Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
159-252 |
DRI_Background |
denotes |
Hereditary non-polyposis colorectal cancer (HNPCC) represents 1-3% of all colorectal cancers. |
T2 |
253-383 |
DRI_Background |
denotes |
HNPCC is caused by a constitutional defect in a mismatch repair (MMR) gene, most commonly affecting the genes MLH1, MSH2 and MSH6. |
T3 |
384-528 |
DRI_Background |
denotes |
The MMR defect results in an increased cancer risk, with the greatest lifetime risk for colorectal cancer and other cancers associated to HNPCC. |
T4 |
529-700 |
DRI_Background |
denotes |
The HNPCC-associated tumor phenotype is generally characterized by microsatellite instability (MSI) and immunohistochemical loss of expression of the affected MMR protein. |
T5 |
701-853 |
DRI_Background |
denotes |
The aim of this study was to determine the sensitivity of IHC for MLH1, MSH2 and MSH6, and MSI analysis in tumors from known MMR gene mutation carriers. |
T6 |
854-1076 |
DRI_Approach |
denotes |
Fifty-eight paired normal and tumor samples from HNPCC families enrolled in our high-risk colorectal cancer registry were studied for the presence of germline mutations in MLH1, MSH2 and MSH6 by DGGE and direct sequencing. |
T7 |
1077-1148 |
DRI_Approach |
denotes |
MSI analysis and immunostaining for MLH1, MSH2 and MSH6 were evaluated. |
T8 |
1149-1316 |
DRI_Background |
denotes |
Of the 28 patients with a real pathogenic mutation, loss of immunohistochemical expression for at least 1 of these MMR proteins was found, and all except 1 have MSI-H. |
T9 |
1354-1560 |
DRI_Background |
denotes |
IHC analysis had a sensitivity of 100% in detecting MMR deficiency in carriers of a pathogenic MMR mutation, and can be used to predict which gene is expected to harbor the mutation for MLH1, MSH2 and MSH6. |
T10 |
1561-1732 |
DRI_Approach |
denotes |
This study suggests that both analyses are useful for selecting high-risk patients because most MLH1, MSH2 and MSH6 gene carriers will be detected by this 2-step approach. |
T11 |
1733-1865 |
DRI_Outcome |
denotes |
This practical method should have immediate application in the clinical work of patients with inherited colorectal cancer syndromes. |