National Cancer Institute®
Last Modified: September 1, 2002
1
UI - 12132870
AU - Kim JC; Kim HC; Roh SA; Koo KH; Lee DH; Yu CS; Lee JH; Kim TW; Lee HL;
TI -
Beck NE; Bodmer WF
hMLH1 and hMSH2 mutations in families with familial clustering of
gastric cancer and hereditary non-polyposis colorectal cancer.
SO - Cancer Detect Prev 2001;25(6):503-10
AD - Department of Surgery, University of Ulsan College of Medicine and Asan
Institute for Life Sciences, Seoul, Korea.
The pattern of hMLHI and hMSH2 mutations was assessed to identify the
genetic correlation between hereditary gastric and colorectal cancers.
Four disease groups and their healthy family members were assembled
according to the presentation of gastric cancer: FG, familial clustering
of gastric cancer (n = 32); CG, family with one or more colorectal and
gastric cancers in first-degree relatives (n = 22); HS, seven HNPCC
families corresponding to the Amsterdam criteria (AMS+) and 12 suspected
HNPCC families which did not satisfy one of the criteria (AMS-), but no
gastric cancer among first- and second-degree relatives (n = 19); and
SG, sporadic gastric cancer (n = 33). In the CG group, three were
included in AMS + and six in AMS- criteria. Peripheral blood was
obtained from them to detect hMLHI and hMLH2 mutations using PCR-SSCP
analysis and direct sequencing. The incidence of mutations was 9.4% in
the FG group, 54.5% in the CG group, 31.6% in the HS group, and none in
the SG group. The incidence, type, and number of the mutation were not
different between the CG and HS groups. Thirty-four different mutations
included 19 in hMLH1 and 15 in hMSH2. Gastric cancer was the most common
extracolonic malignancy in HNPCC and suspected HNPCC families (9/28,
32.1%). The hMLH1 or hMSH2 mutation occurred in seven of 10 families
with AMS+, whereas it occurred in four of 18 with AMS- (70% vs. 22.2%, P
= .013). Five mutations in the hMLH1 and six mutations in the hMSH2 were
exclusively found in families with gastric cancer. All three mutations
in the FG group were in hMLHI and there was no mutation in their healthy
family members. This study demonstrates that some familial clustering
type of gastric cancer appears to be associated with hMLHI mutations
thereby indicating a difference from the hereditary gastric cancer
studies previously reported. In addition, hMLHI and hMSH2 mutations may
impact the gastric cancer carcinogenesis in HNPCC or suspected HNPCC.
2
UI - 12095971
AU - Rossi BM; Lopes A; Oliveira Ferreira F; Nakagawa WT; Napoli Ferreira CC;
TI -
Casali Da Rocha JC; Simpson CC; Simpson AJ
hMLH1 and hMSH2 gene mutation in Brazilian families with suspected
hereditary nonpolyposis colorectal cancer.
SO - Ann Surg Oncol 2002 Jul;9(6):555-61
AD - Department of Pelvic Surgery, the Hospital do Cancer A. C. Camargo,
Fundacao Antonio Prudente, Sao Paulo, Brazil.
BACKGROUND: The aim of this study was to search for mutations in the
human mutS homolog 2 (hMSH2) and human mutL homolog 1 (hMLH1) genes in
25 unrelated Brazilian kindreds with suspected hereditary nonpolyposis
colorectal cancer (HNPCC). METHODS: The families were grouped according
to the following clinical criteria: Amsterdam I or II; familial
colorectal cancer (CRC); an early age of onset of CRC in the proband
only; or with at least one or two relatives who had HNPCC-related
cancers; CRC in the proband only. All patients were studied with direct
sequencing. RESULTS: Ten mutations were detected (10 of 25 [40%]); of
nine different mutations, seven were novel. The hMLH1 gene had a higher
mutation detection rate than hMSH2 (8 of 25 [32%] vs. 2 of 25 [8%]).
Only 3 of these 10 families fulfilled the Amsterdam criteria. Two
different polymorphisms were detected in the hMLH1 gene and four in the
hMSH2 gene. CONCLUSIONS: The hMLH1 gene had a higher mutation detection
rate than hMSH2. The physician who deals with CRC must take into
consideration the heredity issue with patients who present with an early
age of onset or a familial history of CRC- or HNPCC-related cancers,
including gastric cancer, even if they do not fulfill the former
Amsterdam criteria.
3
UI - 12210035
AU - Neibergs HL; Hein DW; Spratt JS
TI -
Genetic profiling of colon cancer.
SO - J Surg Oncol 2002 Aug;80(4):204-13
AD - Norton Hereditary Cancer Institute, Louisville, Kentucky, USA.
4
UI - 9240418
AU - Akiyama Y; Tsubouchi N; Yuasa Y
TI -
Frequent somatic mutations of hMSH3 with reference to microsatellite
instability in hereditary nonpolyposis colorectal cancers.
SO - Biochem Biophys Res Commun 1997 Jul 18;236(2):248-52
AD - Department of Hygiene and Oncology, Tokyo Medical and Dental University
School of Medicine, Bunkyo-ku, Japan.
hMSH3 is one of the human DNA mismatch repair genes but has not yet been
reported to be associated with hereditary nonpolyposis colorectal
cancer. Recently, somatic mutation at a polyadenine tract, i.e., (A)8,
in hMSH3 was reported in cancers with microsatellite instability (MI).
To clarify the tumorigenetic role of hMSH3, we screened for somatic
mutations at the hMSH3 (A)8 repeat in 29 tumors from 23 hereditary
nonpolyposis colorectal cancer patients. One or two A deletions in the
(A)8 repeat were found in 11 (57.9%) of the 19 MI-positive tumors but
not in 10 MI-negative ones, indicating secondary mutations after
germline mutations of other mismatch repair genes. Moreover, the MI
frequency of three or more nucleotide repeats was higher in hMSH3
(A)8-mutated tumor cells than in nonmutated ones (p<0.05). These data
suggest that a mutation of a mismatch repair gene enhances the frequency
of another mismatch repair gene mutation, such as of hMSH3, resulting in
severe MI.
5
UI - 9401011
AU - Yin J; Kong D; Wang S; Zou TT; Souza RF; Smolinski KN; Lynch PM;
TI -
Hamilton SR; Sugimura H; Powell SM; Young J; Abraham JM; Meltzer SJ
Mutation of hMSH3 and hMSH6 mismatch repair genes in genetically
unstable human colorectal and gastric carcinomas.
SO - Hum Mutat 1997;10(6):474-8
AD - Department of Medicine, University of Maryland School of Medicine and
Baltimore VA Hospital, USA.
Mutations within microsatellite sequences, consisting of additions or
deletions of repeat units, are known as the replication/repair error
positive (RER+) phenotype or micorsatellite instability (MI).
Microsatellite instability has been demonstrated in hereditary and
sporadic colorectal carcinomas and is usually observed in noncoding
regions of genomic DNA. However, relatively few coding region targets of
MI have been identified thus far. Using PCR, we amplified regions
encompassing (A)8 and (C)8 microsatellite tracts within hMSH3 and hMSH6
from 31 RER+ sporadic colorectal tumors, 8 hereditary colon cancers, 23
RER+ gastric carcinomas, and 32 RER- gastric tumors. Mutations were
found in 11 (36%) of 31 sporadic colon carcinomas, 4 (50%) of 8
hereditary colorectal cancers, and 5 (22%) of 23 RER+ gastric
carcinomas, but in only 2 (6%) of 32 RER- gastric carcinomas. These
frameshift mutations cause premature stop codons downstream that are
predicted to abolish normal protein function. Our results and those of
others suggest that DNA mismatch repair genes, such as hMSH3 and hMSH6,
are targets for the mutagenic activity of upstream mismatch repair gene
mutations and that this enhanced genomic instability may accelerate the
accumulation of mutations in RER+ tumors.
6
UI - 9590282
AU - Lu SL; Kawabata M; Imamura T; Akiyama Y; Nomizu T; Miyazono K; Yuasa Y
TI -
HNPCC associated with germline mutation in the TGF-beta type II receptor
gene.
SO - Nat Genet 1998 May;19(1):17-8
7
UI - 9774676
AU - Guerrette S; Wilson T; Gradia S; Fishel R
TI -
Interactions of human hMSH2 with hMSH3 and hMSH2 with hMSH6: examination
of mutations found in hereditary nonpolyposis colorectal cancer.
SO - Mol Cell Biol 1998 Nov;18(11):6616-23
AD - Genetics and Molecular Biology Program, Department of Microbiology and
Immunology, Kimmel Cancer Center, Thomas Jefferson University,
Philadelphia, Pennsylvania 19107, USA.
Mutations in the human mismatch repair protein hMSH2 have been found to
cosegregate with hereditary nonpolyposis colorectal cancer (HNPCC).
Previous biochemical and physical studies have shown that hMSH2 forms
specific mispair binding complexes with hMSH3 and hMSH6. We have further
characterized these protein interactions by mapping the contact regions
within the hMSH2-hMSH3 and the hMSH2-hMSH6 heterodimers. We demonstrate
that there are at least two distinct interaction regions of hMSH2 with
hMSH3 and hMSH2 with hMSH6. Interestingly, the interaction regions of
hMSH2 with either hMSH3 or hMSH6 are identical and there is a
coordinated linear orientation of these regions. We examined several
missense alterations of hMSH2 found in HNPCC kindreds that are contained
within the consensus interaction regions. None of these missense
mutations displayed a defect in protein-protein interaction. These data
support the notion that these HNPCC-associated mutations may affect some
other function of the heterodimeric complexes than simply the static
interaction of hMSH2 with hMSH3 or hMSH2 with hMSH6.
8
UI - 9852252
AU - Whitehouse A; Meredith DM; Markham AF
TI -
DNA mismatch repair genes and their association with colorectal cancer
(Review).
SO - Int J Mol Med 1998 Feb;1(2):469-74
AD - Molecular Medicine Unit, University of Leeds, Clinical Sciences
Building, St. James's University Hospital, Leeds LS9 7TF, UK.
Mismatch repair genes are involved in increasing the fidelity of
replication by specific repair of DNA polymerase incorporation errors.
In Escherichia coli, the best studied mismatch repair (MMR) pathway is
the methyl-directed long patch repair system which is mediated by three
gene products; MutS, MutL and MutH. These are conserved in higher
eukaryotes. Mutations in human homologues of these proteins have been
shown to be implicated in hereditary non-polyposis colorectal cancer
(HNPCC). Alterations in the coding regions of MMR genes result in a
mutator phenotype with marked instability of microsatellite sequences,
indicative of a deficiency in DNA repair.
9
UI - 10545954
AU - de Wind N; Dekker M; Claij N; Jansen L; van Klink Y; Radman M; Riggins
TI -
G; van der Valk M; van't Wout K; te Riele H
HNPCC-like cancer predisposition in mice through simultaneous loss of
Msh3 and Msh6 mismatch-repair protein functions.
SO - Nat Genet 1999 Nov;23(3):359-62
AD - Division of Molecular Carcinogenesis, The Netherlands Cancer Institute,
Amsterdam, The Netherlands.
Cancer predisposition in hereditary non-polyposis colon cancer (HNPCC)
is caused by defects in DNA mismatch repair (MMR). Mismatch recognition
is attributed to two heterodimeric protein complexes: MutSalpha (refs 2,
3, 4, 5), a dimer of MutS homologues MSH2 and MSH6; and MutSbeta (refs
2,7), a dimer of MSH2 and MSH3. These complexes have specific and
redundant mismatch recognition capacity. Whereas MSH2 deficiency ablates
the activity of both dimers, causing strong cancer predisposition in
mice and men, loss of MSH3 or MSH6 (also known as GTBP) function causes
a partial MMR defect. This may explain the rarity of MSH6 and absence of
MSH3 germline mutations in HNPCC families. To test this, we have
inactivated the mouse genes Msh3 (formerly Rep3 ) and Msh6 (formerly
Gtmbp). Msh6-deficient mice were prone to cancer; most animals developed
lymphomas or epithelial tumours originating from the skin and uterus but
only rarely from the intestine. Msh3 deficiency did not cause cancer
predisposition, but in an Msh6 -deficient background, loss of Msh3
accelerated intestinal tumorigenesis. Lymphomagenesis was not affected.
Furthermore, mismatch-directed anti-recombination and sensitivity to
methylating agents required Msh2 and Msh6, but not Msh3. Thus, loss of
MMR functions specific to Msh2/Msh6 is sufficient for lymphoma
development in mice, whereas predisposition to intestinal cancer
requires loss of function of both Msh2/Msh6 and Msh2/Msh3.
10
UI - 10601558
AU - Johannsdottir JT; Jonasson JG; Bergthorsson JT; Amundadottir LT;
TI -
Magnusson J; Egilsson V; Ingvarsson S
The effect of mismatch repair deficiency on tumourigenesis;
microsatellite instability affecting genes containing short repeated
sequences.
SO - Int J Oncol 2000 Jan;16(1):133-9
AD - Department of Pathology, National University Hospital, Reykjavik,
Iceland.
We have investigated microsatellite instability (MSI) in colorectal,
gastric, endometrial and ovarian cancer as a result of mismatch repair
(MMR) deficiency. We detected frameshift mutations in several genes that
carry short repeated sequences and are important in cell fidelity and
growth control; hMSH3, hMSH6, BAX, IGFIIR, TGFbetaIIR, E2F4 and BRCA2.
Accumulation of mutations was heterogeneous and mainly restricted to
tumours showing MSI at several loci (MSI-H). Both insertions and
deletions were evident and occasional intratumour heterogeneity was
evident with more than one different additional allele in the tumour.
Most MSI-H tumours had acquired mutations in more than one gene and
longer repeated sequences were more frequently targets for mutations.
The TGFbetaIIR gene was mutated in 62%, the hMSH3 gene in 43%, the E2F4
gene in 35%, the hMSH6 in 32%, the BAX gene in 32%, the IGFIIR gene in
26%, and the BRCA2 gene in 2% of the MSI-H tumours. Homozygous mutations
or mutation of both alleles were evident in all genes except BRCA2, in
total 23/105 mutated cases, varying from 7% for BAX to 50% for E2F4.
E2F4 mutations were exclusively found in colon tumours and E2F4
polymorphisms was found in 8% of cases. No difference in mutation
prevalence was noted between cancer types apart from TGFbetaIIR
mutations, which were frequently found in colon and gastric tumours but
not in endometrial tumours, suggesting that endometrial tumours progress
by a different route where TGFbetaIIR mutations are less favourable.
11
UI - 10719374
AU - Percesepe A; Pedroni M; Sala E; Menigatti M; Borghi F; Losi L; Viel A;
TI -
Genuardi M; Benatti P; Roncucci L; Peltomaki P; Ponz de Leon M
Genomic instability and target gene mutations in colon cancers with
different degrees of allelic shifts.
SO - Genes Chromosomes Cancer 2000 Apr;27(4):424-9
AD - Department of Internal Medicine, University of Modena, Modena, Italy.
percespe.antonio@unimo.it
Two grades (high and low) of microsatellite instability (MSI) are known,
depending on the number of mutated markers and the amount of allelic
shifts. Forty-two colorectal tumors, previously found to have
high-degree MSI at dinucleotidic repeat loci, were revisited with BAT26,
a mononucleotide marker, and the number of shifted bases were counted.
Seven tumors, all with local stages at diagnosis, had < or =6-bp
deletions and consistently displayed shorter shifts also with other
intronic mononucleotide markers. Analysis of mononucleotide tracts in
the coding regions of MSH3, MSH6, BAX, and TGFbetaRII in the groups with
large (>6 bp) and short (< or =6 bp) allelic shifts showed specific
patterns of involvement for the individual genes: TGFbetaRII displayed a
uniformly high rate of mutations, while MSH3, MSH6, and BAX were less
frequently altered in tumors with short shifts. Our findings suggest
that microsatellite instability arises gradually, evenly involving loci
with similar features of length and repetition. However, target genes
have a specific timing of mutation in this process: TGFbetaRII is
involved in the early phases, while BAX and MSH6 are frequently
associated with big size shifts and tumors with more advanced stages.
Copyright 2000 Wiley-Liss, Inc.
12
UI - 10965759
AU - Baba S
TI -
[Genetic abnormality of hereditary nonpolyposis colorectal cancer and
implication of clinical application]
SO - Nippon Shokakibyo Gakkai Zasshi 2000 Aug;97(8):1017-24
AD - Hamamatsu University School of Medicine.
13
UI - 11245474
AU - Huang J; Kuismanen SA; Liu T; Chadwick RB; Johnson CK; Stevens MW;
TI -
Richards SK; Meek JE; Gao X; Wright FA; Mecklin JP; Jarvinen HJ;
Gronberg H; Bisgaard ML; Lindblom A; Peltomaki P
MSH6 and MSH3 are rarely involved in genetic predisposition to
nonpolypotic colon cancer.
SO - Cancer Res 2001 Feb 15;61(4):1619-23
AD - Division of Human Cancer Genetics, Ohio State University, Columbus
43210, USA.
A set of 90 nonpolypotic colon cancer families in which germ-line
mutations of MSH2 and MLH1 had been excluded were screened for mutations
in two additional DNA mismatch repair genes, MSH6 and MSH3. Kindreds
fulfilling and not fulfilling the Amsterdam I criteria, showing early
and late onset colorectal (and other) cancers, and having microsatellite
stable and unstable tumors were included. Two partly parallel approaches
were used: genetic linkage analysis (19 large families) and the protein
truncation test (85, mostly smaller, families). Whereas MSH3 was not
involved in any family, a large Amsterdam-positive, late-onset family
showed a novel germ-line mutation in MSH6 (deletion of CT at nucleotide
3052 in exon 4). The mutation was identified through genetic linkage
(multipoint lod score 2.4) and subsequent sequencing of MSH6.
Furthermore, the entire MSH6 gene was sequenced exon by exon in families
with frameshift mutations in the (C)8 tract in tumors, previously
suggested as a predictor of MSH6 germ-line mutations; no mutations were
found. We conclude that germ-line involvement of MSH6 and MSH3 is rare
and that other genes are likely to account for a majority of MSH2-,
MLH1-mutation negative families with nonpolypotic colon cancer.
14
UI - 11507051
AU - Mori Y; Yin J; Rashid A; Leggett BA; Young J; Simms L; Kuehl PM;
TI -
Langenberg P; Meltzer SJ; Stine OC
Instabilotyping: comprehensive identification of frameshift mutations
caused by coding region microsatellite instability.
SO - Cancer Res 2001 Aug 15;61(16):6046-9
AD - Department of Medicine, University of Maryland School of Medicine,
Baltimore V. A. Hospital, Baltimore, Maryland 21201, USA.
Coding region frameshift mutation caused by microsatellite instability
(MSI) is one mechanism contributing to tumorigenesis in cancers with MSI
in high frequency. Mutation of TGFBR2 is one example of this process. To
identify additional examples, a large-scale genomic screen of coding
region microsatellites was conducted. 1115 coding homopolymeric loci
with six or more nucleotides were identified in an online genetic
database. Mutational screening was performed at 152 of these loci in 46
colorectal tumors with MSI in high frequency. Nine loci were mutated in
> or =20% of tumors, 10 loci in 10-20%, 24 loci in 5-10%, 43 loci in
<5%, and 66 loci were not mutated in any tumors. The most frequently
mutated novel loci were the activin type II receptor gene (58.1%), SEC63
(48.8%), AIM 2 (47.6%), a gene encoding a subunit of the NADH-ubiquinone
oxidoreductase complex (27.9%), a homologue of mouse cordon-bleu
(23.8%), and EBP1/PA2G4 (20.9%). This genome-wide approach identifies
coding region MSI in genes or pathways not implicated previously in
colorectal tumorigenesis, which may merit functional study or other
additional analysis.
15
UI - 11546830
AU - Liu T; Chen J; Salahshor S; Kuismanen S; Holmberg E; Gronberg H;
TI -
Peltomaki P; Lindblom A
Screening families with endometrial and colorectal cancers for germline
mutations.
SO - J Med Genet 2001 Sep;38(9):E29
16
UI - 11950865
AU - Albuquerque C; Cravo M; Cruz C; Lage P; Chaves P; Fidalgo P; Suspiro A;
TI -
Nobre Leitao C
Genetic characterisation of patients with multiple colonic polyps.
SO - J Med Genet 2002 Apr;39(4):297-302
17
UI - 12063922
AU - Jonas J; Kruse R; Bahr R
TI -
[Muir-Torre syndrome]
SO - Chirurg 2002 Apr;73(4):366-9
AD - Klinik fur Abdominal- und Thoraxchirurgie, Stadtisches Klinikum
Karlsruhe, Moltkestrasse 90, 76133 Karlsruhe.
AllgemeinChirurgie@Klinikum-Karlsruhe.de
The Muir-Torre syndrome (MTS) is an autosomal dominant disease defined
by the coincidence of at least one sebaceous skin tumor and one internal
malignancy. We describe an additional case and give a review of the
literature. Over a period of 7 years, 19 skin tumors were excised in a
50 year old male patient. A total of 3 colonic carcinomas, one gastric
carcinoma and one laryngeal carcinoma were operated successfully. The
underlying defective mutation in the hMSH2 gene and the microsatellite
instability were demonstrable. MTS is graded as a subgroup of hereditary
non-polyposis colorectal cancer (HNPCC). In patients with MTS and with
family members with known defective mutation, regular follow-up and
search for new malignancies are mandatory.
18
UI - 12183410
AU - Nakagawa H; Yan H; Lockman J; Hampel H; Kinzler KW; Vogelstein B; De La
TI -
Chapelle A
Allele separation facilitates interpretation of potential splicing
alterations and genomic rearrangements.
SO - Cancer Res 2002 Aug 15;62(16):4579-82
AD - Human Cancer Genetics Program, Comprehensive Cancer Center, The Ohio
State University, Columbus, Ohio 43210, USA.
Mutations that alter normal splice patterns and genomic rearrangements
are common causes of hereditary diseases including hereditary
nonpolyposis colorectal cancer. However, abnormal transcripts can be
difficult to detect and interpret because splicing patterns are often
heterogeneous even in normal cells. Standard techniques including
sequencing and Southern hybridization fail to detect some genomic
rearrangements. We show here that separation of alleles in somatic cell
hybrids, through "conversion" technology, considerably facilitates the
interpretation of abnormal splicing patterns and the detection of
genomic rearrangements. We detected novel mutations in MLH1 in each of
four hereditary nonpolyposis colorectal cancer patients. The genomic
mutations were CAG>CAA predicting Q346Q; GAG>AAG predicting E102K; a>g
at nucleotide 1559-2 at intron 13, and a tandem duplication involving
exons 7-12. By separating the two alleles, we showed that one allele
produced only abnormal transcript or no transcript whereas the other
allele produced only normal transcript. These results allowed
pathogenicity to be unambiguously assigned to the mutations and
increased the sensitivity of genomic testing.
19
UI - 12124176
AU - Heinen CD; Wilson T; Mazurek A; Berardini M; Butz C; Fishel R
TI -
HNPCC mutations in hMSH2 result in reduced hMSH2-hMSH6 molecular switch
functions.
SO - Cancer Cell 2002 Jun;1(5):469-78
AD - Genetics and Molecular Biology Program, Department of Microbiology and
Immunology, Kimmel Cancer Center, Thomas Jefferson University,
Philadelphia, Pennsylvania 19107, USA.
Mutations in the human mismatch repair (MMR) gene hMSH2 have been linked
to approximately 40% of hereditary nonpolyposis colorectal cancers
(HNPCC). While the consequences of deletion or truncating mutations of
hMSH2 would appear clear, the detailed functional defects associated
with missense alterations are unknown. We have examined the effect of
seven single amino acid substitutions associated with HNPCC that cover
the structural subdomains of the hMSH2 protein. We show that alterations
which produced a known cancer-causing phenotype affected the
mismatch-dependent molecular switch function of the biologically
relevant hMSH2-hMSH6 heterodimer. Our observations demonstrate that
amino acid substitutions within hMSH2 that are distant from known
functional regions significantly alter biochemical activity and the
ability of hMSH2-hMSH6 to form a sliding clamp.
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