Testicular germ cell tumors (TGCTs) are the most common cancer affecting young men (
1). Although both environmental and genetic factors contribute to TGCT susceptibility, the genetic component of TGCTs is particularly strong. Statistically, 25% of susceptibility to early-onset TGCTs is attributable to genetic factors, making these tumors the third most heritable form of cancer (
2). Despite the strong heritable influence on TGCT incidence and considerable effort to identify susceptibility genes, the genetic basis for TGCTs remains elusive. A recent study concluded that many loci with weak effects control TGCT susceptibility, and to date only one genetic factor, the rare
gr/
gr Y chromosome deletion, is reproducibly associated with TGCT incidence in humans (
3-
5).
In mice, spontaneous TGCTs occur at an appreciable frequency only on the 129 inbred background (
6). TGCTs in mice are most similar to human pediatric TGCTs and arise during embryogenesis as a result of abnormalities in the development of the primordial germ cell (PGC) lineage, the embryonic precursor of oocytes and sperm (
7,
8). As in humans, the genetics of TGCT susceptibility is complex with as many as 6-8 segregating genes controlling susceptibility in mouse crosses (
6,
9). In segregating crosses between 129 and other inbred strains the frequency of affected males is less than 0.01% (
9). Thus, TGCT susceptibility in mice is too complex for conventional genetic approaches.
Modifier genes are an attractive alternative to the limited power of conventional genetic approaches to dissect the genetic basis of highly complex traits. Several single gene mutations and genetic variants modify TGCT susceptibility when congenic on the 129/Sv background (
10). Such modifiers have been useful in defining genetic interactions that control TGCT susceptibility and identifying susceptibility loci in sensitized polygenic trait analyses (
11-
14).
The Steel (
Sl) and White-spotted (
W) variants are a group of classic spontaneous mouse mutations affecting the kit ligand (KITL) and its receptor (KIT), respectively (
15-
19). The KITL/KIT system promotes the survival, proliferation and migration of hematopoietic, melanocyte and germ cell precursors (
20). In homozygous
Sl and
W mice, defects in the development of these progenitor cells causes anemia, loss of pigmentation, and infertility (
20). In addition, many homozygous
Sl and
W embryos die after embryonic day 15.5 (E15.5) (
18). Heterozygotes for most of the
Sl and
W mutations present less severe phenotypes than homozygotes (
15). To test whether mutations in the KITL/KIT system increase TGCT susceptibility, various
Sl and
W mutations were transferred to the 129/Sv background and TGCT incidence was measured in heterozygous mutants and their wild-type siblings (
6,
9). Interestingly, some (
Sl and
SlJ) but not all (
Sld) Steel mutations, and none of the tested
W mutations, increase TGCT susceptibility in heterozygotes ().
| Table 1TGCT incidence in Kitl (Sl) and Kit (W) heterozygous mutant mice* |
Variation among the
Sl and
W alleles was initially puzzling because it was difficult to understand how increased TGCT susceptibility could be limited to only two variants of this ligand-receptor complex. Discovery of the molecular nature of the
Steel mutations provided clues.
Sl and
SlJ are large deletions (~973 kb and ~650 kb, respectively) that remove all of
Kitl and a significant amount of flanking sequence () (
18,
21). By contrast,
Sld is a 4kb intragenic deletion of
Kitl that retains expression of soluble but not transmembrane KITL at wild-type levels () (
22,
23). Therefore, two explanations are possible for increased TGCT incidence in
Sl and
SlJ but not
Sld mutant mice: 1) a gene or non-coding regulatory element neighboring
Kitl is also deleted in
Sl and
SlJ mutants and is responsible for increased TGCT susceptibility, or 2) gene dosage effects of soluble
Kitl on TGCT susceptibility reduces TGCT incidence to 129/Sv levels in
Sld mutants.
The Steel grizzle-belly (
Slgb) mutation is a smaller deletion (~120 Kb) than
Sl or
SlJ, with the 5′ breakpoint approximately 60-40 Kb proximal to exon 1 of
Kitl and the distal breakpoint within the 3′UTR of
Kitl () (
18). Preliminary sequence analysis of the
Slgb deletion map suggested that
Kitl may be the only gene deleted by this mutation. Therefore, the
Slgb mutation provides a means to test the influence of a
Kitl null deletion on TGCT susceptibility independent of alterations in other genes. In this report, we tested the influence of heterozygosity for the
Slgb mutation on spontaneous TGCT incidence in 129/Sv males and fine-mapped the
Slgb deletion breakpoints. An increase in TGCT incidence was observed in
Slgb/+ heterozygotes. Mapping of the
Slgb deletion breakpoints revealed no other genes or obvious functional elements within the deletion interval, suggesting that partial deficiency of
Kitl increases TGCT susceptibility. We propose that soluble KITL maintains TGCT susceptibility at 129/Sv baseline frequencies in
Sld/+ heterozygous mutant mice and that KIT is haplosufficient for PGC development in mice with the
W mutations.