2017
DOI: 10.1053/j.gastro.2017.05.012
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Sporadic Early-Onset Diffuse Gastric Cancers Have High Frequency of Somatic CDH1 Alterations, but Low Frequency of Somatic RHOA Mutations Compared With Late-Onset Cancers

Abstract: In an integrative genomic analysis, we found higher proportions of early-onset DGCs to contain somatic mutations in CDH1 or TGFBR1 compared with late-onset DGCs. However, a smaller proportion of early-onset DGCs contained somatic mutations in RHOA than late-onset DGCs. CDH1 alterations, but not RHOA mutations, were associated with shorter survival times of patients, which might account for the aggressive clinical course of early-onset gastric cancer. Female predominance in early-onset gastric cancer may be rel… Show more

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Cited by 94 publications
(145 citation statements)
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References 60 publications
(48 reference statements)
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“…In the present study, the tier 1 genetic alterations found at highest frequency ( ERBB2 , FGFR2 , PIK3CA , KRAS , BRAF , DNMT3A , MET , EGFR , PTEN , CTNNB1 , CDK6 , MDM2 , CDK4 and NRAS ) were generally consistent with the prevalence of GC alterations presented in previous studies . As recently reported, alteration in CDH1 , which encodes a calcium‐dependent cell‐to‐cell adhesion glycoprotein, was associated with poorly‐cohesive diffuse‐type histology and was a significant single‐gene prognostic marker associated with poorer survival in GC patients. Interestingly, we first found that patients with combined poorly cohesive histology and CDH1 alteration had the worst prognosis.…”
Section: Discussionsupporting
confidence: 91%
“…In the present study, the tier 1 genetic alterations found at highest frequency ( ERBB2 , FGFR2 , PIK3CA , KRAS , BRAF , DNMT3A , MET , EGFR , PTEN , CTNNB1 , CDK6 , MDM2 , CDK4 and NRAS ) were generally consistent with the prevalence of GC alterations presented in previous studies . As recently reported, alteration in CDH1 , which encodes a calcium‐dependent cell‐to‐cell adhesion glycoprotein, was associated with poorly‐cohesive diffuse‐type histology and was a significant single‐gene prognostic marker associated with poorer survival in GC patients. Interestingly, we first found that patients with combined poorly cohesive histology and CDH1 alteration had the worst prognosis.…”
Section: Discussionsupporting
confidence: 91%
“…The process of GC cell migration includes the extension of flaky pseudopods, formation of focal adhesions, and deagglomeration of tail adhesion spots 24 . Many studies have shown that both intercellular adhesion and cytoskeleton proteins regulate cell migration by affecting the epithelial‐mesenchymal transition (EMT) 25,26 . However, our results indicated that altered expression of CD2AP did not impact the expression of EMT‐related markers such as E‐cadherin and vimentin (Figure S3).…”
Section: Resultsmentioning
confidence: 70%
“…E‐cadherin, which is involved in the formation of cell‐cell adherent junctions that define the differentiation and proliferation of epithelial cells and suppression of invasion has been identified as an important tumor suppressor in GC 32–35 . An inactivating mutation of the CDH1 gene or overexpression of its transcriptional repressor, alterations in the expression of microRNAs, deregulation of protein trafficking, and posttranslational modifications can all reduce the expression of E‐cadherin, which is closely related to the occurrence of DGC 25,26,32,36–38 …”
Section: Discussionmentioning
confidence: 99%
“…The ERBB3 molecular network includes epidermal growth factor receptor (EGFR), cadherin 1 (CDH1), catenin beta 1 (CTNNB1) and EPH receptor A5 (EPHA5). These results demonstrate the importance of the ERBB network in cancer signaling, and revealed a ERBB3 network pathway model in diffuse-type GC and MSCs, and EMT.Keywords: Epithelial-mesenchymal transition; Gastric cancer; Mesenchymal stem cell; ERBB; Stem cell cancer (GC) [7]. Mutations in extracellular domains of ERBB2 are suggested to be oncogenic in lung cancer [8].…”
mentioning
confidence: 80%
“…Keywords: Epithelial-mesenchymal transition; Gastric cancer; Mesenchymal stem cell; ERBB; Stem cell cancer (GC) [7]. Mutations in extracellular domains of ERBB2 are suggested to be oncogenic in lung cancer [8].…”
Section: Introductionmentioning
confidence: 99%