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Inherited factors account for around one third of all colorectal cancers (CRCs) and include rare high penetrance mutations in APC, MSH2, MSH6, and POLE. Here, we sought novel tumor-suppressor genes that predispose to CRC by exome resequencing 50 sporadic patients with advanced CRC (18 diagnosed ≤35 years of age) at a mean coverage of 30×. To help identify potentially pathogenic alleles, we initially sought rare or novel germline truncating mutations in 1,138 genes that were likely to play a role in colorectal tumorigenesis. In total, 32 such mutations were identified and confirmed, and included an insertion in APC and a deletion in POLE, thereby validating our approach for identifying disease alleles. We sought somatic mutations in the corresponding genes in the CRCs of the patients harboring the germline lesions and found biallelic inactivation of FANCM, LAMB4, PTCHD3, LAMC3, and TREX2, potentially implicating these genes as tumor suppressors. We also identified a patient who carried a germline truncating mutation in NOTCH3, part of the Notch signaling cascade that maintains intestinal homeostasis. Our whole exome analyses provided further gene lists to facilitate the identification of potential predisposition alleles. We exomeresequenced 50 sporadic patients with advanced CRC. To identify predisposition alleles, we sought rare/novel germline truncating mutations in 1138 genes considered likely to play a role in colorectal tumorigenesis. Thirty-two such mutations were identified, including an insertion in APC, thereby validating our approach. We sought somatic mutations in the corresponding genes in the CRCs of the patients harbouring the germline lesions and found biallelic inactivation of FANCM, LAMB4, PTCHD3, LAMC3 and TREX2, implicating their potential role in CRC-predisposition. © 2013 WILEY PERIODICALS, INC.

Original publication

DOI

10.1002/humu.22333

Type

Journal article

Journal

Human Mutation

Publication Date

01/07/2013

Volume

34

Pages

1026 - 1034