Colorectal cancers come in two unstable flavours: a few cannot spell-check their DNA, and most cannot divide their chromosomes evenly. This paper measured the second kind for the first time and showed it is a real, continuing defect rather than an accident.
Colorectal tumours without microsatellite instability were shown to have a striking defect in chromosome segregation, producing gains or losses in excess of 10^-2 per chromosome per generation. The instability reflected a continuing cellular defect that persisted throughout the lifetime of the tumour cell and was not simply a function of chromosome number. Microsatellite instability behaved as a recessive trait in cell fusion experiments, while chromosomal instability behaved as a dominant one. The authors concluded that persistent genetic instability may be necessary for the development of all colorectal cancers and that it arises through two distinct pathways.
It split colorectal cancer into the two instability classes the field still uses, and made the chromosomal class a phenotype to be explained rather than background noise.
Shares Kenneth W. Kinzler, Bert Vogelstein, Mismatch repair & microsatellite instability, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center.
Shares Kenneth W. Kinzler, Bert Vogelstein, Mismatch repair & microsatellite instability, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center.
Shares Kenneth W. Kinzler, Bert Vogelstein, Nature, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center.
Shares Kenneth W. Kinzler, Bert Vogelstein, Nature, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center.
Shares Chromosomal instability & aneuploidy, Mismatch repair & microsatellite instability, Microsatellite instability (MSI-H) / mismatch repair deficiency (dMMR), Colorectal cancer.
Shares Chromosomal instability & aneuploidy, Bert Vogelstein, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center, Colorectal cancer.
Shares Kenneth W. Kinzler, Bert Vogelstein, Johns Hopkins Hospital / Sidney Kimmel Comprehensive Cancer Center.