Volume 119, Issue 11 pp. 2513-2519
Carcinogenesis

Heterogeneous microsatellite instability observed within epithelium of ulcerative colitis

Kazuhide Ozaki

Kazuhide Ozaki

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Takeshi Nagasaka

Takeshi Nagasaka

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Kenji Notohara

Kenji Notohara

Department of Pathological Research, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Takeshi Kambara

Takeshi Kambara

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Masanori Takeda

Masanori Takeda

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Hiromi Sasamoto

Hiromi Sasamoto

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Jeremy R. Jass

Jeremy R. Jass

Department of Pathology, McGill University, Montreal, QC, Canada

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Noriaki Tanaka

Noriaki Tanaka

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

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Nagahide Matsubara

Corresponding Author

Nagahide Matsubara

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan

Fax: +81-86-221-8775

Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, Okayama 700 8558, JapanSearch for more papers by this author
First published: 20 October 2006
Citations: 12

Abstract

Microsatellite instability (MSI) has been associated with colitic cancer. However, reported frequency of MSI was varied and the association of MSI with mismatch repair (MMR) deficiency was unclear. In addition, the occurrence of genetic alterations in stromal cells within ulcerative colitis (UC) is still controversial. We therefore sampled 164 microareas in various pathological lesions of UC with or without colitic cancer and studied the MSI status in relation to the DNA repair protein expressions. A total of 129 microfoci from colorectal tissue of 5 colitic cancer patients and 35 microfoci of 7 UC patients (without neoplasm) were carefully sampled by laser-capture microdissection. MSI was analyzed in each microsamples. The protein expression of MMR genes (MLH1, MSH2, MSH6), O6-methylguanine-DNA methyltransferase and p53 were assessed by immunohistochemical analysis. Variety of di-nulcleotide microsatellite markers was altered in individual microfoci from different morphological epithelial lesions, in full range of nonneoplastic epithelium to colitic cancer. Interestingly, MSI was not observed in stromal cells at any sites, including those within colitic cancer/dysplasia lesions. Expression of the MMR proteins was not lost in any of the lesions examined. Microsatellite alterations rather seem to be related to the initiation than to the progression of colitic cancer. © 2006 Wiley-Liss, Inc.

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