RT Journal Article SR Electronic T1 Cleft lip/palate and CDH1/E-cadherin mutations in families with hereditary diffuse gastric cancer JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 138 OP 142 DO 10.1136/jmg.2005.031385 VO 43 IS 2 A1 T Frebourg A1 C Oliveira A1 P Hochain A1 R Karam A1 S Manouvrier A1 C Graziadio A1 M Vekemans A1 A Hartmann A1 S Baert-Desurmont A1 C Alexandre A1 S Lejeune Dumoulin A1 C Marroni A1 C Martin A1 S Castedo A1 M Lovett A1 J Winston A1 J C Machado A1 T AttiƩ A1 E W Jabs A1 J Cai A1 Ph Pellerin A1 J P Triboulet A1 M Scotte A1 F Le Pessot A1 A Hedouin A1 F Carneiro A1 M Blayau A1 R Seruca YR 2006 UL http://jmg.bmj.com/content/43/2/138.abstract AB We report the association of CDH1/E-cadherin mutations with cleft lip, with or without cleft palate (CLP), in two families with hereditary diffuse gastric cancer (HDGC). In each family, the CDH1 mutation was a splicing mutation generating aberrant transcripts with an in-frame deletion, removing the extracellular cadherin repeat domains involved in cell-cell adhesion. Such transcripts might encode mutant proteins with trans-dominant negative effects. We found that CDH1 is highly expressed at 4 and 5 weeks in the frontonasal prominence, and at 6 weeks in the lateral and medial nasal prominences of human embryos, and is therefore expressed during the critical stages of lip and palate development. These findings suggest that alteration of the E-cadherin pathway can contribute to human clefting.