MSH2 is required for DNA mismatch repair recognition in eukaryotes. Deleterious mutations in human MSH2 account for approximately half of the alleles associated with a common hereditary cancer syndrome. Previously, we characterized clinically identified MSH2 missense mutations, using yeast as a model system, and found that the most common cause of defective DNA mismatch repair was low levels of the variant Msh2 proteins. Here, we show that increased protein turnover is responsible for the reduced cellular levels. Increasing gene dosage of more than half of the missense alleles fully restored function. A titration experiment revealed that raising the expression level of one variant to less than wildtype levels restored mismatch repair, suggesting that overexpression is not always required to regain function. We found that the ubiquitin-mediated proteasome degradation pathway is the major mechanism for increased turnover of the Msh2 variants and identified the primary ubiquitin ligase as San1. Deletion of San1 restored protein levels for all but one variant, but did not elevate wild-type Msh2 levels. The unstable variants interacted with San1, whereas wild-type Msh2 did not. Additionally, san1Δ suppressed the mismatch repair defect of unstable variants. Of medical significance, the clinically approved drug Bortezomib partially restored protein levels and mismatch repair function for low-level variants and reversed the resistance to cisplatin, a common chemotherapeutic. Our results provide the foundation for an innovative therapeutic regime for certain mismatch-repair-defective cancers that are refractory to conventional chemotherapies.Lynch syndrome | MutS | mutator | hereditary nonpolyposis clorectal cancer L ynch syndrome, also known as hereditary nonpolyposis colorectal cancer, is a leading cause of inherited cancer mortality in the United States (1). Approximately 2-7% of colorectal cancer cases are the consequence of Lynch syndrome, a dominant and highly penetrant disease afflicting individuals at an early age (1). Although colorectal is the most common form of cancer found in Lynch syndrome families, endometrial, ovarian, stomach, small intestine, liver, gallbladder ducts, upper urinary tract, brain, skin, and prostate cancers are all associated with the syndrome.Lynch syndrome cancers, as well as many sporadic tumors, are a consequence of defects in mismatch repair; for example, ∼17% of all colorectal cancers originate from defects in mismatch repair (2). DNA mismatch repair is a conserved mechanism that significantly contributes to the accurate preservation of genetic material (3). Mismatch recognition is accomplished in eukaryotes by MutS heterodimers in which Msh2 is the invariant partner (4). Mismatch binding initiates subsequent events, including cleavage and excision of the error-containing strand followed by new synthesis and ligation (5). Without mismatch repair, DNA displays microsatellite instability and acquires numerous mutations, some of which are deleterious. Included among the types of harmfu...