RT Journal Article T1 Germline gain‐of‐function MMP11 variant results in an aggressive form of colorectal cancer A1 Martin‐Morales, Lorena A1 Manzano Figueroa, Sara A1 Rodrigo‐Faus, Maria A1 Vicente‐Barrueco, Adrián A1 Lorca, Victor A1 Núñez‐Moreno, Gonzalo A1 Bragado Domingo, Paloma A1 Porras Gallo, María Almudena A1 Caldes, Trinidad A1 Garre, Pilar A1 Gutiérrez Uzquiza, Álvaro AB Matrix metalloproteinase-11 (MMP11) is an enzyme with proteolytic activity against matrix and nonmatrix proteins. Although most MMPs are secreted as inactive proenzymes and are later activated extracellularly, MMP11 is activated intracellularly by furin within the constitutive secretory pathway. It is a key factor in physiological tissue remodeling and its alteration may play an important role in the progression of epithelial malignancies and other diseases. TCGA colon and colorectal adenocarcinoma data showed that upregulation of MMP11 expression correlates with tumorigenesis and malignancy. Here, we provide evidence that a germline variant in the MMP11 gene (NM_005940: c.232C>T; p.(Pro78Ser)), identified by whole exome sequencing, can increase the tumorigenic properties of colorectal cancer (CRC) cells. P78S is located in the prodomain region, which is responsible for blocking MMP11's protease activity. This variant was detected in the proband and all the cancer-affected family members analyzed, while it was not detected in healthy relatives. In silico analyses predict that P78S could have an impact on the activation of the enzyme. Furthermore, our in vitro analyses show that the expression of P78S in HCT116 cells increases tumor cell invasion and proliferation. In summary, our results show that this variant could modify the structure of the MMP11 prodomain, producing a prematureor uncontrolled activation of the enzyme that may contribute to an early CRC onset in these patients. The study of this gene in other CRC cases will provide further information about its role in CRC development, which might improve patient treatment in the future. PB Wiley SN 0020-7136 SN 1097-0215 YR 2022 FD 2022-10-03 LK https://hdl.handle.net/20.500.14352/113476 UL https://hdl.handle.net/20.500.14352/113476 LA eng NO Martin‐Morales, Lorena, et al. «Germline Gain‐of‐function MMP11 Variant Results in an Aggressive Form of Colorectal Cancer». International Journal of Cancer, vol. 152, n.o 2, enero de 2023, pp. 283-97. DOI.org (Crossref), https://doi.org/10.1002/ijc.34289. NO Comunidad de Madrid NO Ministerio de Ciencia e innovacion (España) NO Consejería de Educacion e Investigación de la Comunidad de Madrid DS Docta Complutense RD 18 abr 2025