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Table 3 Signalling Pathways involved in Hereditary Diffuse Gastric Cancer

From: Current advances in understanding the molecular profile of hereditary diffuse gastric cancer and its clinical implications

No.

Pathway

Function

Study Model

Main Findings

Reference

In-vitro

 

No. of cell line(s)

No. of clinical samples

 

1.

E-cadherin/ Wnt/ EMT

Inter-cellular adhesion, cell proliferation, migration and metastasis

 

13

• ↓ junctional proteins

• ↑ C-Src and downstream targets

[53]

2.

 

19

• ↑ Wnt2 and cytoplasmic/ nuclear β-catenin➔ ↑ T stage and lymph node metastasis

[79]

3.

p53

Cell cycle arrest, DNA repair, apoptosis

 

21

• ↑ aggressive phenotype, pleomorphic cells, Ki-67 and p53

[18]

4.

Notch

Proliferation, apoptosis, differentiation, angiogenesis

1

 

• ↑ Notch-1 in E-cadherin-deficient cells➔ ↑ Bcl-2➔ ↑ apoptosis resistance

[58]

In-vivo

1.

Junctional-complex proteins

Inter-cellular adhesion

11 CDH1 +/− mice

• ↓ E-cadherin (> 50% compared with normal epithelial cells)

• ↓ junctional proteins

[80]

  1. EMT Epithelial-mesenchymal transition