Loss of E-Cadherin is the Fundamental Defect in Diffuse-Type Gastric Carcinoma and Infiltrating Lobular Carcinoma of the BreastOn: E-cadherin gene mutations provide a genetic basis for the phenotypic divergence of mixed gastric carcinomas. Machado JC, Soares P, Carneiro F, et al.Lab Invest1999; 79:459–65
作者:
John Chan,
Cesar Wong,
期刊:
Advances in Anatomic Pathology
(OVID Available online 2001)
卷期:
Volume 8,
issue 3
页码: 165-172
ISSN:1072-4109
年代: 2001
出版商: OVID
关键词: Gastric cancer;Stomach cancer;Diffuse-type adenocarcinoma of stomach;Signet ring cell carcinoma;Breast cancer;Lobular carcinoma of breast;E-cadherin;Mutation;Loss of heterozygosity
数据来源: OVID
摘要:
E-cadherin is a form of cell adhesion molecule playing an important role in epithelial cell organization. Loss of function or loss of expression of this molecule due to mutations in the E-cadherin (CDH1) gene has been shown to be a key feature of the diffuse-type gastric adenocarcinoma. Of interest, in gastric adenocarcinoma showing a mixed diffuse and intestinal pattern, loss of E-cadherin is confined to the former component. In the breast, infiltrating lobular carcinoma, characterized by a diffuse permeative growth of neoplastic cells, has similarly been shown to exhibit loss of E-cadherin. Thus the molecular alteration (loss of E-cadherin) provides a plausible explanation for the observed morphologic phenotype of these two tumor types. Finally, rare families characterized by germline mutations in the E-cadherin gene have been shown to be strongly predisposed to the development of gastric cancer (diffuse-type) and/or infiltrating lobular carcinoma of the breast.
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