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A model to infer the pathogenic significance of CDH1 germline missense variants

Title
A model to infer the pathogenic significance of CDH1 germline missense variants
Type
Article in International Scientific Journal
Year
2006
Authors
Gianpaolo Suriano
(Author)
Other
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Susana Seixas
(Author)
Other
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Jorge Rocha
(Author)
FCUP
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Journal
Vol. 84
Pages: 1023-1031
ISSN: 0946-2716
Publisher: Springer Nature
Scientific classification
FOS: Medical and Health sciences > Other medical sciences
Other information
Authenticus ID: P-004-FV7
Abstract (EN): Germline mutations of the E-cadherin gene (CDH1) are involved in the tumorigenesis of hereditary diffuse gastric cancer (HDGC). Recent studies have highlighted the lifesaving potential of total prophylactic gastrectomy for CDH1 germline mutation carriers. In this regard, CDH1 germline mutations of the missense type represent a clinical burden in genetic counseling, as their pathogenic relevance is not straightforward. In this work, we have outlined a possible multivariate approach to infer the significance of such variants. We reviewed all HDGC-associated E-cadherin germline missense mutations reported to date. The information collected included: co-segregation of the mutation within pedigrees, frequency in healthy population control, recurrence in independent families, and functional in vitro and in silico data. We used the neighbor-joining method to group mutations according to the collected information and assessed the robustness of mutation clusters with a bootstrap test. CDH1 germline missense variants were classified according to the parameters defined in the multivariate analysis. This analysis allowed the distribution of the variants into two distinct groups: neutral variants vs mutations. The model described in this study provides an important too] that can ultimately improve the genetic counseling offered to the carriers of the germline CDH1 missense variants.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 9
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