 Journal Article %T CTNND1 is involved in germline predisposition to early-onset gastric cancer by affecting cell-to-cell interactions. %A Herrera-Pariente C %A Bonjoch L %A Muñoz J %A Fernàndez G %A Soares de Lima Y %A Mahmood R %A Cuatrecasas M %A Ocaña T %A Lopez-Prades S %A Llargués-Sistac G %A Domínguez-Rovira X %A Llach J %A Luzko I %A Díaz-Gay M %A Lazaro C %A Brunet J %A Castillo-Manzano C %A García-González MA %A Lanas A %A Carrillo M %A Hernández San Gil R %A Quintero E %A Sala N %A Llort G %A Aguilera L %A Carot L %A Diez-Redondo P %A Jover R %A Ramon Y Cajal T %A Cubiella J %A Castells A %A Balaguer F %A Bujanda L %A Castellví-Bel S %A Moreira L %J Gastric Cancer %V 27 %N 4 %D 2024 Jul 25 %M 38796558 %F 7.701 %R 10.1007/s10120-024-01504-7 %X 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.