2017
DOI: 10.1002/mc.22632
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Frameshift mutational target gene analysis identifies similarities and differences in constitutional mismatch repair‐deficiency and Lynch syndrome

Abstract: Mismatch-repair deficient (MMR-D) malignancies include Lynch Syndrome (LS), which is secondary to germline mutations in one of the MMR genes, and the rare childhood-form of constitutional mismatch repair-deficiency (CMMR-D); caused by bi-allelic MMR gene mutations. A hallmark of LS-associated cancers is microsatellite instability (MSI), characterized by coding frameshift mutations (cFSM) in target genes. By contrast, tumors arising in CMMR-D patients are thought to display a somatic mutation pattern differing … Show more

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Cited by 15 publications
(19 citation statements)
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“…In addition, the frameshifts are not assumed to be tolerated in the sense that they are not changed. However, if they are not removed immediately by selecting against but could be preserved in the evolutionary history, they are assumed to be repairable [116][117][118][119][120]. At present, we are investigating the mechanism of how a frameshift mutation is repaired [121].…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the frameshifts are not assumed to be tolerated in the sense that they are not changed. However, if they are not removed immediately by selecting against but could be preserved in the evolutionary history, they are assumed to be repairable [116][117][118][119][120]. At present, we are investigating the mechanism of how a frameshift mutation is repaired [121].…”
Section: Discussionmentioning
confidence: 99%
“…In fact, MSI might be associated with disease progression in MF, as it has been more frequently detected in tumor-stage MF (47%) than in early-stage MF (20%) 2 . It is possible, though, that MSI in MF might occur during somatic cancer evolution in MF without being the disease driver 9, 10Table IVSummary of microsatellite instability and MMR defects in MF2, 6, 7, 8Microsatellite instabilityFrequency, %MSI-L20 2 MSI-H8 2 Early-stage MF (T1-2)20 2 Tumor-stage MF (T3)47 2 Molecular defects Loss of MLH1 expression46 6 ; promoter hypermethylation in 64 2 ; possible resistance to PUVA or ECP 8  Loss of MSH2 expression35 6 ; predilection for T-cell lymphoma 7 ; possible response to PUVA or ECP 8

ECP , Extracorporeal photopheresis; MF , mycosis fungoides; MMR ; mismatch repair; MSI-H , high levels of microsatellite instability; MSI-L , low levels of microsatellite instability; PUVA , psoralen plus ultraviolet A.

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Section: Discussionmentioning
confidence: 99%
“…A panel of non-coding and coding MS marker was analyzed as described before [31]. MSI is de ned by mono-and/or bialellic band shifts usually characterized by deletions (indicated with minus symbol + number).…”
Section: Fragment Length Analysis Of Cms Target Genesmentioning
confidence: 99%