Abstract
Microsatellite instability (MSI) occurs in most hereditary nonpolyposis colorectal cancers (HNPCC) and less frequently in sporadic tumors as the result of DNA mismatch repair (MMR) deficiency. Instability at coding microsatellites (cMS) in specific target genes causes frameshift mutations and functional inactivation of affected proteins, thereby providing a selective growth advantage to MMR deficient cells. At present, little is known about Selective Target Gene frameshift mutations in preneoplastic lesions. In this study, we examined 30 HNPCC-associated MSI-H colorectal adenomas of different grades of dysplasia for frameshift mutations in 26 cMS-bearing genes, which, according to our previous model, represent Selective Target genes of MSI. About 30% (8/26) of these genes showed a high mutation frequency (⩾50%) in colorectal adenomas, similar to the frequencies reported for colorectal carcinomas. Mutations in one gene (PTHL3) occurred significantly less frequently in MSI adenomas compared to published mutation rates in MSI carcinomas (36.0 vs 85.7%, P=0.023). Biallelic inactivation was observed in nine genes, thus emphasizing the functional impact of cMS instability on MSI tumorigenesis. Some genes showed a high frequency of frameshift mutations already at early stages of MSI colorectal tumorigenesis that increased with grade of dysplasia and transition to carcinoma. These include known Target Genes like BAX and TGFBR2, as well as three novel candidates, MACS, NDUFC2, and TAF1B. Overall, we have identified genes of potential relevance for the initiation and progression of MSI tumorigenesis, thus representing promising candidates for novel diagnostic and therapeutic approaches directed towards MMR-deficient tumors.
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Acknowledgements
We gratefully acknowledge the excellent technical assistance of B Kuchenbuch and I Voehringer. We also thank Axel Benner (Central Unit Biostatistics, German Cancer Research Center, Heidelberg, Germany) and Christoph Engel (Center for Documentation and Biometry, Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Germany) for excellent statistical advice. This work was funded by a grant of the Deutsche Krebshilfe to the German HNPCC Consortium.
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The German HNPCC-Consortium consists of the following centers (in alphabetic order): clinical centers in Bochum (in addition to author: Frank Brasch, Jörg T Epplen, Stefan Hahn, H-P Mueller, Karsten Schulmann, Jörg Willert, Wolf Schmiegel), Bonn (Peter Propping, Elisabeth Mangold, Waltraut Friedl, Christof Lamberti, Tilman Sauerbruch, Holger Lauschke), Düsseldorf (in addition to author: Anika Hansmann, Tilmann Vogel, Claudia Wieland, Timm Goecke, Christopher Poremba, Daniel Gödde), Dresden (in addition to author: Stefan Krüger, Jens Plaschke, Daniela E. Aust, Ruth Höhl, Steffen R. Pistorius), Heidelberg (in addition to authors: Mirjam Tariverdian, Uta Mazitschek, Friedrich Cremer, Monika Keller), München (in addition to author: Elke Holinski-Feder, Yvonne Müller-Koch, Christiane Tympner, Gisela Keller, Wolfgang Dietmaier, Petra Rümmele), center for reference pathology Kassel (in addition to author: Thomas Brodegger), and center for documentation and biometry in Leipzig (Christoph Engel, Jochen Forberg, Marlies Herold, Markus Loeffler).
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Woerner, S., Kloor, M., Mueller, A. et al. Microsatellite instability of selective target genes in HNPCC-associated colon adenomas. Oncogene 24, 2525–2535 (2005). https://doi.org/10.1038/sj.onc.1208456
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DOI: https://doi.org/10.1038/sj.onc.1208456
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