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Dual role of LOH at MMR loci in hereditary non-polyposis colorectal cancer?

Abstract

hMLH1 and hMSH2 can be considered tumor suppressor genes, as both alleles must be inactivated in order to lose the mismatch repair (MMR) function. In this regard, it has been proposed that LOH at MMR loci is a common Knudson's second-hit mechanism in HNPCC patients. However, experimental evidence supporting this view is scarcely found in the literature. We have performed a comprehensive analysis of LOH in 45 HNPCC tumors carrying a germline alteration in MMR loci. Overall, we have detected LOH at MMR loci in 56% of the cases. However, up to 40% of the LOH events targeted the mutant allele, arguing against a second-hit role in these tumors. Interestingly, the age at diagnosis was significantly older in these patients. To explain this and previous data, we propose a dual role for LOH at MMR loci in HNPCC.

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Acknowledgements

This study was supported by the Fondo Investigación Sanitaria grant 04/0957; RTICC C03/10 and a grant from Bristol-Myers Squibb. A Sánchez de Abajo was a fellow of UICC (ICRETT Award No ICR/04/024/2004).

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Correspondence to T Caldes.

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Sanchez de Abajo, A., de la Hoya, M., van Puijenbroek, M. et al. Dual role of LOH at MMR loci in hereditary non-polyposis colorectal cancer?. Oncogene 25, 2124–2130 (2006). https://doi.org/10.1038/sj.onc.1209233

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