E-cadherin, a transmembrane cell adhesion molecule, has been observed to have an altered pattern of immunoreactivity in several
types of carcinomas. In lobular breast cancer, loss of immunoreactivity has been shown to be due either to out-of-frame deletions
or to nonsense mutations of the E-cadherin gene. We analysed 29 cases of completely resected colon carcinoma with immunohistochemistry
using the HEC-D1 antibody. Normal protein expression similar to that in the adjacent nonmalignant mucosa was seen in 6 cases,
whereas 23 tumours had reduced or absent E-cadherin expression. In the 8 cases with no expression of E-cadherin revealed by
immunohistochemistry, the entire E-cadherin cDNA sequence was analysed. In these cases, sequence analysis failed to reveal
any cDNA mutations despite the negative immunohistochemistry. Possible explanations for this discrepancy include regulatory
defects in the E-cadherin promoter, abnormalities at the translation or protein processing levels and mutations in other parts
of the gene that were not investigated by the cDNA analysis (e.g. intronic sequences), which could play a role in causing
abnormal processing of the E-cadherin protein.
Key words E-cadherin - Colorectal cancer - Immunohistochemistry - Mutation
Received: 14 September 1998 / Accepted: 23 February 1999