RT Journal Article SR Electronic T1 Germline Missense Variants in CDC20 Result in Aberrant Mitotic Progression and Familial Cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.09.13.459529 DO 10.1101/2021.09.13.459529 A1 Owen J. Chen A1 Ester Castellsagué A1 Mohamed Moustafa-Kamal A1 Javad Nadaf A1 Barbara Rivera A1 Somayyeh Fahiminiya A1 Yilin Wang A1 Isabelle Gamache A1 Caterina Pacifico A1 Lai Jiang A1 Jian Carrot-Zhang A1 Leora Witkowski A1 Albert M. Berghuis A1 Stefan Schoenberger A1 Dominik Schneider A1 Susanne Bens A1 Reiner Siebert A1 Colin J. R. Stewart A1 Ziguo Zhang A1 William C. Chao A1 Celia M.T. Greenwood A1 David Barford A1 Marc Tischkowitz A1 Jacek Majewski A1 William D. Foulkes A1 Jose G. Teodoro YR 2021 UL http://biorxiv.org/content/early/2021/09/14/2021.09.13.459529.abstract AB CDC20 is a co-activator of the anaphase promoting complex/cyclosome (APC/C) and is essential for mitotic progression. APC/CCDC20 is inhibited by the spindle assembly checkpoint (SAC), which prevents premature separation of sister chromatids and aneuploidy in daughter cells. Although overexpression of CDC20 is common in many cancers, oncogenic mutations have never been identified in humans. Using whole exome sequencing, we identified heterozygous missense CDC20 variants (L151R and N331K) that segregate with cancer in two families. Characterization of these mutants showed they retain APC/C activation activity but show reduced binding to BUBR1, a component of the SAC. Expression of L151R and N331K promoted mitotic slippage in HeLa cells and primary skin fibroblasts derived from carriers. CRISPR/Cas9 was used to generate mice carrying N331K. Homozygous mice carrying N331K were non-viable, however, heterozygotes displayed accelerated oncogenicity in Myc-driven cancers. These findings highlight an unappreciated role for CDC20 variants as tumor promoting genes in humans.Competing Interest StatementThe authors have declared no competing interest.