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Open Access Research article

EPHB2 germline variants in patients with colorectal cancer or hyperplastic polyposis

Antti Kokko1, Päivi Laiho1, Rainer Lehtonen1, Sanna Korja2, Luis G Carvajal-Carmona3, Heikki Järvinen4, Jukka-Pekka Mecklin5, Charis Eng6, Johanna Schleutker2, Ian PM Tomlinson3, Pia Vahteristo1 and Lauri A Aaltonen1*

Author Affiliations

1 Department of Medical Genetics, Molecular and Cancer Biology Research Program, P.O. BOX 63, 00014 University of Helsinki, Finland

2 Laboratory of Cancer Genetics, Institute of Medical Technology, University of Tampere and Tampere University Hospital, 33014 Tampere, Finland

3 Molecular and Population Genetics Lab, London Research Institute, Cancer Research UK, 44 Lincoln's Inn Fields, London WC2A 3PX, UK

4 The Second Department of Surgery, Helsinki University Central Hospital, P.O. BOX 262, 00029 Helsinki, Finland

5 The Department of Surgery, Jyväskylä Central Hospital, Keskussairaalantie 19, 40620 Jyväskylä, Finland

6 Genomic Medicine Institute, Cleveland Clinic Lerner Research Institute, Dept of Genetics Case Western Reserve University School of Medicine, 9500 Euclid Avenue, NE-30, Cleveland, OH 44195, USA

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BMC Cancer 2006, 6:145  doi:10.1186/1471-2407-6-145

Published: 1 June 2006

Abstract

Background

Ephrin receptor B2 (EPHB2) has recently been proposed as a novel tumor suppressor gene in colorectal cancer (CRC). Inactivation of the gene has been shown to correlate with progression of colorectal tumorigenesis, and somatic mutations have been reported in both colorectal and prostate tumors.

Methods

Here we have analyzed the EPHB2 gene for germline alterations in 101 individuals either with 1) CRC and a personal or family history of prostate cancer (PC), or 2) intestinal hyperplastic polyposis (HPP), a condition associated with malignant degeneration such as serrated adenoma and CRC.

Results

Four previously unknown missense alterations were observed, which may be associated with the disease phenotype. Two of the changes, I361V and R568W, were identified in Finnish CRC patients, but not in over 300 Finnish familial CRC or PC patients or more than 200 population-matched healthy controls. The third change, D861N, was observed in a UK HPP patient, but not in additional 40 UK HPP patients or in 200 UK healthy controls. The fourth change R80H, originally identified in a Finnish CRC patient, was also found in 1/106 familial CRC patients and in 9/281 healthy controls and is likely to be a neutral polymorphism.

Conclusion

We detected novel germline EPHB2 alterations in patients with colorectal tumors. The results suggest a limited role for these EPHB2 variants in colon tumor predisposition. Further studies including functional analyses are needed to confirm this.