Disease Markers

Disease Markers / 2004 / Article
Special Issue

Lynch Syndrome (HNPCC) and Microsatellite Instability

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Volume 20 |Article ID 371941 | https://doi.org/10.1155/2004/371941

Nagahide Matsubara, "Diagnostic Application of hMLH1 Methylation in Hereditary Non-Polyposis Colorectal Cancer", Disease Markers, vol. 20, Article ID 371941, 6 pages, 2004. https://doi.org/10.1155/2004/371941

Diagnostic Application of hMLH1 Methylation in Hereditary Non-Polyposis Colorectal Cancer

Received26 Oct 2004
Accepted26 Oct 2004

Abstract

Colorectal cancer (CRC) due to mismatch repair (MMR) defect has distinct characteristics among unselected CRCs. These CRCs are biologically less aggressive and, thus, showing better prognosis but less sensitive to the 5FU-based chemotherapy. CRCs with MMR defect derive from both hereditary and sporadic reasons. Germline inactivation of MMR genes (hMLH1, hMSH2, hMSH6, and hPMS2) underlies the hereditary CRC with MMR defect (Lynch syndrome) and epigenetic silencing of hMLH1 gene causes the sporadic CRC with MMR defect. Hereditary and sporadic CRC with MMR defect can be detectable by microsatellite instability (MSI) test or immunohistochemical analysis among general CRCs. Lynch syndrome can be diagnosed by the clinical criteria or by genetic test to detect pathogenic germline mutations in MMR genes. However, both clinical criteria and genetic test are inadequate for the diagnosis of Lynch syndrome. Since genetic test for the diagnosis of the Lynch syndrome is expensive and not always identify pathogenic germline mutations, effective and inexpensive screening program is desirable. Here we propose a possible application of methylation test combined with MSI or pathological analysis as an effective and a cost-saving new strategy for screening of Lynch syndrome.

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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