Germline alterations in human DNA mismatch repair genes are associated with hereditary nonpolyposis colorectal cancer (HNPCC). Mutation analysis of the genes reveals carriers with a high risk of colorectal cancer, who will benefit from surveillance. We wanted to find the best predictive parameter of
Four new mutations in the DNA mismatch repair gene MLH1 in colorectal cancers with microsatellite instability
β 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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β¦ 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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