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Four new mutations in the DNA mismatch repair gene MLH1 in colorectal cancers with microsatellite instability

✍ Scribed by Klaus K.-F. Herfarth; Olagunju A. Ogunbiyi; Jeffrey F. Moley; Ira J. Kodner; Samuel A. Wells Jr.; Paul J. Goodfellow


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
35 KB
Volume
12
Category
Article
ISSN
1059-7794

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✦ Synopsis


Hereditary nonpolyposis colorectal cancer (HNPCC) is frequently associated with inherited mutation in one of four DNA mismatch repair genes. Somatic mutations in the same genes are also found in a subset of sporadic colorectal cancers. A defect in DNA mismatch repair results in an RER (replication error) tumor phenotype. We screened 110 archival and 11 prospectively acquired colorectal cancers for the RER phenotype. A total of 22 cancers were RER-positive. RER-positive tumors were investigated for mutations in the DNA mismatch repair gene MLH1 using single-strand-conformation-polymorphism (SSCP) analysis. We identified four previously undescribed mutations in four different samples. Three mutations were exonic: a point mutation at codon 69 (AGG -> AAG [arg -> lys]); a single base pair deletion at codon 42/43 (GCAAAATCC -> GCAAATCC) leading to a new stop codon downstream; and a point mutation at codon 757 (TAA ->TAT [termination -> tyr] which extend the MLH1 peptide by 36 amino acids. The fourth mutation was a 1 base pair insertion six base pairs 5' to the start of exon 14 (tttgtttt -> tttggtttt). The mutations were not seen in the patients' constitutional DNA. The somatic MLH1 mutations identified appear to be causally associated with the RER phenotype.


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