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Review
. 2020 Jun;24(11):5930-5936.
doi: 10.1111/jcmm.15140. Epub 2020 Apr 16.

E-cadherin deregulation in breast cancer

Affiliations
Review

E-cadherin deregulation in breast cancer

Giovanni Corso et al. J Cell Mol Med. 2020 Jun.

Abstract

E-cadherin protein (CDH1 gene) integrity is fundamental to the process of epithelial polarization and differentiation. Deregulation of the E-cadherin function plays a crucial role in breast cancer metastases, with worse prognosis and shorter overall survival. In this narrative review, we describe the inactivating mechanisms underlying CDH1 gene activity and its possible translation to clinical practice as a prognostic biomarker and as a potential targeted therapy.

Keywords: E-cadherin; breast cancer; breast cancer metastases; breast cancer prognosis; breast cancer survival.

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Conflict of interest statement

The authors have no potential conflicts of interest to declare.

Figures

Figure 1
Figure 1
Mechanisms underlying E‐cad inactivation in breast cancer. Loss of E‐cad expression and the spreading abilities of breast cancer cells have been associated with mutations in CDH1 gene, loss of heterozygosity at the E‐cad chromosomal locus, hypermethylation of the CDH1 promoter, transcriptional repression and post‐translational modifications, such as aberrant glycosylation
Figure 2
Figure 2
Differences in E‐cad immunoreactivity in breast cancer. Representative micrographs of lobular carcinoma with no immunohistochemical expression of E‐cad (dashed arrow in A, left) and adjacent normal ducts with normal strong membranous E‐cad staining (full arrow in A, right); invasive breast cancers, no special type showing partial loss (B) and strong (C) membranous immunoreactivity for E‐cad. Original magnification 200×. E‐cad, E‐cadherin
Figure 3
Figure 3
Core biopsy is the principal approach for breast cancer diagnosis. Histopathology and immunohistochemistry are performed on breast biopsy; E‐cad expression is classified as ‘normal’, ‘aberrant’ or ‘absent’. Genetic or epigenetic mechanisms are underlying aberrant or absent E‐cad expression. Patients carrying any somatic genetic/epigenetic defect are classified as ‘high risk’ for breast cancer and carry a worse prognosis. A personalized and intensive screening (follow‐up) is proposed for those patients for early identification of any breast cancer relapse

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