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Review Open Access

Deficient mismatch repair: Read all about it (Review)

  • Authors:
    • Susan Richman
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    Affiliations: Department of Pathology and Tumour Biology, Leeds Institute of Cancer and Pathology, St. James University Hospital, Leeds, LS9 7TF, UK
    Copyright: © Richman et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1189-1202
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    Published online on: August 12, 2015
       https://doi.org/10.3892/ijo.2015.3119
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Abstract

Defects in the DNA mismatch repair (MMR) proteins, result in a phenotype called microsatellite instability (MSI), occurring in up to 15% of sporadic colorectal cancers. Approximately one quarter of colon cancers with deficient MMR (dMMR) develop as a result of an inherited predisposition syndrome, Lynch syndrome (formerly known as HNPCC). It is essential to identify patients who potentially have Lynch syndrome, as not only they, but also family members, may require screening and monitoring. Diagnostic criteria have been developed, based primarily on Western populations, and several methodologies are available to identify dMMR tumours, including immunohistochemistry and microsatellite testing. These criteria have provided evidence supporting the introduction of reflex testing. Yet, it is becoming increasingly clear that tests have a limited sensitivity and specificity and may yet be superseded by next generation sequencing. In this review, the limitations of diagnostic criteria are discussed, and current and emerging screening technologies explained. There is now useful evidence supporting the prognostic and predictive value of dMMR status in colorectal tumours, but much less is known about their value in extracolonic tumours, that may also feature in Lynch syndrome. This review assesses current literature relating to dMMR in endometrial, ovarian, gastric and melanoma cancers, which it would seem, may benefit from large-scale clinical trials in order to further close the gap in knowledge between colorectal and extracolonic tumours.
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1 

Nilbert M, Planck M, Fernebro E, Borg A and Johnson A: Microsatellite instability is rare in rectal carcinomas and signifies hereditary cancer. Eur J Cancer. 35:942–945. 1999. View Article : Google Scholar : PubMed/NCBI

2 

Sinicrope FA, Rego RL, Foster N, Sargent DJ, Windschitl HE, Burgart LJ, Witzig TE and Thibodeau SN: Microsatellite instability accounts for tumor site-related differences in clinicopathologic variables and prognosis in human colon cancers. Am J Gastroenterol. 101:2818–2825. 2006. View Article : Google Scholar : PubMed/NCBI

3 

Jass JR: Classification of colorectal cancer based on correlation of clinical, morphological and molecular features. Histopathology. 50:113–130. 2007. View Article : Google Scholar : PubMed/NCBI

4 

Fearon ER and Vogelstein B: A genetic model for colorectal tumorigenesis. Cell. 61:759–767. 1990. View Article : Google Scholar : PubMed/NCBI

5 

Thibodeau SN, French AJ, Cunningham JM, Tester D, Burgart LJ, Roche PC, McDonnell SK, Schaid DJ, Vockley CW, Michels VV, et al: Microsatellite instability in colorectal cancer: Different mutator phenotypes and the principal involvement of hMLH1. Cancer Res. 58:1713–1718. 1998.PubMed/NCBI

6 

Cunningham JM, Christensen ER, Tester DJ, Kim CY, Roche PC, Burgart LJ and Thibodeau SN: Hypermethylation of the hMLH1 promoter in colon cancer with microsatellite instability. Cancer Res. 58:3455–3460. 1998.PubMed/NCBI

7 

Cunningham JM, Kim CY, Christensen ER, Tester DJ, Parc Y, Burgart LJ, Halling KC, McDonnell SK, Schaid DJ, Walsh Vockley C, et al: The frequency of hereditary defective mismatch repair in a prospective series of unselected colorectal carcinomas. Am J Hum Genet. 69:780–790. 2001. View Article : Google Scholar : PubMed/NCBI

8 

Kane MF, Loda M, Gaida GM, Lipman J, Mishra R, Goldman H, Jessup JM and Kolodner R: Methylation of the hMLH1 promoter correlates with lack of expression of hMLH1 in sporadic colon tumors and mismatch repair-defective human tumor cell lines. Cancer Res. 57:808–811. 1997.PubMed/NCBI

9 

Poynter JN, Siegmund KD, Weisenberger DJ, Long TI, Thibodeau SN, Lindor N, Young J, Jenkins MA, Hopper JL, Baron JA, et al: Molecular characterization of MSI-H colorectal cancer by MLHI promoter methylation, immunohistochemistry, and mismatch repair germline mutation screening. Cancer Epidemiol Biomarkers Prev. 17:3208–3215. 2008. View Article : Google Scholar : PubMed/NCBI

10 

Lynch HT, Shaw MW, Magnuson CW, Larsen AL and Krush AJ: Hereditary factors in cancer. Study of two large midwestern kindreds. Arch Intern Med. 117:206–212. 1966. View Article : Google Scholar : PubMed/NCBI

11 

Jasperson KW, Tuohy TM, Neklason DW and Burt RW: Hereditary and familial colon cancer. Gastroenterology. 138:2044–2058. 2010. View Article : Google Scholar : PubMed/NCBI

12 

Plazzer JP, Sijmons RH, Woods MO, Peltomäki P, Thompson B, Den Dunnen JT and Macrae F: The InSiGHT database: Utilizing 100 years of insights into Lynch syndrome. Fam Cancer. 12:175–180. 2013. View Article : Google Scholar : PubMed/NCBI

13 

Hitchins MP and Ward RL: Constitutional (germline) MLH1 epimutation as an aetiological mechanism for hereditary non-polyposis colorectal cancer. J Med Genet. 46:793–802. 2009. View Article : Google Scholar : PubMed/NCBI

14 

Gazzoli I, Loda M, Garber J, Syngal S and Kolodner RD: A hereditary nonpolyposis colorectal carcinoma case associated with hypermethylation of the MLH1 gene in normal tissue and loss of heterozygosity of the unmethylated allele in the resulting microsatellite instability-high tumor. Cancer Res. 62:3925–3928. 2002.PubMed/NCBI

15 

Crucianelli F, Tricarico R, Turchetti D, Gorelli G, Gensini F, Sestini R, Giunti L, Pedroni M, Ponz de Leon M, Civitelli S, et al: MLH1 constitutional and somatic methylation in patients with MLH1 negative tumors fulfilling the revised Bethesda criteria. Epigenetics. 9:1431–1438. 2014. View Article : Google Scholar : PubMed/NCBI

16 

Ward RL, Dobbins T, Lindor NM, Rapkins RW and Hitchins MP: Identification of constitutional MLH1 epimutations and promoter variants in colorectal cancer patients from the Colon Cancer Family Registry. Genet Med. 15:25–35. 2013. View Article : Google Scholar

17 

Pineda M, Mur P, Iniesta MD, Borràs E, Campos O, Vargas G, Iglesias S, Fernández A, Gruber SB, Lázaro C, et al: MLH1 methylation screening is effective in identifying epimutation carriers. Eur J Hum Genet. 20:1256–1264. 2012. View Article : Google Scholar : PubMed/NCBI

18 

Ligtenberg MJ, Kuiper RP, Chan TL, Goossens M, Hebeda KM, Voorendt M, Lee TY, Bodmer D, Hoenselaar E, Hendriks-Cornelissen SJ, et al: Heritable somatic methylation and inactivation of MSH2 in families with Lynch syndrome due to deletion of the 3′ exons of TACSTD1. Nat Genet. 41:112–117. 2009. View Article : Google Scholar

19 

Kloor M, Voigt AY, Schackert HK, Schirmacher P, von Knebel Doeberitz M and Bläker H: Analysis of EPCAM protein expression in diagnostics of Lynch syndrome. J Clin Oncol. 29:223–227. 2011. View Article : Google Scholar

20 

Huth C, Kloor M, Voigt AY, Bozukova G, Evers C, Gaspar H, Tariverdian M, Schirmacher P, von Knebel Doeberitz M and Bläker H: The molecular basis of EPCAM expression loss in Lynch syndrome-associated tumors. Mod Pathol. 25:911–916. 2012. View Article : Google Scholar : PubMed/NCBI

21 

Musulen E, Blanco I, Carrato C, Fernandez-Figueras MT, Pineda M, Capella G and Ariza A: Usefulness of epithelial cell adhesion molecule expression in the algorithmic approach to Lynch syndrome identification. Hum Pathol. 44:412–416. 2013. View Article : Google Scholar

22 

Vasen HF, Mecklin JP, Khan PM and Lynch HT: The International Collaborative Group on Hereditary Non-Polyposis Colorectal Cancer (ICG-HNPCC). Dis Colon Rectum. 34:424–425. 1991. View Article : Google Scholar : PubMed/NCBI

23 

Vasen HF, Watson P, Mecklin JP and Lynch HT: New clinical criteria for hereditary nonpolyposis colorectal cancer (HNPCC, Lynch syndrome) proposed by the International Collaborative group on HNPCC. Gastroenterology. 116:1453–1456. 1999. View Article : Google Scholar : PubMed/NCBI

24 

Rodriguez-Bigas MA, Boland CR, Hamilton SR, Henson DE, Jass JR, Khan PM, Lynch H, Perucho M, Smyrk T, Sobin L, et al: A National Cancer Institute Workshop on Hereditary Nonpolyposis Colorectal Cancer Syndrome: Meeting highlights and Bethesda guidelines. J Natl Cancer Inst. 89:1758–1762. 1997. View Article : Google Scholar : PubMed/NCBI

25 

Umar A, Boland CR, Terdiman JP, Syngal S, de la Chapelle A, Rüschoff J, Fishel R, Lindor NM, Burgart LJ, Hamelin R, et al: Revised Bethesda Guidelines for hereditary nonpolyposis colorectal cancer (Lynch syndrome) and microsatellite instability. J Natl Cancer Inst. 96:261–268. 2004. View Article : Google Scholar : PubMed/NCBI

26 

Boland CR and Shike M: Report from the Jerusalem workshop on Lynch syndrome-hereditary nonpolyposis colorectal cancer. Gastroenterology. 138:2197 e2191–2197. 2010. View Article : Google Scholar

27 

Yan HL, Hao LQ, Jin HY, Xing QH, Xue G, Mei Q, He J, He L and Sun SH: Clinical features and mismatch repair genes analyses of Chinese suspected hereditary non-polyposis colorectal cancer: A cost-effective screening strategy proposal. Cancer Sci. 99:770–780. 2008. View Article : Google Scholar : PubMed/NCBI

28 

Graham DY: Helicobacter pylori update: gastric cancer, reliable therapy, and possible benefits. Gastroenterology. 148:719–731 e713. 2015. View Article : Google Scholar : PubMed/NCBI

29 

Ringelhan M, O'Connor T, Protzer U and Heikenwalder M: The direct and indirect roles of HBV in liver cancer: Prospective markers for HCC screening and potential therapeutic targets. J Pathol. 235:355–367. 2015. View Article : Google Scholar

30 

Wang XL, Yuan Y, Zhang SZ, Cai SR, Huang YQ, Jiang Q and Zheng S: Clinical and genetic characteristics of Chinese hereditary nonpolyposis colorectal cancer families. World J Gastroenterol. 12:4074–4077. 2006.PubMed/NCBI

31 

Chew MH, Koh PK, Ng KH, Lim JF, Ho KS, Ooi BS, Tang CL and Eu KW: Phenotypic characteristics of hereditary non-polyposis colorectal cancer by the Amsterdam criteria: An Asian perspective. ANZ J Surg. 78:556–560. 2008. View Article : Google Scholar : PubMed/NCBI

32 

Liu F, Yang L, Zhou X, Sheng W, Cai S, Liu L, Nan P and Xu Y: Clinicopathological and genetic features of Chinese hereditary nonpolyposis colorectal cancer (HNPCC). Med Oncol. 31:2232014. View Article : Google Scholar : PubMed/NCBI

33 

Chew MH, Koh PK, Tan M, Lim KH, Carol L and Tang CL: Mismatch repair deficiency screening via immunohistochemical staining in young Asians with colorectal cancers. World J Surg. 37:2468–2475. 2013. View Article : Google Scholar : PubMed/NCBI

34 

Ladabaum U, Wang G, Terdiman J, Blanco A, Kuppermann M, Boland CR, Ford J, Elkin E and Phillips KA: Strategies to identify the Lynch syndrome among patients with colorectal cancer: A cost-effectiveness analysis. Ann Intern Med. 155:69–79. 2011. View Article : Google Scholar : PubMed/NCBI

35 

Mvundura M, Grosse SD, Hampel H and Palomaki GE: The cost-effectiveness of genetic testing strategies for Lynch syndrome among newly diagnosed patients with colorectal cancer. Genet Med. 12:93–104. 2010. View Article : Google Scholar : PubMed/NCBI

36 

Snowsill T, Huxley N, Hoyle M, Jones-Hughes T, Coelho H, Cooper C, Frayling I and Hyde C: A systematic review and economic evaluation of diagnostic strategies for Lynch syndrome. Health Technol Assess. 18:1–406. 2014. View Article : Google Scholar : PubMed/NCBI

37 

Schofield L, Grieu F, Amanuel B, Carrello A, Spagnolo D, Kiraly C, Pachter N, Goldblatt J, Platell C, Levitt M, et al: Population-based screening for Lynch syndrome in Western Australia. Int J Cancer. 135:1085–1091. 2014. View Article : Google Scholar : PubMed/NCBI

38 

Snowsill T, Huxley N, Hoyle M, Jones-Hughes T, Coelho H, Cooper C, Frayling I and Hyde C: A model-based assessment of the cost-utility of strategies to identify Lynch syndrome in early-onset colorectal cancer patients. BMC Cancer. 15:3132015. View Article : Google Scholar : PubMed/NCBI

39 

Sie AS, Mensenkamp AR, Adang EM, Ligtenberg MJ and Hoogerbrugge N: Fourfold increased detection of Lynch syndrome by raising age limit for tumour genetic testing from 50 to 70 years is cost-effective. Ann Oncol. 25:2001–2007. 2014. View Article : Google Scholar : PubMed/NCBI

40 

Bellcross CA, Bedrosian SR, Daniels E, Duquette D, Hampel H, Jasperson K, Joseph DA, Kaye C, Lubin I, Meyer LJ, et al: Implementing screening for Lynch syndrome among patients with newly diagnosed colorectal cancer: summary of a public health/clinical collaborative meeting. Genet Med. 14:152–162. 2012. View Article : Google Scholar : PubMed/NCBI

41 

Data briefing: Reflex testing for Lynch syndrome in people diagnosed with bowel cancer under the age of 50. http://www.bowelcanceruk.org.uk/media/426888/lynch_syndrome_briefing_final.pdf. Accessed April 15, 2015

42 

Tomiak E, Samson A, Spector N, Mackey M, Gilpin C, Smith E, Jonker D, Allanson J and Asmis T: Reflex testing for Lynch syndrome: If we build it, will they come? Lessons learned from the uptake of clinical genetics services by individuals with newly diagnosed colorectal cancer (CRC). Fam Cancer. 13:75–82. 2014. View Article : Google Scholar :

43 

Beamer LC, Grant ML, Espenschied CR, Blazer KR, Hampel HL, Weitzel JN and MacDonald DJ: Reflex immunohistochemistry and microsatellite instability testing of colorectal tumors for Lynch syndrome among US cancer programs and follow-up of abnormal results. J Clin Oncol. 30:1058–1063. 2012. View Article : Google Scholar : PubMed/NCBI

44 

Schofield L, Grieu F, Goldblatt J, Amanuel B and Iacopetta B: A state-wide population-based program for detection of Lynch syndrome based upon immunohistochemical and molecular testing of colorectal tumours. Fam Cancer. 11:1–6. 2012. View Article : Google Scholar

45 

Mensenkamp AR, Vogelaar IP, van Zelst-Stams WA, Goossens M, Ouchene H, Hendriks-Cornelissen SJ, Kwint MP, Hoogerbrugge N, Nagtegaal ID and Ligtenberg MJ: Somatic mutations in MLH1 and MSH2 are a frequent cause of mismatch-repair deficiency in Lynch syndrome-like tumors. Gastroenterology. 146:643–646 e648. 2014. View Article : Google Scholar

46 

Fadhil W and Ilyas M: Immunostaining for mismatch repair (MMR) protein expression in colorectal cancer is better and easier to interpret when performed on diagnostic biopsies. Histopathology. 60:653–655. 2012. View Article : Google Scholar : PubMed/NCBI

47 

Bao F, Panarelli NC, Rennert H, Sherr DL and Yantiss RK: Neoadjuvant therapy induces loss of MSH6 expression in colorectal carcinoma. Am J Surg Pathol. 34:1798–1804. 2010. View Article : Google Scholar : PubMed/NCBI

48 

Genuardi M, Carrara S, Anti M, Ponz de Leòn M and Viel A: Assessment of pathogenicity criteria for constitutional missense mutations of the hereditary nonpolyposis colorectal cancer genes MLH1 and MSH2. Eur J Hum Genet. 7:778–782. 1999. View Article : Google Scholar : PubMed/NCBI

49 

Cravo M, Afonso AJ, Lage P, Albuquerque C, Maia L, Lacerda C, Fidalgo P, Chaves P, Cruz C and Nobre-Leitão C: Pathogenicity of missense and splice site mutations in hMSH2 and hMLH1 mismatch repair genes: Implications for genetic testing. Gut. 50:405–412. 2002. View Article : Google Scholar : PubMed/NCBI

50 

Bouzourene H, Hutter P, Losi L, Martin P and Benhattar J: Selection of patients with germline MLH1 mutated Lynch syndrome by determination of MLH1 methylation and BRAF mutation. Fam Cancer. 9:167–172. 2010. View Article : Google Scholar

51 

McGivern A, Wynter CV, Whitehall VL, Kambara T, Spring KJ, Walsh MD, Barker MA, Arnold S, Simms LA, Leggett BA, et al: Promoter hypermethylation frequency and BRAF mutations distinguish hereditary non-polyposis colon cancer from sporadic MSI-H colon cancer. Fam Cancer. 3:101–107. 2004. View Article : Google Scholar : PubMed/NCBI

52 

Capper D, Voigt A, Bozukova G, Ahadova A, Kickingereder P, von Deimling A, von Knebel Doeberitz M and Kloor M: BRAF V600E-specific immunohistochemistry for the exclusion of Lynch syndrome in MSI-H colorectal cancer. Int J Cancer. 133:1624–1630. 2013. View Article : Google Scholar : PubMed/NCBI

53 

Loughrey MB, Waring PM, Tan A, Trivett M, Kovalenko S, Beshay V, Young MA, McArthur G, Boussioutas A and Dobrovic A: Incorporation of somatic BRAF mutation testing into an algorithm for the investigation of hereditary non-polyposis colorectal cancer. Fam Cancer. 6:301–310. 2007. View Article : Google Scholar : PubMed/NCBI

54 

Capper D, Preusser M, Habel A, Sahm F, Ackermann U, Schindler G, Pusch S, Mechtersheimer G, Zentgraf H and von Deimling A: Assessment of BRAF V600E mutation status by immunohistochemistry with a mutation-specific monoclonal antibody. Acta Neuropathol. 122:11–19. 2011. View Article : Google Scholar : PubMed/NCBI

55 

Colomba E, Hélias-Rodzewicz Z, Von Deimling A, Marin C, Terrones N, Pechaud D, Surel S, Côté JF, Peschaud F, Capper D, et al: Detection of BRAF p.V600E mutations in melanomas: Comparison of four methods argues for sequential use of immunohistochemistry and pyrosequencing. J Mol Diagn. 15:94–100. 2013. View Article : Google Scholar

56 

Ihle MA, Fassunke J, König K, Grünewald I, Schlaak M, Kreuzberg N, Tietze L, Schildhaus HU, Büttner R and Merkelbach-Bruse S: Comparison of high resolution melting analysis, pyrosequencing, next generation sequencing and immunohistochemistry to conventional Sanger sequencing for the detection of p.V600E and non-p.V600E BRAF mutations. BMC Cancer. 14:132014. View Article : Google Scholar : PubMed/NCBI

57 

Adackapara CA, Sholl LM, Barletta JA and Hornick JL: Immunohistochemistry using the BRAF V600E mutation-specific monoclonal antibody VE1 is not a useful surrogate for genotyping in colorectal adenocarcinoma. Histopathology. 63:187–193. 2013. View Article : Google Scholar : PubMed/NCBI

58 

Loes IM, Immervoll H, Angelsen JH, Horn A, Geisler J, Busch C, Lønning PE and Knappskog S: Performance comparison of three BRAF V600E detection methods in malignant melanoma and colorectal cancer specimens. Tumour Biol. 36:1003–1013. 2015. View Article : Google Scholar :

59 

Xicola RM, Llor X, Pons E, Castells A, Alenda C, Piñol V, Andreu M, Castellví-Bel S, Payá A, Jover R, et al; Gastrointestinal Oncology Group of the Spanish Gastroenterological Association. Performance of different microsatellite marker panels for detection of mismatch repair-deficient colorectal tumors. J Natl Cancer Inst. 99:244–252. 2007. View Article : Google Scholar : PubMed/NCBI

60 

Bapat B, Lindor NM, Baron J, Siegmund K, Li L, Zheng Y, Haile R, Gallinger S, Jass JR, Young JP, et al: The association of tumor microsatellite instability phenotype with family history of colorectal cancer. Cancer Epidemiol Biomarkers Prev. 18:967–975. 2009. View Article : Google Scholar : PubMed/NCBI

61 

Graham T, Halford S, Page KM and Tomlinson IP: Most low-level microsatellite instability in colorectal cancers can be explained without an elevated slippage rate. J Pathol. 215:204–210. 2008. View Article : Google Scholar : PubMed/NCBI

62 

Halford S, Sasieni P, Rowan A, Wasan H, Bodmer W, Talbot I, Hawkins N, Ward R and Tomlinson I: Low-level microsatellite instability occurs in most colorectal cancers and is a nonrandomly distributed quantitative trait. Cancer Res. 62:53–57. 2002.PubMed/NCBI

63 

Tomlinson I, Halford S, Aaltonen L, Hawkins N and Ward R: Does MSI-low exist? J Pathol. 197:6–13. 2002. View Article : Google Scholar : PubMed/NCBI

64 

Cicek MS, Lindor NM, Gallinger S, Bapat B, Hopper JL, Jenkins MA, Young J, Buchanan D, Walsh MD, Le Marchand L, et al: Quality assessment and correlation of microsatellite instability and immunohistochemical markers among population- and clinic-based colorectal tumors results from the Colon Cancer Family Registry. J Mol Diagn. 13:271–281. 2011. View Article : Google Scholar : PubMed/NCBI

65 

Pritchard CC, Smith C, Salipante SJ, Lee MK, Thornton AM, Nord AS, Gulden C, Kupfer SS, Swisher EM, Bennett RL, et al: ColoSeq provides comprehensive lynch and polyposis syndrome mutational analysis using massively parallel sequencing. J Mol Diagn. 14:357–366. 2012. View Article : Google Scholar : PubMed/NCBI

66 

Ribic CM, Sargent DJ, Moore MJ, Thibodeau SN, French AJ, Goldberg RM, Hamilton SR, Laurent-Puig P, Gryfe R, Shepherd LE, et al: Tumor microsatellite-instability status as a predictor of benefit from fluorouracil-based adjuvant chemotherapy for colon cancer. N Engl J Med. 349:247–257. 2003. View Article : Google Scholar : PubMed/NCBI

67 

Guastadisegni C, Colafranceschi M, Ottini L and Dogliotti E: Microsatellite instability as a marker of prognosis and response to therapy: A meta-analysis of colorectal cancer survival data. Eur J Cancer. 46:2788–2798. 2010. View Article : Google Scholar : PubMed/NCBI

68 

Sargent DJ, Marsoni S, Monges G, Thibodeau SN, Labianca R, Hamilton SR, French AJ, Kabat B, Foster NR, Torri V, et al: Defective mismatch repair as a predictive marker for lack of efficacy of fluorouracil-based adjuvant therapy in colon cancer. J Clin Oncol. 28:3219–3226. 2010. View Article : Google Scholar : PubMed/NCBI

69 

Hutchins G, Southward K, Handley K, Magill L, Beaumont C, Stahlschmidt J, Richman S, Chambers P, Seymour M, Kerr D, et al: Value of mismatch repair, KRAS, and BRAF mutations in predicting recurrence and benefits from chemotherapy in colorectal cancer. J Clin Oncol. 29:1261–1270. 2011. View Article : Google Scholar : PubMed/NCBI

70 

Malesci A, Laghi L, Bianchi P, Delconte G, Randolph A, Torri V, Carnaghi C, Doci R, Rosati R, Montorsi M, et al: Reduced likelihood of metastases in patients with microsatellite-unstable colorectal cancer. Clin Cancer Res. 13:3831–3839. 2007. View Article : Google Scholar : PubMed/NCBI

71 

Braun MS, Richman SD, Quirke P, Daly C, Adlard JW, Elliott F, Barrett JH, Selby P, Meade AM, Stephens RJ, et al: Predictive biomarkers of chemotherapy efficacy in colorectal cancer: Results from the UK MRC FOCUS trial. J Clin Oncol. 26:2690–2698. 2008. View Article : Google Scholar : PubMed/NCBI

72 

Koopman M, Kortman GA, Mekenkamp L, Ligtenberg MJ, Hoogerbrugge N, Antonini NF, Punt CJ and van Krieken JH: Deficient mismatch repair system in patients with sporadic advanced colorectal cancer. Br J Cancer. 100:266–273. 2009. View Article : Google Scholar : PubMed/NCBI

73 

Müller CI, Schulmann K, Reinacher-Schick A, Andre N, Arnold D, Tannapfel A, Arkenau H, Hahn SA, Schmoll SH, Porschen R, et al; AIO Colorectal Study Group. Predictive and prognostic value of microsatellite instability in patients with advanced colorectal cancer treated with a fluoropyrimidine and oxaliplatin containing first-line chemotherapy. A report of the AIO Colorectal Study Group. Int J Colorectal Dis. 23:1033–1039. 2008. View Article : Google Scholar : PubMed/NCBI

74 

Tikidzhieva A, Benner A, Michel S, Formentini A, Link KH, Dippold W, von Knebel Doeberitz M, Kornmann M and Kloor M: Microsatellite instability and Beta2-microglobulin mutations as prognostic markers in colon cancer: Results of the FOGT-4 trial. Br J Cancer. 106:1239–1245. 2012. View Article : Google Scholar : PubMed/NCBI

75 

Venderbosch S, Nagtegaal ID, Maughan TS, Smith CG, Cheadle JP, Fisher D, Kaplan R, Quirke P, Seymour MT, Richman SD, et al: Mismatch repair status and BRAF mutation status in metastatic colorectal cancer patients: A pooled analysis of the CAIRO, CAIRO2, COIN, and FOCUS studies. Clin Cancer Res. 20:5322–5330. 2014. View Article : Google Scholar : PubMed/NCBI

76 

Elsaleh H, Joseph D, Grieu F, Zeps N, Spry N and Iacopetta B: Association of tumour site and sex with survival benefit from adjuvant chemotherapy in colorectal cancer. Lancet. 355:1745–1750. 2000. View Article : Google Scholar : PubMed/NCBI

77 

Elsaleh H, Shannon B and Iacopetta B: Microsatellite instability as a molecular marker for very good survival in colorectal cancer patients receiving adjuvant chemotherapy. Gastroenterology. 120:1309–1310. 2001. View Article : Google Scholar : PubMed/NCBI

78 

Des Guetz G, Schischmanoff O, Nicolas P, Perret GY, Morere JF and Uzzan B: Does microsatellite instability predict the efficacy of adjuvant chemotherapy in colorectal cancer? A systematic review with meta-analysis. Eur J Cancer. 45:1890–1896. 2009. View Article : Google Scholar : PubMed/NCBI

79 

Hong SP, Min BS, Kim TI, Cheon JH, Kim NK, Kim H and Kim WH: The differential impact of microsatellite instability as a marker of prognosis and tumour response between colon cancer and rectal cancer. Eur J Cancer. 48:1235–1243. 2012. View Article : Google Scholar

80 

André T, Boni C, Navarro M, Tabernero J, Hickish T, Topham C, Bonetti A, Clingan P, Bridgewater J, Rivera F, et al: Improved overall survival with oxaliplatin, fluorouracil, and leucovorin as adjuvant treatment in stage II or III colon cancer in the MOSAIC trial. J Clin Oncol. 27:3109–3116. 2009. View Article : Google Scholar : PubMed/NCBI

81 

Zaanan A, Cuilliere-Dartigues P, Guilloux A, Parc Y, Louvet C, de Gramont A, Tiret E, Dumont S, Gayet B, Validire P, et al: Impact of p53 expression and microsatellite instability on stage III colon cancer disease-free survival in patients treated by 5-fluorouracil and leucovorin with or without oxaliplatin. Ann Oncol. 21:772–780. 2010. View Article : Google Scholar

82 

Kim ST, Lee J, Park SH, Park JO, Lim HY, Kang WK, Kim JY, Kim YH, Chang DK, Rhee PL, et al: Clinical impact of microsatellite instability in colon cancer following adjuvant FOLFOX therapy. Cancer Chemother Pharmacol. 66:659–667. 2010. View Article : Google Scholar

83 

Kim ST, Lee J, Park SH, Park JO, Lim HY, Kang WK, Kim JY, Kim YH, Chang DK, Rhee PL, et al: The effect of DNA mismatch repair (MMR) status on oxaliplatin-based first-line chemotherapy as in recurrent or metastatic colon cancer. Med Oncol. 27:1277–1285. 2010. View Article : Google Scholar

84 

Bertagnolli MM, Niedzwiecki D, Compton CC, Hahn HP, Hall M, Damas B, Jewell SD, Mayer RJ, Goldberg RM, Saltz LB, et al: Microsatellite instability predicts improved response to adjuvant therapy with irinotecan, fluorouracil, and leucovorin in stage III colon cancer: Cancer and Leukemia Group B Protocol 89803. J Clin Oncol. 27:1814–1821. 2009. View Article : Google Scholar : PubMed/NCBI

85 

Roth AD, Tejpar S, Delorenzi M, Yan P, Fiocca R, Klingbiel D, Dietrich D, Biesmans B, Bodoky G, Barone C, et al: Prognostic role of KRAS and BRAF in stage II and III resected colon cancer: Results of the translational study on the PETACC-3, EORTC 40993, SAKK 60-00 trial. J Clin Oncol. 28:466–474. 2010. View Article : Google Scholar

86 

Kim JE, Hong YS, Ryu MH, Lee JL, Chang HM, Lim SB, Kim JH, Jang SJ, Kim MJ, Yu CS, et al: Association between deficient mismatch repair system and efficacy to irinotecan-containing chemotherapy in metastatic colon cancer. Cancer Sci. 102:1706–1711. 2011. View Article : Google Scholar : PubMed/NCBI

87 

Matthews KS, Estes JM, Conner MG, Manne U, Whitworth JM, Huh WK, Alvarez RD, Straughn JM Jr, Barnes MN and Rocconi RP: Lynch syndrome in women less than 50 years of age with endometrial cancer. Obstet Gynecol. 111:1161–1166. 2008. View Article : Google Scholar : PubMed/NCBI

88 

Kato M, Takano M, Miyamoto M, Sasaki N, Goto T, Tsuda H and Furuya K: DNA mismatch repair-related protein loss as a prognostic factor in endometrial cancers. J Gynecol Oncol. 26:40–45. 2015. View Article : Google Scholar :

89 

Terada KY, Black M, Terada LH, Davis J and Shimizu DM: Survival of endometrial cancer patients with lymphatic invasion and deficient mismatch repair expression. Gynecol Oncol. 129:188–192. 2013. View Article : Google Scholar : PubMed/NCBI

90 

Resnick KE, Frankel WL, Morrison CD, Fowler JM, Copeland LJ, Stephens J, Kim KH and Cohn DE: Mismatch repair status and outcomes after adjuvant therapy in patients with surgically staged endometrial cancer. Gynecol Oncol. 117:234–238. 2010. View Article : Google Scholar : PubMed/NCBI

91 

Ruiz I, Martín-Arruti M, Lopez-Lopez E and Garcia-Orad A: Lack of association between deficient mismatch repair expression and outcome in endometrial carcinomas of the endometrioid type. Gynecol Oncol. 134:20–23. 2014. View Article : Google Scholar : PubMed/NCBI

92 

Nelson GS, Pink A, Lee S, Han G, Morris D, Ogilvie T, Duggan MA and Köbel M: MMR deficiency is common in high-grade endometrioid carcinomas and is associated with an unfavorable outcome. Gynecol Oncol. 131:309–314. 2013. View Article : Google Scholar : PubMed/NCBI

93 

Cohn DE, Frankel WL, Resnick KE, Zanagnolo VL, Copeland LJ, Hampel H, Kelbick N, Morrison CD and Fowler JM: Improved survival with an intact DNA mismatch repair system in endometrial cancer. Obstet Gynecol. 108:1208–1215. 2006. View Article : Google Scholar : PubMed/NCBI

94 

Diaz-Padilla I, Romero N, Amir E, Matias-Guiu X, Vilar E, Muggia F and Garcia-Donas J: Mismatch repair status and clinical outcome in endometrial cancer: A systematic review and meta-analysis. Crit Rev Oncol Hematol. 88:154–167. 2013. View Article : Google Scholar : PubMed/NCBI

95 

CRUK. Ovarian cancer incidence statistics. http://www.cancer-researchuk.org/cancer-info/cancerstats/types/ovary/incidence/. Accessed April 15, 2015

96 

Surveillance, Epidemiology, and End Results Program - National Cancer Institute. SEER Stat Fact Sheets: Ovary Cancer. http://seer.cancer.gov/statfacts/html/ovary.html. Accessed April 15, 2015

97 

Bonadona V, Bonaïti B, Olschwang S, Grandjouan S, Huiart L, Longy M, Guimbaud R, Buecher B, Bignon YJ, Caron O, et al; French Cancer Genetics Network. Cancer risks associated with germline mutations in MLH1, MSH2, and MSH6 genes in Lynch syndrome. JAMA. 305:2304–2310. 2011. View Article : Google Scholar : PubMed/NCBI

98 

Engel C, Loeffler M, Steinke V, Rahner N, Holinski-Feder E, Dietmaier W, Schackert HK, Goergens H, von Knebel Doeberitz M, Goecke TO, et al: Risks of less common cancers in proven mutation carriers with Lynch syndrome. J Clin Oncol. 30:4409–4415. 2012. View Article : Google Scholar : PubMed/NCBI

99 

Watson P, Vasen HF, Mecklin JP, Bernstein I, Aarnio M, Järvinen HJ, Myrhøj T, Sunde L, Wijnen JT and Lynch HT: The risk of extra-colonic, extra-endometrial cancer in the Lynch syndrome. Int J Cancer. 123:444–449. 2008. View Article : Google Scholar : PubMed/NCBI

100 

Xiao X, Melton DW and Gourley C: Mismatch repair deficiency in ovarian cancer - molecular characteristics and clinical implications. Gynecol Oncol. 132:506–512. 2014. View Article : Google Scholar

101 

Catasús L, Bussaglia E, Rodrguez I, Gallardo A, Pons C, Irving JA and Prat J: Molecular genetic alterations in endometrioid carcinomas of the ovary: Similar frequency of beta-catenin abnormalities but lower rate of microsatellite instability and PTEN alterations than in uterine endometrioid carcinomas. Hum Pathol. 35:1360–1368. 2004. View Article : Google Scholar

102 

Gras E, Catasus L, Argüelles R, Moreno-Bueno G, Palacios J, Gamallo C, Matias-Guiu X and Prat J: Microsatellite instability, MLH-1 promoter hypermethylation, and frameshift mutations at coding mononucleotide repeat microsatellites in ovarian tumors. Cancer. 92:2829–2836. 2001. View Article : Google Scholar : PubMed/NCBI

103 

Jensen KC, Mariappan MR, Putcha GV, Husain A, Chun N, Ford JM, Schrijver I and Longacre TA: Microsatellite instability and mismatch repair protein defects in ovarian epithelial neoplasms in patients 50 years of age and younger. Am J Surg Pathol. 32:1029–1037. 2008. View Article : Google Scholar : PubMed/NCBI

104 

Murphy MA and Wentzensen N: Frequency of mismatch repair deficiency in ovarian cancer: A systematic review This article is a US Government work and, as such, is in the public domain of the United States of America. Int J Cancer. 129:1914–1922. 2011. View Article : Google Scholar :

105 

Pal T, Permuth-Wey J, Kumar A and Sellers TA: Systematic review and meta-analysis of ovarian cancers: Estimation of microsatellite-high frequency and characterization of mismatch repair deficient tumor histology. Clin Cancer Res. 14:6847–6854. 2008. View Article : Google Scholar : PubMed/NCBI

106 

Scartozzi M, De Nictolis M, Galizia E, Carassai P, Bianchi F, Berardi R, Gesuita R, Piga A, Cellerino R and Porfiri E: Loss of hMLH1 expression correlates with improved survival in stage III–IV ovarian cancer patients. Eur J Cancer. 39:1144–1149. 2003. View Article : Google Scholar : PubMed/NCBI

107 

Zhai QJ, Rosen DG, Lu K and Liu J: Loss of DNA mismatch repair protein hMSH6 in ovarian cancer is histotype-specific. Int J Clin Exp Pathol. 1:502–509. 2008.PubMed/NCBI

108 

Begum FD, Høgdall CK, Kjaer SK, Blaakaer J, Christensen L, Ryan A, Jacobs IJ and Høgdall EV: Distribution of microsatellite instability in Danish ovarian tumor patients and the prognostic value in ovarian cancer patients. Oncol Res. 17:43–49. 2008.PubMed/NCBI

109 

Ercoli A, Ferrandina G, Raspaglio G, Marone M, Maggiano N, Del Mastro P, Benedetti Panici P, Mancuso S and Scambia G: hMSH2 and GTBP expression in advanced stage epithelial ovarian cancer. Br J Cancer. 80:1665–1671. 1999. View Article : Google Scholar : PubMed/NCBI

110 

Marcelis CL, van der Putten HW, Tops C, Lutgens LC and Moog U: Chemotherapy resistant ovarian cancer in carriers of an hMSH2 mutation? Fam Cancer. 1:107–109. 2001. View Article : Google Scholar

111 

CRUK. Skin cancer incidence statistics. http://www.cancer-researchuk.org/cancer-info/cancerstats/types/skin/incidence/. Accessed April 15, 2015

112 

Birindelli S, Tragni G, Bartoli C, Ranzani GN, Rilke F, Pierotti MA and Pilotti S: Detection of microsatellite alterations in the spectrum of melanocytic nevi in patients with or without individual or family history of melanoma. Int J Cancer. 86:255–261. 2000. View Article : Google Scholar : PubMed/NCBI

113 

Peris K, Keller G, Chimenti S, Amantea A, Kerl H and Höfler H: Microsatellite instability and loss of heterozygosity in melanoma. J Invest Dermatol. 105:625–628. 1995. View Article : Google Scholar : PubMed/NCBI

114 

Quinn AG, Healy E, Rehman I, Sikkink S and Rees JL: Microsatellite instability in human non-melanoma and melanoma skin cancer. J Invest Dermatol. 104:309–312. 1995. View Article : Google Scholar : PubMed/NCBI

115 

Richetta A, Silipo V, Calvieri S, Frati L, Ottini L, Cama A and Mariani-Costantini R: Microsatellite instability in primary and metastatic melanoma. J Invest Dermatol. 109:119–120. 1997. View Article : Google Scholar : PubMed/NCBI

116 

Talwalkar VR, Scheiner M, Hedges LK, Butler MG and Schwartz HS: Microsatellite instability in malignant melanoma. Cancer Genet Cytogenet. 104:111–114. 1998. View Article : Google Scholar : PubMed/NCBI

117 

Alvino E, Marra G, Pagani E, Falcinelli S, Pepponi R, Perrera C, Haider R, Castiglia D, Ferranti G, Bonmassar E, et al: High-frequency microsatellite instability is associated with defective DNA mismatch repair in human melanoma. J Invest Dermatol. 118:79–86. 2002. View Article : Google Scholar : PubMed/NCBI

118 

Hussein MR: Genetic pathways to melanoma tumorigenesis. J Clin Pathol. 57:797–801. 2004. View Article : Google Scholar : PubMed/NCBI

119 

Hussein MR, Sun M, Tuthill RJ, Roggero E, Monti JA, Sudilovsky EC, Wood GS and Sudilovsky O: Comprehensive analysis of 112 melanocytic skin lesions demonstrates microsatellite instability in melanomas and dysplastic nevi, but not in benign nevi. J Cutan Pathol. 28:343–350. 2001. View Article : Google Scholar : PubMed/NCBI

120 

Palmieri G, Ascierto PA, Cossu A, Colombino M, Casula M, Botti G, Lissia A, Tanda F and Castello G: Assessment of genetic instability in melanocytic skin lesions through microsatellite analysis of benign naevi, dysplastic naevi, and primary melanomas and their metastases. Melanoma Res. 13:167–170. 2003. View Article : Google Scholar : PubMed/NCBI

121 

Palmieri G, Cossu A, Ascierto PA, Botti G, Strazzullo M, Lissia A, Colombino M, Casula M, Floris C, Tanda F, et al; Melanoma Cooperative Group. Definition of the role of chromosome 9p21 in sporadic melanoma through genetic analysis of primary tumours and their metastases. Br J Cancer. 83:1707–1714. 2000. View Article : Google Scholar : PubMed/NCBI

122 

Richetta A, Ottini L, Falchetti M, Innocenzi D, Bottoni U, Faiola R, Mariani-Costantini R and Calvieri S: Instability at sequence repeats in melanocytic tumours. Melanoma Res. 11:283–289. 2001. View Article : Google Scholar : PubMed/NCBI

123 

Tomlinson IP, Beck NE and Bodmer WF: Allele loss on chromosome 11q and microsatellite instability in malignant melanoma. Eur J Cancer. 32A:1797–1802. 1996. View Article : Google Scholar : PubMed/NCBI

124 

Castiglia D, Bernardini S, Alvino E, Pagani E, De Luca N, Falcinelli S, Pacchiarotti A, Bonmassar E, Zambruno G and D'Atri S: Concomitant activation of Wnt pathway and loss of mismatch repair function in human melanoma. Genes Chromosomes Cancer. 47:614–624. 2008. View Article : Google Scholar : PubMed/NCBI

125 

Korabiowska M, Cordon-Cardo C, Jaenckel F, Stachura J, Fischer G and Brinck U: Application of in situ hybridization probes for MLH-1 and MSH-2 in tissue microarrays of paraffin-embedded malignant melanomas: Correlation with immunohistochemistry and tumor stage. Hum Pathol. 35:1543–1548. 2004. View Article : Google Scholar : PubMed/NCBI

126 

Alvino E, Passarelli F, Cannavò E, Fortes C, Mastroeni S, Caporali S, Jiricny J, Cappellini GC, Scoppola A, Marchetti P, et al: High expression of the mismatch repair protein MSH6 is associated with poor patient survival in melanoma. Am J Clin Pathol. 142:121–132. 2014. View Article : Google Scholar : PubMed/NCBI

127 

CRUK. Stomach cancer statistics. http://www.cancerresearchuk.org/cancer-info/cancerstats/types/stomach/. Accessed April 15, 2015

128 

Beghelli S, de Manzoni G, Barbi S, Tomezzoli A, Roviello F, Di Gregorio C, Vindigni C, Bortesi L, Parisi A, Saragoni L, et al: Microsatellite instability in gastric cancer is associated with better prognosis in only stage II cancers. Surgery. 139:347–356. 2006. View Article : Google Scholar : PubMed/NCBI

129 

Fang WL, Chang SC, Lan YT, Huang KH, Chen JH, Lo SS, Hsieh MC, Li AF, Wu CW and Chiou SH: Microsatellite instability is associated with a better prognosis for gastric cancer patients after curative surgery. World J Surg. 36:2131–2138. 2012. View Article : Google Scholar : PubMed/NCBI

130 

Lee HS, Choi SI, Lee HK, Kim HS, Yang HK, Kang GH, Kim YI, Lee BL and Kim WH: Distinct clinical features and outcomes of gastric cancers with microsatellite instability. Mod Pathol. 15:632–640. 2002. View Article : Google Scholar : PubMed/NCBI

131 

Schneider BG, Bravo JC, Roa JC, Roa I, Kim MC, Lee KM, Plaisance KT Jr, McBride CM and Mera R: Microsatellite instability, prognosis and metastasis in gastric cancers from a low-risk population. Int J Cancer. 89:444–452. 2000. View Article : Google Scholar : PubMed/NCBI

132 

Falchetti M, Saieva C, Lupi R, Masala G, Rizzolo P, Zanna I, Ceccarelli K, Sera F, Mariani-Costantini R, Nesi G, et al: Gastric cancer with high-level microsatellite instability: Target gene mutations, clinicopathologic features, and long-term survival. Hum Pathol. 39:925–932. 2008. View Article : Google Scholar : PubMed/NCBI

133 

Perez RO, Jacob CE, D'Ottaviano FL, Alvarenga C, Ribeiro AS, Ribeiro U Jr, Bresciani CJ, Zilberstein B, Krieger JE, Habr-Gama A, et al: Microsatellite instability in solitary and sporadic gastric cancer. Rev Hosp Clin Fac Med Sao Paulo. 59:279–285. 2004. View Article : Google Scholar : PubMed/NCBI

134 

An C, Choi IS, Yao JC, Worah S, Xie K, Mansfield PF, Ajani JA, Rashid A, Hamilton SR and Wu TT: Prognostic significance of CpG island methylator phenotype and microsatellite instability in gastric carcinoma. Clin Cancer Res. 11:656–663. 2005.PubMed/NCBI

135 

An JY, Kim H, Cheong JH, Hyung WJ, Kim H and Noh SH: Microsatellite instability in sporadic gastric cancer: Its prognostic role and guidance for 5-FU based chemotherapy after R0 resection. Int J Cancer. 131:505–511. 2012. View Article : Google Scholar

136 

Oki E, Kakeji Y, Zhao Y, Yoshida R, Ando K, Masuda T, Ohgaki K, Morita M and Maehara Y: Chemosensitivity and survival in gastric cancer patients with microsatellite instability. Ann Surg Oncol. 16:2510–2515. 2009. View Article : Google Scholar : PubMed/NCBI

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Richman S: Deficient mismatch repair: Read all about it (Review). Int J Oncol 47: 1189-1202, 2015.
APA
Richman, S. (2015). Deficient mismatch repair: Read all about it (Review). International Journal of Oncology, 47, 1189-1202. https://doi.org/10.3892/ijo.2015.3119
MLA
Richman, S."Deficient mismatch repair: Read all about it (Review)". International Journal of Oncology 47.4 (2015): 1189-1202.
Chicago
Richman, S."Deficient mismatch repair: Read all about it (Review)". International Journal of Oncology 47, no. 4 (2015): 1189-1202. https://doi.org/10.3892/ijo.2015.3119
Copy and paste a formatted citation
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Spandidos Publications style
Richman S: Deficient mismatch repair: Read all about it (Review). Int J Oncol 47: 1189-1202, 2015.
APA
Richman, S. (2015). Deficient mismatch repair: Read all about it (Review). International Journal of Oncology, 47, 1189-1202. https://doi.org/10.3892/ijo.2015.3119
MLA
Richman, S."Deficient mismatch repair: Read all about it (Review)". International Journal of Oncology 47.4 (2015): 1189-1202.
Chicago
Richman, S."Deficient mismatch repair: Read all about it (Review)". International Journal of Oncology 47, no. 4 (2015): 1189-1202. https://doi.org/10.3892/ijo.2015.3119
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