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E-cadherin loss drives diffuse-type gastric tumorigenesis via EZH2-mediated reprogramming.


ABSTRACT: Diffuse-type gastric adenocarcinoma (DGAC) is a deadly cancer often diagnosed late and resistant to treatment. While hereditary DGAC is linked to CDH1 mutations, the role of CDH1/E-cadherin inactivation in sporadic DGAC tumorigenesis remains elusive. We discovered CDH1 inactivation in a subset of DGAC patient tumors. Analyzing single-cell transcriptomes in malignant ascites, we identified two DGAC subtypes: DGAC1 (CDH1 loss) and DGAC2 (lacking immune response). DGAC1 displayed distinct molecular signatures, activated DGAC-related pathways, and an abundance of exhausted T cells in ascites. Genetically engineered murine gastric organoids showed that Cdh1 knock-out (KO), KrasG12D, Trp53 KO (EKP) accelerates tumorigenesis with immune evasion compared with KrasG12D, Trp53 KO (KP). We also identified EZH2 as a key mediator promoting CDH1 loss-associated DGAC tumorigenesis. These findings highlight DGAC's molecular diversity and potential for personalized treatment in CDH1-inactivated patients.

SUBMITTER: Zou G 

PROVIDER: S-EPMC10899090 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature

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E-cadherin loss drives diffuse-type gastric tumorigenesis via EZH2-mediated reprogramming.

Zou Gengyi G   Huang Yuanjian Y   Zhang Shengzhe S   Ko Kyung-Pil KP   Kim Bongjun B   Zhang Jie J   Venkatesan Vishwa V   Pizzi Melissa P MP   Fan Yibo Y   Jun Sohee S   Niu Na N   Wang Huamin H   Song Shumei S   Ajani Jaffer A JA   Park Jae-Il JI  

The Journal of experimental medicine 20240227 4


Diffuse-type gastric adenocarcinoma (DGAC) is a deadly cancer often diagnosed late and resistant to treatment. While hereditary DGAC is linked to CDH1 mutations, the role of CDH1/E-cadherin inactivation in sporadic DGAC tumorigenesis remains elusive. We discovered CDH1 inactivation in a subset of DGAC patient tumors. Analyzing single-cell transcriptomes in malignant ascites, we identified two DGAC subtypes: DGAC1 (CDH1 loss) and DGAC2 (lacking immune response). DGAC1 displayed distinct molecular  ...[more]

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