Fang Dian-Chun, Wang Rong-Quan, Yang Shi-Ming, Yang Jian-Ming, Liu Hai-Feng, Peng Gui-Yong, Xiao Tian-Li, Luo Yuan-Hui
Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
World J Gastroenterol. 2003 Apr;9(4):655-9. doi: 10.3748/wjg.v9.i4.655.
To appraise the correlation of mutation and methylation of hMSH1 with microsatellite instability (MSI) in gastric cancers.
Mutation of hMLH1 was detected by Two-dimensional electrophoresis (Two-D) and DNA sequencing; Methylation of hMLH1 promoter was measured with methylation-specific PCR; MSI was analyzed by PCR-based methods.
Sixty-eight cases of sporadic gastric carcinoma were studied for mutation and methylation of hMLH1 promoter and MSI. Three mutations were found, two of them were caused by a single bp substitution and one was caused by a 2 bp substitution, which displayed similar Two-D band pattern. Methylation of hMLH1 promoter was detected in 11(16.2 %) gastric cancer. By using five MSI markers, MSI in at least one locus was detected in 17/68(25 %) of the tumors analyzed. Three hMLH1 mutations were all detected in MSI-H (>=2 loci, n=8), but no mutation was found in MSI-L (only one locus, n=9) or MSS (tumor lacking MSI or stable, n=51). Methylation frequency of hMLH1 in MSI-H (87.5 %, 7/8) was significantly higher than that in MSI-L (11.1 %, 1/9) or MSS (5.9 %, 3/51) (P<0.01-0.001), but no difference was found between MSI-L and MSS (P>0.05).
Both mutation and methylation of hMLH1 are involved in the MSI pathway but not related to the LOH pathway in gastric carcinogenesis.
评估胃癌中hMSH1的突变和甲基化与微卫星不稳定性(MSI)的相关性。
采用二维电泳(Two-D)和DNA测序检测hMLH1的突变;用甲基化特异性PCR检测hMLH1启动子的甲基化;通过基于PCR的方法分析MSI。
对68例散发性胃癌进行hMLH1启动子的突变、甲基化及MSI研究。发现3个突变,其中2个由单个碱基替换引起,1个由2个碱基替换引起,它们显示出相似的二维电泳条带模式。11例(16.2%)胃癌检测到hMLH1启动子甲基化。使用5个MSI标记,在17/68(25%)分析的肿瘤中至少1个位点检测到MSI。3个hMLH1突变均在MSI-H(≥2个位点,n = 8)中检测到,但在MSI-L(仅1个位点,n = 9)或MSS(无MSI或稳定的肿瘤,n = 51)中未发现突变。hMLH1在MSI-H中的甲基化频率(87.5%,7/8)显著高于MSI-L(11.1%,1/9)或MSS(5.9%,3/51)(P<0.01 - 0.001),但MSI-L和MSS之间无差异(P>0.05)。
hMLH1的突变和甲基化均参与胃癌发生的MSI途径,但与LOH途径无关。