Expression of the human mismatch repair gene hMSH2: a potential marker for urothelial malignancy

Relationship between hMLH1 methylation, microsatellite instability and gastric cancer

Gastric cancer is one of the most common malignant tumors, and its development is a very complicated process. Although great progress has been made in the understanding of gastric cancer, its exact mechanism is still unclear. The human mutL homolog 1 (hMLH1), a main member of the mismatch repair system, participates in mismatch repair during DNA replication, and plays an important role in maintaining genome stability. The reduction or loss of hMLH1 expression, which often shows as microsatellite instability (MSI), is closely related to the development, treatment and prognosis of gastric cancer, and the main reason is hMLH1 promoter methylation. In this paper, we will review the recent progress in understanding the relationship between hMLH1 methylation, MSI and development, treatment and prognosis of gastric cancer.

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Studies on microsatellite instability in p16 gene and expression of hMSH2 mRNA in human gastric cancer tissues

AIM: To detect the loss of heterozygosity (LOH) frequency of microsatellite sites D9s171, D9s1604 of p16 gene and expression of hMSH2 mRNA in various differentiated types of gastric cancer, adjacent cancer tissues and normal gastric mucosa.

METHODS: LOH was detected by polymerase chain reaction (PCR)-denaturing polyacrylamide gel electrophoresis-silver staining. The expression of hMSH2 mRNA was examined with in situ hybridization.

RESULTS: The frequency rate of LOH was significantly higher in gastric cancers than that in adjacent cancer tissues (P = 0.032). No significant difference was noted among various differentiated types and various clinical stages of gastric cancers. The significantly reduced expression of hMSH2 mRNA positive signal cells exhibited in gastric cancers, in comparison with that in the adjacent cancer tissues and normal gastric mucosa, respectively (P = 0.001). No significant difference was noted among various clinical stages of gastric cancers (P > 0.05). The difference of positive signal cells in poorly differentiated cancers and those in well and moderately differentiated cancers were significant (P < 0.001).

CONCLUSION: The frequencies of LOH in two microsatellite sites, D9s171 and D9s1604, in p16 genome were associated with development of gastric cancer and no significant correlation was demonstrated between the LOH frequency and the cell differentiated types of tumor cells or clinical stages. There was a positive relationship between the expression of hMSH2 mRNA and the differentiated types of gastric cancer.