title: Identification of a Japanese Lynch syndrome patient with large deletion in the 3' region of the EPCAM gene.
abstract: Germline deletion of the 3' portion of the Epithelial Cell Adhesion Molecule (EPCAM) gene located 5' upstream of MutS Homolog 2 (MSH2) is a novel mechanism for its inactivation in Lynch syndrome. However, its contribution in Japanese Lynch syndrome patients is poorly understood. Moreover, somatic events inactivating the remaining allele of MSH2 in cancer tissue have not been elucidated in Lynch syndrome patients with such EPCAM deletions. We identified a Japanese Lynch syndrome patient with colon cancer who evidenced germline deletion of a 4130 bp fragment of EPCAM encompassing exons 8 and 9 (c.859-672_*2170del). In normal colonic mucosa, two known fusion-transcripts of EPCAM/MSH2 generated from the rearranged gene were observed and heterozygous methylation of the MSH2 gene promoter was detected. In cancer tissue, dense methylation of MSH2 was observed and MLPA analysis demonstrated somatic deletion of the remaining EPCAM allele including exon 9, indicating that somatic deletion of EPCAM is responsible for complete inactivation of MSH2.
authors.affiliation: Division of Translation Research, Research Center for Genomic Medicine, Saitama Medical University, Hidaka eguchi@saitama-med.ac.jp.
authors.forename: Hidetaka
authors.initials: H
authors.lastname: Eguchi
authors.affiliation: Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe Department of Organ Regulatory Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kumamoto
authors.affiliation: Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe.
authors.forename: Okihide
authors.initials: O
authors.lastname: Suzuki
authors.affiliation: Division of Translation Research, Research Center for Genomic Medicine, Saitama Medical University, Hidaka.
authors.forename: Masakazu
authors.initials: M
authors.lastname: Kohda
authors.affiliation: Division of Translation Research, Research Center for Genomic Medicine, Saitama Medical University, Hidaka.
authors.forename: Yuhki
authors.initials: Y
authors.lastname: Tada
authors.affiliation: Division of Translation Research, Research Center for Genomic Medicine, Saitama Medical University, Hidaka.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Okazaki
authors.affiliation: Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe.
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Ishida
mesh_terms: D000951:Antigens, Neoplasm / Q000235:genetics*; D015815:Cell Adhesion Molecules / Q000235:genetics*; D003123:Colorectal Neoplasms, Hereditary Nonpolyposis / Q000235:genetics*; D019175:DNA Methylation; D000071858:Epithelial Cell Adhesion Molecule; D005260:Female; D018095:Germ-Line Mutation; D006579:Heterozygote; D006801:Humans; D007150:Immunohistochemistry; D007564:Japan; D053842:Microsatellite Instability; D008875:Middle Aged; D051718:MutS Homolog 2 Protein / Q000235:genetics*; D010375:Pedigree; D011401:Promoter Regions, Genetic; D017384:Sequence Deletion
chemical_list: D000951:Antigens, Neoplasm; D015815:Cell Adhesion Molecules; C499379:EPCAM protein, human; D000071858:Epithelial Cell Adhesion Molecule; C497172:MSH2 protein, human; D051718:MutS Homolog 2 Protein
keywords: EPCAM; GI-colorectum-basic; Lynch syndrome; genetics-cancer genetics