Hereditary diffuse gastric cancer spectrum associated with germline CTNNA1 loss of function revealed by clinical and molecular data from 351 carrier families and over 37 000 non-carrier controls
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May 1, 2026
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CTNNA1 germline variants are linked to hereditary diffuse gastric cancer (HDGC), with truncating variants posing a moderate risk compared to CDH1 variants.
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The study identifies the pathophysiological mechanism for CTNNA1-truncating variants, establishing them as key contributors to HDGC.
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Clinical criteria for CTNNA1 genetic testing were proposed, enhancing the identification of individuals at risk for HDGC.
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CTNNA1-truncating variants lead to increased likelihood of developing gastric cancer compared to wild-type individuals.
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This research provides the largest dataset on CTNNA1-associated diseases, aiding in clinical management and variant classification.