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Human Molecular Genetics, 2003, Vol. 12, No.

5 575582
DOI: 10.1093/hmg/ddg048

Identication of CDH1 germline missense


mutations associated with functional inactivation
of the E-cadherin protein in young gastric cancer
probands
Gianpaolo Suriano1,{, Carla Oliveira1,2,{, Paulo Ferreira1, Jose C. Machado1,3,
Maria C. Bordin2, Olivier De Wever4, Erik A. Bruyneel4, Nicole Moguilevsky5, Nicola Grehan2,
Timothy R. Porter6, Frances M. Richards6, Ralph H. Hruban7, Franco Roviello8,
David Huntsman9, Marc Mareel4, Fatima Carneiro1,3, Carlos Caldas2,* and Raquel Seruca1,3,*
1
Instituto de Patologia e Imunologia Molecular da Universidade do Porto (IPATIMUP), 4200 Porto, Portugal,
2
Cancer Genomics Program, Department of Oncology, University of Cambridge, Hutchison/MRC

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Research Centre, Addenbrookes Hospital, Cambridge CB2 2XZ, UK, 3Faculdade de Medicina, Hospital de S. Joao,
4200 Porto, Portugal, 4Laboratory of Experimental Cancerology, UZG, B-9000 Ghent, Belgium, 5Service of
Applied Genetics, Institute of Biology and Molecular Medicine, B-6041 Gosselies, Belgium, 6Section of Medical and
Molecular Genetics, Division of Reproductive and Child Health, University of Birmingham, The Medical School,
Birmingham B15 2TT, UK, 7Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA,
8
Istituto Policattedra di Scienze Chirurgiche, Universita degli Studi di Siena, 53100 Siena, Italy and
9
Department of Pathology and Laboratory Medicine, University of British Columbia Vancouver, Canada

Received November 19, 2002; Revised and Accepted December 20, 2002

E-cadherin is involved in the formation of cell-junctions and the maintenance of epithelial integrity. Direct
evidence of E-cadherin mutations triggering tumorigenesis has come from the nding of inactivating germline
mutations of the gene (CDH1) in hereditary diffuse gastric cancer (HDGC). We screened a series of 66 young
gastric cancer probands for germline CDH1 mutations, and two novel missense alterations together with an
intronic variant were identied. We then analysed the functional signicance of the two exonic missense variants
found here as well as a third germline missense variant that we previously identied in a HGDC family. cDNAs
encoding either the wild-type protein or mutant forms of E-cadherin were stably transfected into CHO (Chinese
hamster ovary) E-cadherin-negative cells. Transfected cell-lines were characterized in terms of aggregation,
motility and invasion. We show that a proportion of apparently sporadic early-onset diffuse gastric carcinomas
are associated with germline alterations of the E-cadherin gene. We also demonstrate that a proportion of
missense variants are associated with signicant functional consequences, suggesting that our cell model can
be used as an adjunct in deciding on the potential pathogenic role of identied E-cadherin germline alterations.

INTRODUCTION 110 aa with conserved calcium-binding motifs (EC1-5), a


transmembrane region and a cytoplasmatic domain, which
E-cadherin is a 120 kDa glycoprotein localized at adherens interacts with filaments of actin through catenins (2).
junctions of epithelial cells, where it mediates homophilic Disruption of the E-cadherin complex is expected to induce
calcium-dependent cell-adhesion (1). Its modular structure loss of cell adhesion with a concomitant increased cell motility
consists of five extracellular domains of roughly (3,4).

*To whom correspondence should be addressed. Tel: 0044 1223 3319 89; Fax: 0044 1223 3317 53; Email: cc234@cam.ac.uk and Tel: 351
225570764; Fax: 351 225570799; Email: rseruca@ipatimup.pt
{
The authors wish it to be known that, in their opinion, the first two authors should be regarded as joint First Authors.

Human Molecular Genetics, Vol. 12, No. 5 # Oxford University Press 2003; all rights reserved
576 Human Molecular Genetics, 2003, Vol. 12, No. 5

Table 1. Details of patients, tumours and CDH1 putative deleterious sequence alterations in five cases of early-onset gastric cancer

Case Geographic origin Age/gender Histologic tumour type Ex/In Nucleotide changea Protein change Comments
293 USA 43/F Diffuse Ex 12 1849 G!A Ala617Thr (mis) Previously describedb
294 USA 43/F Diffuse Ex 12 1849 G!A Ala617Thr (mis) Previously describedb
J68 Portugal 30/M Diffuse Ex 12 1901 C!T Ala634Val (mis) Previously describedc
54 England 51/M Diffuse Int 4 532-18 C!T New
CE137 Portugal 42/F Mixed Int 4 532-18 C!T New

a
Nucleotide positions refer to an E-cadherin sequence deposited in the EMBL/GenBank Data Libraries, accession no. Z13009; the A of the ATG of the initiator
Met codon is denoted nt1.
b
Somatic mutation in endometrial and gastric cancer (16,17).
c
Mutation described in a colon cancer cell line (11).

Germline truncating mutations of the CDH1 gene (EMBL/ isolated cell type cancers predominate in young patients.
GenBank Data Libraries no. CDH1-Z13009) resulting in Furthermore, the diffuse type of gastric carcinoma in young
E-cadherin inactivation have been identified in hereditary patients demonstrates a nearly equal sex ratio, compared with a
diffuse gastric carcinoma (OMIM no. Gastric cancer-137215) male preponderance in the intestinal form.
(5,6). To date, 30 HDGC families harbouring CDH1 germline The mutation screening identified five cases (7.6%) with poten-

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mutations have been described (7) and only five are associated tially deleterious germline sequence variants. Four cases were
with missense mutations. The pathogenic role of these non- diffuse/isolated cell type carcinomas and one was an atypical/
truncating mutations has not yet been established. mixed-type gastric carcinoma. Details of patients, tumours and
The number of families with germline CDH1 mutations CDH1 putative deleterious sequence alterations in the five cases
described to date is limited and the proportion of gastric are presented in Table 1. No germline CDH1 sequence alterations
cancers due to autosomal inheritance is unknown. One would were found in intestinal gastric cancer patients.
predict that the proportion of gastric cancer cases related to Three of the five patients with germline sequence alterations
genetic predisposition is higher in young individuals. To date, a in CDH1 harboured missense variants in exon 12. Two African-
single CDH1 truncating germline mutation in a young person American female patients, 293 and 294, had the identical
with apparently sporadic diffuse gastric cancer has been transition mutation in codon 617 (1849 G to A), leading to an
reported (5). amino acid substitution (Ala to Thr) [Fig. 1A, lane 2, B(2)].
The current study aimed at screening a series of 66 young Laboratory contamination was excluded by repeating the
gastric cancer probands for germline CDH1 mutations. We then mutation analysis with new samples obtained separately from
analysed the functional significance of three germline sequence both patients, and a familial relationship between them was
alterations, two identified in this study and one previously excluded by microsatellite analysis (data not shown). We
reported by us in a hereditary gastric cancer kindred. screened exon 12 in 100 Portuguese blood donors and none of
these controls showed the alteration. We also screened 93
African (sub-Saharans) DNA samples for this alteration and
two showed the same 1849 G to A change (allele frequency
RESULTS 1%). E-cadherin immunohistochemistry in the two cancer cases
The histological characteristics of the carcinomas in the 66 revealed membranous staining in neoplastic cells forming
early-onset gastric cancer patients studied were: 37/66 (56.1%) microglandular/trabecular structures, and heterogeneous mem-
diffuse/isolated cell type gastric carcinomas, 17/66 (25.8%) branous staining in signet ring cells.
atypical/mixed type carcinomas and 12/66 (18.2%) intestinal/ The second missense alteration (Table 1) was identified in
glandular type carcinomas. Patients with diffuse/isolated cell individual J68, with a signet ring cell carcinoma of the stomach
type gastric cancer were significantly younger (41.6  5.8 at the age of 30. The alteration, a transition at codon 634 (1901 C
years) than those with intestinal gastric carcinoma (45.2  3.8 to T), leads to an amino acid substitution (Ala to Val) [Fig. 1A,
years; P 0.05). The same holds true when the age of patients lane 1, B(1)]. This missense variant was not present in 100
with atypical/mixed carcinomas (39.9  7.0 years) was com- Portuguese normal controls. Expression of E-cadherin protein in
pared with that of patients with intestinal/glandular carcinomas the cancer was not determined because of lack of tumour tissue.
(P 0.03). No significant difference was observed between the The remaining germline sequence alteration (Table 1) was a
age of patients with diffuse/isolated cell and atypical/mixed transition in intron 4, at position 532-18 (C to T transition)
carcinomas. Patients with diffuse/isolated cell type gastric found in two individuals. This alteration was not found in a
carcinomas younger than 40 years showed a nearly equal series of 100 Portuguese normal controls. The RTPCR as well
male:female ratio (1.3:1), whereas patients older than 40 as the immunohistochemical analysis, in the cancer cells of one
showed a male preponderance (2.3:1). Atypical/mixed carci- of these individuals for whom tumour material was available
noma patients showed a male:female ratio of 2:1 in younger (CE 137), revealed lack of E-cadherin mRNA and protein
than 40 and 2.7:1 in older than 40 years. Patients with expression, respectively (data not shown). MS-PCR of the CpG
intestinal/glandular type tumours had a male:female ratio of island 3 of the CDH1 promoter in this case showed the
2:1. These results confirm previous reports that intestinal presence of both methylated (M) and unmethylated (U) alleles
carcinomas are more frequent in older patients, while diffuse/ in the tumoural DNA extracted from frozen material and
Human Molecular Genetics, 2003, Vol. 12, No. 5 577

Figure 1. Germline missense mutations in the CDH1 gene. (A) CDH1 exon Figure 2. Western blot analysis of E-cadherin transfected cell lines using the
12 PCR/SSCP analysis, showing a band pattern in normal DNA (N) and specific antibody HECD1. Equal amounts of protein were loaded in each lane.
band shifts in DNA from patients with early-onset diffuse gastric cancer
(1, J68; and 2, 293). (B) Sequence chromatograms. (1) Missense mutation
in codon 634 (1901 C to T) in patient J68; (2) Missense mutation in
codon 617 (1849 G to A) in patient 293 (patient 294 had an identical Table 2. Median values of particle diameters in fast
mutation). aggregation assay

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T0a T30a
CHO cells 16.52 19.25
E-Cad wild-type 17.95 1067.00
analysis of tumour DNA did not reveal any somatic CDH1 E-Cad wild-typeMB2 11.92
mutation or LOH (data not shown). Thr340Ala 18.51 12.22
We selected for analysis the two distinct germline missense Ala634Val 18.06 15.13
CDH1 variants here described (Ala634Val; Ala617Thr), Ala617Thr 15.30 103.4
together with a germline missense CDH1 variant previously Ala617ThrMB2 11.92
described by us in a HDGC kindred (Thr340Ala) (8). CHO
a
(Chinese hamster ovary) cells do not express E-cadherin and Particle diameter expressed in micrometres at time 0
fail to aggregate homotypically, and were therefore chosen as a (T0) and after 30 min (T30), respectively.
model. For each mutation, two independent transfected clones
were analysed. Using western blotting, the expected 120 kDa
E-cadherin band was detected in the transfected clones and not In a wound closure assay (Fig. 5), cells expressing wild-type
in the native CHO cells. Only clones expressing comparable E-cadherin showed a conserved epithelial-like architecture and
levels of E-cadherin were chosen for the functional character- a compact front of migration, with cells moving unidirectionally.
isation. For example of selected clones see Figure 2. Cells expressing the Ala634Val and Thr340Val mutants appe-
CHO cells failed to aggregate in both the fast and slow ared spindle-shaped, with a non-uniform front of migration and
aggregation assays. Cells transfected with the wild-type CDH1 loose cells. Cells expressing the Ala617Thr mutation behaved
construct displayed cell-to-cell aggregation in both assays similarly to cells expressing wild-type protein.
[Table 2; Fig. 3A(1) and B(1)]. The dependence of aggregation
on the presence of E-cadherin was demonstrated by its
inhibition with the MB2 antibody [Table 2; Fig. 3A(1) and DISCUSSION
B(2)]. Cells expressing Ala634Val or Thr340Ala E-cadherin Our findings of sequence variants in the germline of young
mutants failed to aggregate in both assays [Table 2; Fig. 3A(2) patients with apparently sporadic gastric cancer contrast with
and B(3) and (4)]. Cells expressing the mutant Ala617Thr those published by Stone et al. (9) (5/66 versus 0/96 with
displayed an intermediate phenotype. In the fast assay a 10-fold sequence variants, P < 0.05), but the two series differed
decreased aggregation was observed in comparison to the wild- significantly. First, the mean age of the patients reported here
type protein [Table 2; Fig. 3A(1)], and this reduced aggregation was lower (41.7  6.0 versus 62.0  10.3 years) and secondly it
was shown to be dependent on residual E-cadherin function, included a higher proportion of diffuse and atypical/mixed
since it was blocked by the MB2 antibody [Table 2; Fig. 3A(1)]. tumours (82 versus 27%). As was observed in HDGC (10),
Cells expressing this mutant showed normal aggregation when sporadic tumours in carriers of CDH1 germline sequence
tested in the slow assay. variants are diffuse or mixed (one case) and never of the
Cells expressing the wild-type E-cadherin protein were not intestinal type.
invasive when tested in a collagen invasion assay (Fig. 4). The potentially deleterious germline sequence variants found
These cells, when incubated with the E-cadherin blocking in the present study included two distinct missense coding
antibody MB2, acquired invasive properties and were able to sequence alterations and an intronic transition. One of the
penetrate the collagen matrix. Cells expressing the Ala634Val missense alterations identified was a transition at codon 634
and Thr340Ala E-cadherin mutants showed an invasive (1901 C to T) leading to an amino acid substitution (Ala to
phenotype in this assay (see Fig. 4). Cells expressing the Val). This variant was not present in 100 normal controls and
Ala617Thr mutation showed the same non-invasive behaviour was previously reported as a mutation in a colon carcinoma cell
as cells expressing wild-type protein (see Fig. 4). line and the corresponding primary tumour (11). The second
578 Human Molecular Genetics, 2003, Vol. 12, No. 5

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Figure 3. (A) Fast aggregation assay. Panel 1aggregate formation after 30 min (T30). Cells transfected with wild-type E-cadherin (red solid line); Ala617Thr
(blue solid line); incubated with the E-cadherin-blocking antibody MB2 (red dashed line, wild type; blue dashed line, Ala617Thr). Panel 2aggregate formation
for mutant Thr340Ala (red solid line, T0; red dashed line, T30) and for mutant Ala634Val (blue solid line, T0; blue dashed line, T30). *Difference statistically
significant. (B) Slow aggregation assay. Typical examples are shown for wild-type (panel 1) and Thr340Ala (panel 2).

missense variant, present in two African-American individuals, with gastric cancer has now been reported, further supporting a
was a transition in codon 617 (1849 G to A) leading to an pathogenic association (17). The remaining germline sequence
amino acid substitution (Ala to Thr). It occurs in the fifth alteration was a transition in intron 4, at position 532-18 (C to
extracellular repeat (EC5) of E-cadherin, affecting a conserved T transition), present in two individuals. The results obtained in
sequence encoding one of the calcium binding motifs (12). As one of these individuals, CE 137, were consistent with
known, cadherins are functional only in the presence of disruption of gene expression as a result of inactivation of
calcium ions, which stabilize the protein active conformation. one allele by the germline alteration (first hit) and of the second
Adhesion is promoted in a process of cis-dimerization between (wild-type) allele by somatic methylation of the CDH1
neighbour E-cadherin molecules, for which a key role played promoter in tumour cells (second hit), although this could not
by repeats 1 and 2 (EC1 and EC2) was demonstrated (1315). be formally proven. One can only speculate why the germline
Although less information is available for the other repeats, a sequence variant would not be expressed, although its location
comparable activity could be predicted on the basis of their near the two splicing branch sites where the splicing lariat loop
sequence homology, suggesting a putative pathogenic effect could potentially form (A nucleotides at positions 13 and
for the mutation we found. Besides, this variant was also 27 upstream of the 30 splice acceptor site) could somehow
previously reported as a somatic mutation in an endometrial disrupt transcript stability.
cancer in association with loss of heterozygosity (16), fulfilling The pathogenic significance of the two distinct missense
the classic two-hit model of tumour suppressor gene inactiva- variants (Ala634Val and Ala617Thr) identified in these
tion. E-cadherin immunohistochemistry in these two cases apparently sporadic diffuse gastric cancer cases was assessed
revealed a pattern similar to what is commonly seen in sporadic by analysing the functional consequences in a cell model
tumours with somatic missense mutations. The Ala617Thr system. We also tested a missense variant previously identified
variant has an allele frequency of 1% in Africans, suggesting by our group in a HDGC family (Thr340Ala) (8). Interestingly
it may be an uncommon polymorphism occurring in popula- this variant was shown by computer modelling to be located in
tions of African origin. Nevertheless, it would be a very a newly characterized E-cadherin sequence motif, likely to be
improbable occurrence (less than 1:10 000 chance) that both involved in the stabilization of the active protein conformation.
cases of diffuse gastric carcinoma in young African-Americans Two of the E-cadherin missense variants (Thr340Ala and
would also be carriers of the same rare polymorphism, unless Ala634Val) studied resulted in dramatic functional conse-
such polymorphism is associated with predisposition to quences: cell adhesion was disrupted, and the cells acquired a
stomach cancer. We note with interest that a third case of the highly invasive potential associated with enhanced cell motility
identical germline sequence variant in an African-American and loss of epithelial structure. One of these, Ala634Val, is the
Human Molecular Genetics, 2003, Vol. 12, No. 5 579

MATERIALS AND METHODS

Patients
Constitutional DNA was isolated from 66 gastric carcinoma
patients with no familial history of stomach cancer diagnosed
before the age of 51 (65 patients were 50 or younger). Cases
originated from the UK (n 26), Portugal (n 22), Italy
(n 11), USA (n 6) and Greece (n 1). Genomic DNA was
isolated, using standard methods, either from peripheral blood
Figure 4. Collagen invasion assay. Bars represent the percentage of invasion for or from fresh frozen normal gastric mucosa. The gastric
each of the experimental conditions. carcinomas were classified according to Laure n and Carneiro
(25,26).

PCRSSCP
result of a nucleotide substitution that was shown in a colon All 16 exons including intronexon boundaries and the
carcinoma cell line to result in activation of a cryptic splicing promoter region of the CDH1 gene were amplified by PCR.
site leading to a truncated protein (11). Our results showed that

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Primer sequences and PCR conditions were based on those
the sequence variant also results in an amino acid alteration that reported previously (5,8,27). Genomic DNA (25100 ng) was
disrupts the function of the full length E-cadherin protein, amplified by PCR using as cycling conditions: 30 s at 94 C,
which would be expressed when abnormal splicing is not 30 s at the appropriate annealing temperature, and 45 s at 72 C
complete. Loss of epithelioid organization in cell lines has been for 35 cycles. Reaction products were subsequently diluted 1:1
shown to be characteristic of malignant transformation and has with denaturing buffer (formamide with 0.025% xylene cyanol
been associated to the acquisition of invasiveness and loss of and 0.025% bromophenol blue) and heated up to 99 C for
differentiation (18,19). The aggressive phenotype observed 10 min prior to loading onto 0.6 and 0.8 mutation detection
for Thr340Ala and Ala634Val is clearly mediated by the enhancement (MDE; Flowgen, Rockland, ME, USA) gels.
E-cadherin mutations introduced, since untransfected CHO Three gel conditions were used: 0.6 MDE/10% glycerol, 8 C;
cells fail to aggregate, but show low motility and reduced 0.8 MDE, 8 C; 0.8 MDE, 20 C. Gels were run at constant
ability to invade (data not shown) when compared with clones temperature for 1218 h and stained with silver nitrate.
transfected with the two mutants. Based on this functional data,
we propose that these two missense variants are pathogenic and
should be considered as mutations. Sequencing analysis
The third missense variant (Ala617Thr) did not result in
Abnormal bands as well as corresponding normal bands,
increased motility or invasiveness but was associated with a
detected by SSCP, were recovered from the gels and submitted
significant reduction of cellular adhesion on the fast aggrega-
to PCR re-amplification with the original primer sets.
tion assay. These mild functional consequences, disruption of
Re-amplified products were purified and sequenced on both
adhesion without an effect on motility, have been previously
strands on an ABI Prism 377 automated sequencer (Perkin-
noted when single amino acid substitutions in conserved
Elmer) using the ABI Prism Dye Terminator Cycle Sequencing
extracellular domains of E-cadherin were tested (20), and
Kit (Perkin-Elmer, Foster City, CA, USA) and the original
concur with data showing that adhesion and motility are
primers. The CDH1 amplicon including exon 1 was directly
mediated by different E-cadherin-dependent mechanisms (21).
sequenced as reported by Oliveira et al. (8). All sequence
The occurrence of this missense substitution as a somatic
alterations detected were confirmed in a second independent
mutation associated with LOH and as a germline variant in
PCR.
three African-American diffuse gastric cancer patients consti-
tutes strong circumstantial evidence for its association with
carcinogenesis. In the assays used here this mutation resulted Polymorphism analysis
only in mild functional consequences and therefore we could
not conclusively determine its pathogenicity. The germline mutations detected and polymorphisms were
In conclusion, we report that a small proportion of apparently tested in at least 100 Caucasian blood donors using the same
sporadic early-onset diffuse gastric carcinomas are associated primer sets as described before. In addition to the group of
with CDH1 germline variants. It has previously been reported that Caucasian controls, 93 DNA samples from black Africans
some families with hereditary diffuse gastric cancer are also (sub-Saharans), without history of neoplasia, were screened for
associated with germline CDH1 missense variants (8,2224). an exon 12 missense alteration (1849 G to A).
Here we were able to demonstrate that there is a proportion of
missense variants associated with significant functional conse- Immunohistochemical analysis
quences, suggesting they are pathogenic mutations. We propose
that functional assays can be used as an adjunct in deciding on the Formalin-fixed paraffin embedded tissues were used for the
potential pathogenic role of germline variants with significant study of E-cadherin immunohistochemical (IHC) expression
potential to help clinical counselling of gene carriers. using a monoclonal antibody HECD-1 (diluted 1:200; Zymed,
580 Human Molecular Genetics, 2003, Vol. 12, No. 5

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Figure 5. Wound closure assay. (A) Results of the wound closure assay graphically represented as distance migrated between wound edges (mm in function of time
after wound). Typical representative wounds after 5 h (20) are shown for Ala617Thr (B), and Ala634Val (C).

San Francisco, CA, USA). A modification of the avidin for 1 min, annealing at 58 C for 1 min and extension at 72 C for
biotinperoxidase complex method was used. 1 min and 30 s per cycle. Sequencing was performed as
aforementioned. The cDNA was inserted into the mammalian
Methylation assay expression vector pcDNA3 (Invitrogen) as a HindIII
XhoI cassette, leading to the plasmid pECAD1. Mutant
CDH1 promoter methylation analysis was performed using plasmids were obtained by nested PCR, by using specific
methylation-specific PCR (MSPCR) and primers described by primers carrying the desired mutations (Thr340Ala: Ecad1012F,
Graff et al. (28) for CpG island 3 of the CDH1 promoter. This 50 -TTC CCT GCG TAT ACC CTG G-30 and Ecad1031R,
assay entails initial modification of DNA by sodium bisulphite, 50 -ACC AGG GTA TAC GCA GGG AA-30 ; Ala634Val:
converting all unmethylated, but not methylated, cytosines to Ecad1893F, 50 -ACA CGG GGT GAG TGC CAA C-30 and
uracil, and subsequent amplification with primers specific for Ecad1911R, 50 -GTT GGC ACT CAC CCC GTG T-30 ; Ala
methylated versus unmethylated DNA. 617Thr: Ecad1841F, 50 -TCA TTG ATA CAG ACC TTC CTC-30
and Ecad1859R, 50 -GGA AGG TCT GTA TCA ATG ATG-30 )
Statistical analysis and pECAD1 as DNA template.

The statistical analysis was performed using the Students t-test


and w2 test. Differences were taken to be significant at P < 0.05.
The KolmogrovSmirnov test was used for the statistical
analysis of the aggregation curves in fast aggregation assay.
Cell culture and cDNA transfection
Construction of the plasmids encoding wild-type and
mutant E-cadherins CHO (Chinese hamster ovary) DG44 dhfr cells were chosen
for stable transfection. Cells were tested to exclude presence of
According to the human E-cadherin nucleotide sequence E-cadherin expression before transfection, and cultured at 37 C
reported in literature (29), oligonucleotide primers were under 5% CO2 in humidified air, in a-MEM () medium
designed and purchased from GIBCO-BRL (forward: 50 -AAA (GIBCO-BRL) supplemented with 5% fetal bovine serum,
GCT TAC CAT GGG CCC TTG GA-30 ; reverse: 50 -AAA CTC 2 mM L-glutamine, 1% penicillin/streptomycin. For the selec-
GAG CTA GTC GTC CTC GC-30 ). A human colon cDNA tion of clones 1000 mg/ml geneticin was added to the culture
library (human colon 50 -stretch plus cDNA library, 1 ng/ml, medium.
colon cells pooled from 50 Caucasian males) was purchased Cells (5  106) were stably transfected with the different
from Clontech (Clontech Laboratories Paolo Alto, CA, USA) cDNA constructs and with the plasmid alone (25 mg each) by
and the full-length E-cadherin cDNA (2649 bp) amplified by electropermeabilization, and neomycin selection was carried on
using the Hot Start Method (30). Amplification was performed for the following 3 weeks. Single cell clones were selected and
for 30 cycles using the following settings: denaturation at 95 C analysed for E-cadherin expression by western blotting.
Human Molecular Genetics, 2003, Vol. 12, No. 5 581

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