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Cancer Antigen 1 (CAGE-1) is a protein which, in Homo Sapiens (humans), is encoded by the CAGE-1 gene, with a structure containing of mostly alpha helices. CAGE-1 seems to be involved in cancer, when it has a higher expression in the tissue, but is expressed in the testis in healthy tissue . It also has been identified that it does not have any extracellular functions and is localized in the cell nucleus and cytoplasm.

In the human genome, CAGE-1 is located on the minus strand of Chromosome 6 at gene locus p24.3. Figure Cytogenetic Locus of CAGE-1, shows the exact location of where CAGE-1 is located according to NCBI Gene.[1] There are 14 exons (Transcript Variant 1) in the sequence of CAGE-1 and approximately 120,000 base pairs (bp),[2] with the coding sequence only spanning about 3,300 bp.

Aliases: Cancer/Testis Antigen 3 (CT3); Cancer/Testis Antigen 95 (CT95)
In Homo Sapiens, CAGE-1 is moderately, ubiquitously expressed across tissues with a higher expression at Universal Human Reference RNA and the testis in healthy tissue[3]. Since CAGE-1 is ubiquitously expressed across tissues, this leads to it being relatively more abundant than other proteins.[4] Higher expression can lead to different types of cancers, such as lung or cervical cancer.
CAGE-1 is known to have three transcript variants, each with unique distinctions, which are described in Table 1.[5] A 5' Untranslated Region (UTR) and a 3' UTR were both identified in the nucleotide sequence with neither of them having excessive length.
| Transcript Variants | Size (# of bp) | Exon Usage | Distinctions |
|---|---|---|---|
| 1 | 3283 | 14 | Longest Transcript |
| 2 | 3108 | 13 | Lacks alternate in-frame exon in the central coding region; uses an alternate exon in the 3' coding region and 3' UTR |
| 3 | 2879 | 11 | Lacks two alternate exons; uses a downstream start codon |
In Homo Sapiens, the Cancer Antigen 1 protein is encoded by the CAGE-1 gene. The predicted average molecular weight of CAGE-1 (isoform 1) in Homo Sapiens is 90 kDa and the isoelectric point (pI) is 5.2[6]. Since the pI is 5.2, this means that the pH is also 5.2 leading CAGE-1 to being more of an acidic protein. CAGE-1 thus contains more acidic residues like glutamic and aspartic acid, as demonstrated in a Compositional Analysis done by SAPS.[7] These results were also consistent among orthologs of the protein, including Mus musculus (mouse) and Gallus gallus (chicken).
CAGE-1 human protein has three different isoforms, as shown in Table 2.[8]
| Isoforms | Size (# of Amino Acids) | Domain Inclusion | Distinctions | Molecular Weight (kDa) |
|---|---|---|---|---|
| 1 | 839 | Coiled Coil Domain | Longest Isoform | 90 |
| 2 | 824 | Coiled Coil Domain | Lacks an internal segment; has a longer and distinct C-terminus | 95 |
| 3 | 641 | Coiled Coil Domain | Lacks an internal segment; shorter N-terminus | 75 |
CAGE-1 in Homo Sapiens has four sequence motifs, according to Genome Net-Motif Search.[10] The first motif is called CAGE-1 and has two sections that overlap. It is classified as a Cancer-associated gene protein 1 family. The second motif is DUF2209 and is classified as an uncharacterized domain-containing protein conserved in archaea. The third motif is PDZ_4 and is a protein domain that helps regulate cell function and mediates protein-protein interactions. Finally, the fourth motif is DUF1327, which is a domain-containing protein of unknown function. The four motifs and their positions on the CAGE-1 protein can be seen in Figure Four CAGE-1 Protein Motifs Identified.

While four motifs were identified, no transmembrane domains are located in CAGE-1, but one intrinsically disordered region has been identified.[11] There are other disordered regions that are predicted, but one has been confidently shown.
The secondary structure[12] of CAGE-1 consists of Alpha Helices with multiple side chains as seen in Figure CAGE-1 Secondary Structure[13].

Phyre2[14] was used to predict the tertiary structure of CAGE-1 with the long chains at the end of the structure showing the disordered regions.

CAGE-1 protein in Homo Sapiens has a subcellular localization in the cell nucleus and cytoplasm, which means it functions and resides there.[15] It also contains coiled coil domains and a nuclear localization signal, which directs the protein from the cytoplasm to the cell’s nucleus. The nuclear presence of CAGE-1 in cancer cells implies it is involved in regulating the nuclear events associated with tumor progression.

| Tools Used | Investigation | Results |
|---|---|---|
| DictyOGlyc[16] | O-(alpha)-GlcNAc glycosylation sites (Serine and Threonine) | Two predicted O-(alpha)-GlcNAc glycosylation sites identified: S190 and S221 exceeded the threshold necessary for glycosylation |
| NetOGlyc[17] | O-GalNAc (mucin type) glycosylation sites | 40 strongly predicted O-GalNAc (mucin type) glycosylation sites and 8 moderately predicted sites
- Located throughout the whole sequence |
| NetPhos[18] | Generic phosphorylation sites | Highest scores seen at S11, S29, S31, S160, S446, S611, S644, T678, S706, S769, S816. (all of these were 99% or greater in likelihood of having a phosphorylation site) |
| ProP[19] | Arginine and Lysine propeptide cleavage sites | One propeptide cleavage site was predicted at position 813 |
| Sulfinator[20] | Tyrosine Sulfation | One out of eighteen tyrosines predicted to be sulfated tyrosines
- Position 5 |
Depicted on the right is a thumbnail for the conceptual translation of the Homo Sapiens CAGE-1 with annotations to the right-hand side. Things included in the conceptual translation are the 5' Untranslated Region (UTR), the coding sequence, and the 3' UTR. Annotations include Post-Translation Modifications, Start and Stop Codons, Common Variants in CAGE-1, Amino Acids that are conserved, Polyadenylation Sites/Signals and Exon borders

Many proteins have been found to interact with CAGE-1 using methods such as STRING Consortium. [21] Ten proteins were identified to be interacting with CAGE-1 in Homo Sapiens, but only four were of importance and most related to CAGE-1, as seen in Table 4.
| Protein | Function | Basis for Interaction | Localization | Score |
|---|---|---|---|---|
| RAB11B (Ras-related protein Rab-11B) | Endocytic recycling, regulating apical recycling of several transmembrane proteins | Putative homologs were found interacting in other organisms
(score = 0.052) Co-Mentioned in Pubmed Abstracts (score = 0.791) |
Cytosol, Golgi, Endosome | 0.79 |
| CNDP2 (Cytosolic non-specific dipeptidase) | Hydrolyzes a variety of dipeptides including L-carnosine but has a strong preference for Cys-Gly, functional tumor suppressor in gastric cancer | Co-Mentioned in Pubmed Abstracts
(score = 0.791) |
Cytosol, Nucleus | 0.79 |
| DKKL1 (Dickkopf-like protein 1) | Involved in fertilization by facilitating sperm penetration of the zona pellucida | Co-Expression (score = 0.044)
Co-Mentioned in Pubmed Abstracts (score = 0.761) |
Cytoplasmic vesicle, Secretory vesicle, Acrosome | 0.76 |
| RAB1A (Ras-related protein Rab-1A) | Regulates vesicular protein transport from the endoplasmic reticulum to the Golgi and on to the cell surface | Co-Expression (score = 0.095)
Co-Mentioned in Pubmed Abstracts (score = 0.541) Putative homologs were found interacting in other organisms (score = 0.068) |
Golgi, Cytosol, Endoplasmic Reticulum | 0.58 |
Protein CAGE-1, which is associated with the Cancer Antigen gene family, first appeared approximately 352 million years ago, which was when amphibians first came around.[22] CAGE-1 was not found in fish, invertebrates, fungi, and plants, and its earliest ancestor is primates.
There are no known paralogs of CAGE-1.
CAGE-1 is highly conserved in Homo Sapiens. It can also be found in mammals, reptiles, birds, and amphibians. Table 5 below identifies eighteen orthologs, including humans, to demonstrate how CAGE-1's protein sequence has changed overtime compared to humans.
| Taxonomic Group | Genus and Species | Common Name | Date of Divergence (MYA) | Accession Number | Sequence Length (aa) | Sequence Identity (%) | Sequence Similarity (%) |
|---|---|---|---|---|---|---|---|
| Primate | Homo Sapiens | Human | 0 | NP_001164163.1 | 839 | 100 | 100 |
| Pongo Abelii | Sumatran Orangutan | 15.2 | XP_054413145.2 | 905 | 96 | 100 | |
| Non-Ape Primate | Carlito Syrichta | Philippine Tarsier | 69 | XP_021566266.1 | 769 | 69 | 95 |
| Lemur Catta | Ring-Tailed Lemur | 74 | XP_045407681.1 | 794 | 66 | 97 | |
| Marsupiels | Phascolarctos Cinereus | Koala | 160 | XP_020865532.1 | 904 | 51 | 55 |
| Monodelphis Domestica | Gray Short-Tailed Opossum | 160 | XP_007488051.2 | 998 | 51 | 73 | |
| Notamacropus Eugenii | Tammar Wallby | 160 | XP_072459852.1 | 899 | 50 | 72 | |
| Antechinus Flavipes | Yellow-Footed Antechinus | 160 | XP_051826685.1 | 963 | 49 | 72 | |
| Monotremes | Tachyglossus Aculeatus | Australian Echidna | 180 | XP_038626118.1 | 431 | 40 | 48 |
| Birds | Apteryx Rowi | Okarito Brown Kiwi | 319 | XP_025928647.1 | 542 | 37 | 58 |
| Rhea Pennata | Darwin's Rhea | 319 | XP_062424047.1 | 722 | 37 | 34 | |
| Reptiles | Mauremys Mutica | Yellowpond Turtle | 319 | XP_044861538.1 | 1052 | 42 | 64 |
| Dermochelys Coriacea | Leatherback Sea Turtle | 319 | XP_043364284.1 | 786 | 41 | 64 | |
| Mauremys Reevesii | Reeves's Turtle | 319 | XP_039380245.1 | 1102 | 41 | 64 | |
| Chelonia Mydas | Green Sea Turtle | 319 | XP_043396081.1 | 1098 | 41 | 64 | |
| Amphibians | Rhinatrema Bivittatum | Two-Lined Caecilian | 352 | XP_029446479.1 | 437 | 46 | 11 |
| Geotrypetes Seraphini | Gabon Caecillian | 352 | XP_033790611.1 | 446 | 46 | 9 | |
| Microaecilia Unicolor | Tiny Cayenne Caecilian | 352 | XP_030064763.1 | 441 | 45 | 10 |
CAGE-1 in Homo Sapiens is a quickly evolving protein as seen in the Figure CAGE-1 Corrected sequence divergence vs. Median Date of Divergence. It evolves around the same rate as Fibrinogen Alpha Chain, which is known to evolve at a very fast pace.

CAGE-1 has been researched to show that it is involved in the progression of tumorigenesis, which is the process of normal cells turning into cancer cells.[23] This has been identified by cancer tissues being compared to surrounding mucosa tissues and CAGE-1 having a higher expression in tissues that have cancer. [24] The cancers that are known to consistently have a higher expression of CAGE-1 are cervical, lung, gastric, lung, hepatic, and melanoma. Other cancers have shown CAGE-1 expression, but not as consistently.[25] CAGE-1 continues to show signs of being involved in the progression of cancer, while also being expressed in healthy tissue of the testis.