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Analysis of E-cadherin in diffuse-type gastric cancer using a mutation-specific monoclonal antibody
K F Becker1, E Kremmer, M Eulitz
1Technische Universität München, Klinikum rechts der Isar, Institut für Pathologie, München, Germany. kf.becker@lrz.tum.de
Abstract:
In-frame deletions from the E-cadherin mRNA, coding for a homophilic cell adhesion molecule, are characteristic for diffuse-type gastric carcinomas. Using immunohistochemical analysis the mutant form cannot be distinguished from normal E-cadherin, making results difficult to interpret. In this study, a rat monoclonal antibody, designated E-cad delta 9-1, was generated against a peptide spanning the fusion junction region between exons 8 and 10. This new epitope is present in an E-cadherin variant that lacks exon 9 from the mRNA due to different splice-site gene mutations. Using Western blotting and immunohistochemistry of E-cadherin-transfected cells, we demonstrate that E-cad delta 9-1 specifically reacts with E-cadherin lacking exon 9 but not with the wild-type protein. No immunoreactivity was observed in 31 nontumorous and embryonal tissues analyzed. In gastric carcinoma specimens known to express mutant E-cadherin mRNA lacking exon 9, E-cad delta 9-1 targets exclusively tumor cells in routine formalin-fixed and paraffin-embedded material from biopsies, primary tumors, and lymph node metastases. In a retrospective series of 172 diffuse-type gastric carcinomas expressing E-cadherin, E-cad delta 9-1 reacted with 22 tumors (13%). This new tumor marker-monoclonal antibody system could open novel avenues for selective diagnosis and specific therapy of a subgroup of diffuse-type gastric cancer patients.
Insights
A new antibody, E-cad delta 9-1, specifically detects a mutant form of E-cadherin found in some gastric cancers. This discovery aids in the selective diagnosis and potential targeted therapy for these tumors.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- In-frame deletions in E-cadherin mRNA are common in diffuse-type gastric carcinomas.
- Distinguishing mutant E-cadherin from wild-type using standard immunohistochemistry is challenging.
- A specific E-cadherin variant lacking exon 9 arises from splice-site mutations.
Purpose of the Study:
- To develop a specific monoclonal antibody to detect E-cadherin lacking exon 9.
- To validate the antibody's specificity and utility in diagnosing gastric cancer.
Main Methods:
- Generation of a rat monoclonal antibody (E-cad delta 9-1) targeting a unique fusion peptide.
- Western blotting and immunohistochemistry on transfected cells to confirm antibody specificity.
- Analysis of formalin-fixed, paraffin-embedded gastric carcinoma tissues and nontumorous samples.
Main Results:
- E-cad delta 9-1 specifically recognized E-cadherin lacking exon 9, with no reaction to wild-type protein.
- No immunoreactivity was found in nontumorous or embryonal tissues.
- The antibody exclusively targeted tumor cells in gastric carcinoma specimens with mutant E-cadherin mRNA, identifying it in 13% of a retrospective series.
Conclusions:
- E-cad delta 9-1 is a specific marker for E-cadherin variants lacking exon 9.
- This antibody enables selective detection of tumor cells in diffuse-type gastric carcinomas.
- The E-cad delta 9-1 antibody system offers potential for improved diagnosis and targeted therapy in a subset of gastric cancer patients.
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