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Blood, Vol. 94 No. 7 (October 1), 1999:
pp. 2424-2432
From IST-Biotechnology Section, Padova; the Department of Oncology
and Surgical Sciences, University of Padova, Padova, Italy; and III
Medizinische Klinik, Klinikum Mannheim der Universität
Heidelberg, Mannheim, Germany.
As mice carrying mutations of the DNA mismatch repair genes MSH2 and
MSH6 often develop lymphoid neoplasms, we addressed the prevalence of
the replication error (RER+) phenotype, a manifestation
of an underlying defect of DNA mismatch repair genes, in human lymphoid
tumors. We compared microsatellite instability (MSI) at 10 loci in 37 lymphoid tumors, including 16 acute lymphoid leukemias (ALL)
and 21 non-Hodgkin's lymphomas (NHL), and in 29 acute myeloid
leukemias (AML). Significant differences in MSI prevalence between AMLs
and ALLs emerged, and MSI occurrence was more frequent in the NHLs
versus AMLs. Indeed, only 3 of 29 (10%) AMLs exhibited MSI, thus
confirming its paucity in myeloid tumors, while 10 of 37 (27%)
lymphoid tumors, 6 ALLs and 4 NHLs, disclosed an RER+
phenotype. In 1 ALL patient, the same molecular alterations were observed in correspondence with a relapse, but were not detected during
remission over a 14-month follow-up; in another ALL patient, findings
correlated with impending clinical relapse. These results suggest that
the study of MSI in lymphoid tumors might provide a useful molecular
tool to monitor disease progression in a subset of ALLs. To correlate
MSI with other known genetic abnormalities, we investigated the status
of the proto-oncogene, bcl-2, in the lymphoma patients and found that 4 of 4 NHL patients with MSI carried bcl-2 rearrangements, thus linking
genomic instability to enhanced cell survival in NHL; moreover, no p53
mutations were found in these patients. Finally, we addressed the
putative cause of MSI in hematopoietic tumors by searching for both
mutations and deletions affecting DNA repair genes. A limited genetic
analysis did not show any tumor-specific mutation in MLH1 exons 9 and
16 and in MSH2 exons 5 and 13. However, loss of heterozygosity (LOH) of
markers closely linked to mismatch repair genes MLH1, MSH2, and PMS2
was demonstrated in 4 of 6 ALLs and 1 of 3 AMLs with MSI. These
observations indicate that chromosomal deletions might represent a
mechanism of inactivation of DNA repair genes in acute leukemia.
This article has been cited by other articles:
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