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https://hdl.handle.net/2440/17394
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Type: | Journal article |
Title: | MLH1 germline epimutations as a factor in hereditary nonpolyposis colorectal cancer |
Author: | Hitchins, M. Williams, R. Cheong, K. Halani, N. Lin, V. Packham, D. Ku, S. Buckle, A. Hawkins, N. Burn, J. Gallinger, S. Goldblatt, J. Kirk, J. Tomlinson, I. Scott, R. Spigelman, A. Suter, C. Martin, D. Suthers, G. Ward, R. |
Citation: | Gastroenterology, 2005; 129(5):1392-1399 |
Publisher: | W B Saunders Co |
Issue Date: | 2005 |
ISSN: | 0016-5085 1528-0012 |
Statement of Responsibility: | Megan Hitchins, Rachel Williams, Kayfong Cheong, Nimita Halani, Vita A.P. Lin, Deborah Packham, Sue Ku, Andrew Buckle, Nicholas Hawkins, John Burn, Steven Gallinger, Jack Goldblatt, Judy Kirk, Ian Tomlinson, Rodney Scott, Allan Spigelman, Catherine Suter, David Martin, Graeme Suthers, Robyn Ward |
Abstract: | <h4>Background & aims</h4>Hereditary nonpolyposis colorectal cancer (HNPCC) is caused by heterozygous germline sequence mutations of DNA mismatch repair genes, most frequently MLH1 or MSH2. A novel molecular mechanism for HNPCC has recently been suggested by the finding of individuals with soma-wide monoallelic hypermethylation of the MLH1 gene promoter. In this study, we determined the frequency and role of germline epimutations of MLH1 in HNPCC.<h4>Methods</h4>A cohort of 160 probands from HNPCC families who did not harbor germline sequence mutations in the mismatch repair genes were screened for methylation of the MLH1 and EPM2AIP1 promoters by combined bisulfite and restriction analyses. Allelic expression and family transmission of MLH1 were determined using polymorphisms in intron 4 and the 3' untranslated region.<h4>Results</h4>One of 160 individuals had monoallelic MLH1 hypermethylation in peripheral blood, hair follicles, and buccal mucosa, indicative of a soma-wide alteration. Monoallelic transcription of the paternal MLH1 allele was shown using a heterozygous expressed polymorphism within the 3' untranslated region. The hypermethylated allele was maternally transmitted, however, the mother and siblings who inherited the same maternal homologue were unmethylated at MLH1, suggesting the epimutation arose as a de novo event.<h4>Conclusions</h4>Germline MLH1 epimutations are functionally equivalent to an inactivating mutation and produce a clinical phenotype that resembles HNPCC. Inheritance of epimutations is weak, so family history is not a useful guide for screening. Germline epimutations should be suspected in younger individuals without a family history who present with a microsatellite unstable tumor showing loss of MLH1 expression. |
Keywords: | Humans Colorectal Neoplasms, Hereditary Nonpolyposis Adaptor Proteins, Signal Transducing Carrier Proteins Nuclear Proteins Cohort Studies Pedigree DNA Methylation Gene Expression Regulation, Neoplastic Microsatellite Repeats Germ-Line Mutation Alleles Adult Aged Aged, 80 and over Middle Aged Female Male Genetic Testing MutL Protein Homolog 1 |
Description: | Copyright © 2005 American Gastroenterological Association Published by Elsevier Inc. |
DOI: | 10.1053/j.gastro.2005.09.003 |
Published version: | http://dx.doi.org/10.1053/j.gastro.2005.09.003 |
Appears in Collections: | Aurora harvest 2 Paediatrics publications |
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