CDH1 (Cadherin-1), also known as E-cadherin, is a calcium-dependent cell adhesion protein critical for maintaining epithelial tissue integrity . The CDH1 Antibody, FITC conjugated, is a fluorescently labeled antibody targeting E-cadherin, enabling its detection in immunoassays. FITC (Fluorescein Isothiocyanate) is a green-emitting dye (excitation: 495 nm, emission: 519 nm) paired with the antibody to visualize protein localization in techniques like flow cytometry, immunohistochemistry (IHC), and immunofluorescence .
Role in Tumorigenesis: Loss of E-cadherin expression is linked to epithelial-mesenchymal transition (EMT), invasive potential, and poor prognosis in cancers like gastric, breast, and endometrial .
Mutational Insights: Large-scale studies reveal CDH1 mutations in 9.7% of gastric cancers, often associated with lower PD-L1 expression and distinct molecular profiles (e.g., increased CRKL/IGF1R amplifications) .
APC Complex Interaction: CDH1 (E-cadherin) physically associates with the anaphase-promoting complex (APC), enabling ubiquitination of cyclin B fragments. This activity is D-box independent in brain APC-CDH1 complexes .
Postmitotic Cells: APC-CDH1 is active in neurons, suggesting roles beyond cell cycle regulation, such as protein turnover in differentiated cells .
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Cross-Reactivity: Verify species reactivity for non-human models .
Experimental Optimization: Dilutions vary by application; validate for IHC and protein arrays .
Therapeutic Implications: CDH1 antibodies may aid in diagnosing CDH1-mutant gastric cancers, which show distinct biomarker profiles (e.g., lower HER2/PD-L1) .
CDH1 encodes E-cadherin, a calcium-dependent cell adhesion protein essential for maintaining epithelial integrity. Germline CDH1 mutations confer high lifetime risks of developing diffuse gastric cancer (DGC) and lobular breast cancer (LBC). The cumulative risk by age 80 is approximately 70% for men and 56% for women for DGC, and 42% for women for LBC . CDH1 is considered a tumor suppressor gene, and its inactivation through genetic or epigenetic mechanisms is associated with cancer progression, particularly in cancers with the diffuse/infiltrative growth pattern .
For optimal immunofluorescence detection of E-cadherin using FITC-conjugated antibodies, cells should be fixed with 4% paraformaldehyde for 15-20 minutes at room temperature. Over-fixation can mask epitopes, while under-fixation may compromise cellular morphology. For tissue sections, 10% neutral buffered formalin is recommended with fixation times optimized based on tissue thickness. Permeabilization with 0.1-0.5% Triton X-100 for 5-10 minutes facilitates antibody access to membrane-associated E-cadherin without disrupting epitope structure.
Distinguishing between membranous and cytoplasmic E-cadherin staining is crucial as it reflects protein functionality. Normal epithelial tissues show strong, continuous membranous staining at cell-cell junctions. In contrast, many cancers, particularly those with CDH1 mutations, display aberrant cytoplasmic localization or complete loss of expression . For accurate assessment:
Use confocal microscopy with z-stack imaging to precisely localize the signal
Include co-staining with membrane markers (e.g., Na+/K+ ATPase) or nuclear counterstains (DAPI)
Compare with positive controls showing normal membranous distribution
Evaluate at 400-600x magnification to clearly distinguish membrane boundaries from cytoplasmic regions
This distinction is particularly important when investigating the functional consequences of CDH1 missense variants, which may impair correct protein localization at the plasma membrane .
Recommended Controls for CDH1/E-cadherin Immunofluorescence:
| Control Type | Recommended Options | Purpose |
|---|---|---|
| Positive Tissue Controls | Normal epithelial tissues (skin, colon, breast) | Show normal membranous E-cadherin expression pattern |
| Positive Cell Line Controls | MCF-7 (breast), MDCK (kidney), A431 (skin) | Cell lines with well-characterized E-cadherin expression |
| Negative Tissue Controls | Stromal regions of epithelial tissues | Natural internal negative controls |
| Negative Cell Line Controls | MDA-MB-231, SKBR3 | Cell lines with low/absent E-cadherin expression |
| Technical Negative Controls | Primary antibody omission, Isotype controls | Control for non-specific binding of secondary antibodies |
| Genetic Controls | CDH1 knockdown/knockout cells | Validate antibody specificity |
When analyzing samples with potential CDH1 mutations or methylation, include controls with known CDH1 alterations for comparison . This is particularly important when evaluating cancers with suspected but not confirmed CDH1 genetic or epigenetic alterations.
To optimize detection of low-level E-cadherin expression:
Antigen retrieval optimization: Test multiple pH conditions (pH 6.0 citrate buffer vs. pH 9.0 EDTA buffer) and heating times to maximize epitope exposure without tissue damage
Signal amplification: Consider tyramide signal amplification (TSA) which can enhance FITC signal 10-100 fold while maintaining localization specificity
Antibody concentration titration: Perform systematic dilution series (1:50 to 1:500) to determine optimal signal-to-noise ratio
Extended primary antibody incubation: Incubate at 4°C overnight rather than 1-2 hours at room temperature
Blocking optimization: Use 5-10% normal serum from the species of secondary antibody origin plus 0.1-0.3% Triton X-100 and 1% BSA
Confocal microscopy settings: Increase PMT gain and laser power while maintaining control of background; use spectral unmixing if autofluorescence is problematic
These approaches are particularly valuable when examining samples with CDH1 promoter methylation, which may lead to reduced but not completely absent protein expression .
The relationship between CDH1 genetic alterations and E-cadherin protein expression is complex:
Truncating mutations (frameshift, nonsense) typically result in complete loss of E-cadherin expression detectable by immunostaining
Missense mutations may cause:
Promoter methylation generally results in reduced or absent expression (62.5% of cases with promoter methylation show complete E-cadherin loss)
Large deletions involving 16q (CDH1 locus) frequently show loss of expression, especially when combined with promoter methylation of the remaining allele
Research has shown that 84% of invasive lobular carcinomas lacking CDH1 genetic alterations still show loss of E-cadherin expression, suggesting alternative inactivation mechanisms . For accurate interpretation, immunofluorescence results should be correlated with genetic and epigenetic analyses.
Comparison of Direct vs. Indirect Immunofluorescence for CDH1/E-cadherin Detection:
| Parameter | FITC-Conjugated Primary Antibodies | Unconjugated Primary + FITC Secondary |
|---|---|---|
| Protocol Complexity | Simpler (one-step staining) | More complex (two-step staining) |
| Staining Time | Shorter (2-3 hours) | Longer (4-6 hours or overnight) |
| Signal Strength | Typically lower | Higher (multiple secondary antibodies bind each primary) |
| Signal-to-Noise Ratio | Variable, dependent on conjugation quality | Often better due to amplification effect |
| Multiplexing Capability | Limited by spectral overlap | Greater flexibility with different primaries |
| Batch-to-Batch Variability | Higher (conjugation affects antibody performance) | Lower (separate optimization of primary and secondary) |
| Cost | Higher per experiment | Lower over multiple experiments |
| Optimal Applications | High-expression targets, rapid screening | Low-expression targets, quantitative analysis |
For critical analyses of E-cadherin expression in samples with potential CDH1 mutations, the indirect method is generally preferred for its signal amplification capabilities and better detection of reduced expression levels .
For accurate quantification of heterogeneous E-cadherin membrane expression:
Image acquisition standardization:
Use identical exposure settings across all samples
Capture multiple representative fields (minimum 5-10)
Employ z-stack imaging to capture complete membrane signal
Quantification approaches:
Membrane-specific segmentation using specialized software (ImageJ with Membrane Plugin, CellProfiler)
Calculation of membrane-to-cytoplasm signal ratio rather than absolute intensity
Line profile analysis across cell-cell junctions
Co-localization coefficient with membrane markers
Classification system:
Develop a scoring system (0, 1+, 2+, 3+) similar to HER2 scoring
Calculate H-score (percentage of positive cells × intensity score)
Report both percentage of membrane-positive cells and mean intensity
This approach is particularly important when evaluating E-cadherin in diffuse gastric cancers or lobular breast cancers with suspected CDH1 alterations, where heterogeneous expression patterns may reflect clonal evolution or second-hit inactivation mechanisms .
When faced with discordant results between CDH1 genetic testing and E-cadherin immunofluorescence:
Consider technical factors first:
Antibody specificity (validate with known controls)
Fixation artifacts (compare with other markers)
Tissue quality (evaluate morphology)
Evaluate alternative mechanisms:
Investigate related pathway components:
Recommended follow-up studies:
The molecular pathogenesis research suggests that approximately 37.5% of cases with typical lobular morphology and E-cadherin loss have neither CDH1 mutations nor promoter methylation, indicating additional mechanisms remain to be discovered .
FITC-conjugated CDH1 antibodies are valuable tools for investigating functional consequences of CDH1 missense variants:
Localization studies: Determine whether missense variants affect E-cadherin trafficking to the membrane using co-localization with organelle markers (ER, Golgi, endosomes)
Dynamics analysis: Employ techniques like FRAP (Fluorescence Recovery After Photobleaching) to assess protein mobility and stability at adherens junctions
Protein-protein interaction assessment: Combine with proximity ligation assay (PLA) to investigate interactions with key binding partners (β-catenin, p120-catenin, α-catenin)
Structure-function correlation: Create a panel of cells expressing different CDH1 variants and analyze membrane localization patterns in relation to:
Variant location within protein domains
Conservation scores from in silico predictions
Clinical significance classification
Research has shown that pathogenic missense variants impair the correct binding of key adhesion-complex regulators and likely compromise normal E-cadherin localization and stability at the plasma membrane . Functional in vitro assays should be performed to evaluate the impact of CDH1 missense alterations on protein structure, trafficking, signaling, and E-cadherin function .
Optimal Multiplexing Strategies for E-cadherin and Adherens Junction Proteins:
| Multiplexing Approach | Advantages | Considerations | Recommended Combination |
|---|---|---|---|
| Sequential Immunofluorescence | Minimal antibody cross-reactivity | Time-consuming, potential antigen loss | CDH1-FITC → β-catenin-Cy3 → α-catenin-Cy5 |
| Spectral Unmixing | Allows similar fluorophores | Requires specialized equipment | CDH1-FITC + p120-GFP with computational separation |
| Primary Antibody Species Separation | Simple protocol | Limited by available species | Mouse anti-CDH1-FITC + Rabbit anti-CTNNA1 + Rat anti-CTNNB1 |
| Tyramide Signal Amplification (TSA) | Sequential use of same species antibodies | Complex protocol | Sequential TSA for each target with antibody stripping |
| Quantum Dots | Narrow emission spectra, photostability | Expensive, larger size | Qdot525-CDH1 + Qdot605-CTNNB1 + Qdot705-CTNNA1 |
When studying HDGC or lobular breast cancers, particularly important combinations include E-cadherin with α-catenin, as CTNNA1 mutations have been identified in CDH1-negative HDGC families . Additionally, analyzing the α-catenin and cytoplasmic E-cadherin phenotype can help identify potential CTNNA1-associated pathways .
To investigate second-hit inactivation mechanisms in CDH1 mutation carriers:
Tissue microdissection approach:
Microdissect E-cadherin-negative foci from FFPE sections of prophylactic gastrectomy specimens
Compare with adjacent normal mucosa showing normal E-cadherin expression
Analyze for:
Loss of heterozygosity (LOH) at 16q22.1 (CDH1 locus)
Promoter methylation of the remaining allele
Somatic mutations in the wild-type allele
Single-cell analysis:
Perform laser capture microdissection of individual signet ring cells
Conduct single-cell genomic and epigenomic profiling
Compare multiple foci from the same patient to assess heterogeneity of second-hit mechanisms
Temporal analysis in surveillance biopsies:
Collect serial endoscopic biopsies from CDH1 mutation carriers opting for surveillance
Track the emergence and evolution of second-hit events over time
Correlate with progression from indolent to clinically significant disease
Molecular markers panel:
Develop a comprehensive panel including:
CDH1 promoter methylation (MSP or ddPCR)
16q copy number analysis (FISH or CISH)
Targeted deep sequencing of CDH1
Expression analysis of E-cadherin and related proteins
This approach addresses the critical question of how long early lesions of HDGC can remain indolent until there is emergence of clinical disease . Continuing collection of data from patients who opt for endoscopic surveillance is essential to help answer this question, and a thorough analysis of second-hit inactivation mechanisms is necessary to define strategies for chemoprevention .
Troubleshooting Guide for False Negative E-cadherin Staining:
| Problem | Potential Causes | Solutions |
|---|---|---|
| Epitope Masking | Overfixation, Improper antigen retrieval | Optimize fixation time, Test multiple antigen retrieval methods (heat-induced vs. enzymatic, pH 6 vs. pH 9) |
| Antibody Issues | Degraded antibody, Incorrect dilution | Use fresh aliquots, Titrate antibody concentrations (1:50 to 1:500) |
| Processing Artifacts | Delayed fixation, Edge artifacts | Ensure rapid fixation, Evaluate central portions of tissue |
| Technical Errors | Incorrect primary or secondary antibody, Buffer incompatibility | Verify all reagents, Follow manufacturer's recommendations for buffers |
| Biological Factors | True E-cadherin loss due to genetic/epigenetic alteration | Confirm with alternate antibody clones targeting different epitopes |
| Low Expression | Expression below detection threshold | Implement signal amplification methods (TSA, long exposure) |
When examining potential HDGC cases, false negative staining is particularly concerning as it may lead to misclassification. Always include positive control tissues on the same slide and consider dual-antibody approaches using antibodies targeting different E-cadherin domains .
To minimize FITC photobleaching during extended E-cadherin imaging:
Sample preparation optimization:
Add anti-fade mounting media containing radical scavengers (e.g., ProLong Gold, Vectashield)
Seal slide edges with nail polish to prevent oxygen penetration
Consider using oxygen-scavenging systems (glucose oxidase/catalase)
Microscope settings adjustment:
Reduce excitation intensity to minimum required for adequate signal
Use neutral density filters to attenuate excitation light
Minimize exposure time and increase camera gain instead
Employ binning to reduce required light intensity
Advanced imaging strategies:
Use resonant scanning in confocal microscopy to reduce pixel dwell time
Implement deconvolution to enhance signal post-acquisition
Consider alternative FITC derivatives with better photostability
Use computational approaches (RESTORE algorithm) to recover photobleached signal
Alternative approaches for thick sections:
Consider optical clearing techniques compatible with immunofluorescence
Employ two-photon microscopy for deeper tissue penetration with less photobleaching
Use adaptive optics to maintain resolution at depth
These approaches are particularly important when imaging intramucosal signet ring cells in gastric tissue samples from CDH1 mutation carriers, where expert histopathological confirmation is recommended .
Strategies to address autofluorescence when using FITC-conjugated CDH1 antibodies:
Pre-treatment methods:
Incubate sections in 0.1-1% sodium borohydride for 5-10 minutes before immunostaining
Treat with copper sulfate (10mM CuSO₄ in 50mM ammonium acetate buffer)
Apply Sudan Black B (0.1-0.3% in 70% ethanol) after immunostaining
Optical approaches:
Use spectral unmixing to separate FITC signal from autofluorescence
Employ narrow bandpass filters to isolate FITC emission peak
Consider confocal microscopy with precisely defined spectral detection
Alternative detection strategies:
Switch to longer wavelength fluorophores (Cy3, Alexa 555) less affected by tissue autofluorescence
Use Time-Gated Detection to separate long-lived autofluorescence from shorter-lived FITC signal
Implement Fluorescence Lifetime Imaging Microscopy (FLIM) to distinguish signals
Computational correction:
Acquire autofluorescence signal from unstained serial sections
Digitally subtract from experimental images
Apply machine learning algorithms to identify and remove autofluorescence patterns
This issue is particularly relevant when examining gastric and breast tissue samples with high lipofuscin content, which can interfere with accurate assessment of E-cadherin expression patterns in HDGC and LBC diagnostic workups .