DNA mismatch repair genes and colorectal cancer.

Positional cloning and linkage analysis have shown that inactivation of one of the mismatch repair genes (hMLH1, hMSH2, hPMS1, hPMS2, GTBP/hMSH6) is responsible for the microsatellite instability or replication error (RER+) seen in more than 90% of hereditary nonpolyposis colorectal cancers (HNPCC)...

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Main Authors: Wheeler, J, Bodmer, W, Mortensen, N
Format: Journal article
Language:English
Published: 2000
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author Wheeler, J
Bodmer, W
Mortensen, N
author_facet Wheeler, J
Bodmer, W
Mortensen, N
author_sort Wheeler, J
collection OXFORD
description Positional cloning and linkage analysis have shown that inactivation of one of the mismatch repair genes (hMLH1, hMSH2, hPMS1, hPMS2, GTBP/hMSH6) is responsible for the microsatellite instability or replication error (RER+) seen in more than 90% of hereditary nonpolyposis colorectal cancers (HNPCC) and 15% of sporadic RER+ colorectal cancers. In HNPCC, a germline mutation (usually in hMLH1 or hMSH2) is accompanied by one further event (usually allelic loss) to inactivate a mismatch repair gene. In contrast, somatic mutations in the mismatch repair genes are not frequently found in sporadic RER+ colorectal cancers. Hypermethylation of the hMLH1 promoter region has recently been described, and this epigenetic change is the predominant cause of inactivation of mismatch repair genes in sporadic RER+ colorectal and other cancers. Inactivation of a mismatch repair gene may occur early (before inactivation of the APC gene) and produce a raised mutation rate in a proportion of HNPCC patients, and these cancers will follow a different pathway to other RER+ cancers. However, it is likely that selection for escape from apoptosis is the most important feature in the evolution of an RER+ cancer.
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spelling oxford-uuid:d63175f4-dafb-4435-8ad0-4444843755af2022-03-27T08:31:38ZDNA mismatch repair genes and colorectal cancer.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d63175f4-dafb-4435-8ad0-4444843755afEnglishSymplectic Elements at Oxford2000Wheeler, JBodmer, WMortensen, NPositional cloning and linkage analysis have shown that inactivation of one of the mismatch repair genes (hMLH1, hMSH2, hPMS1, hPMS2, GTBP/hMSH6) is responsible for the microsatellite instability or replication error (RER+) seen in more than 90% of hereditary nonpolyposis colorectal cancers (HNPCC) and 15% of sporadic RER+ colorectal cancers. In HNPCC, a germline mutation (usually in hMLH1 or hMSH2) is accompanied by one further event (usually allelic loss) to inactivate a mismatch repair gene. In contrast, somatic mutations in the mismatch repair genes are not frequently found in sporadic RER+ colorectal cancers. Hypermethylation of the hMLH1 promoter region has recently been described, and this epigenetic change is the predominant cause of inactivation of mismatch repair genes in sporadic RER+ colorectal and other cancers. Inactivation of a mismatch repair gene may occur early (before inactivation of the APC gene) and produce a raised mutation rate in a proportion of HNPCC patients, and these cancers will follow a different pathway to other RER+ cancers. However, it is likely that selection for escape from apoptosis is the most important feature in the evolution of an RER+ cancer.
spellingShingle Wheeler, J
Bodmer, W
Mortensen, N
DNA mismatch repair genes and colorectal cancer.
title DNA mismatch repair genes and colorectal cancer.
title_full DNA mismatch repair genes and colorectal cancer.
title_fullStr DNA mismatch repair genes and colorectal cancer.
title_full_unstemmed DNA mismatch repair genes and colorectal cancer.
title_short DNA mismatch repair genes and colorectal cancer.
title_sort dna mismatch repair genes and colorectal cancer
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AT bodmerw dnamismatchrepairgenesandcolorectalcancer
AT mortensenn dnamismatchrepairgenesandcolorectalcancer