Association of Hereditary Nonpolyposis Colorectal Cancer–Related Tumors Displaying Low Microsatellite Instability with MSH6 Germline Mutations  Ying Wu,

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Association of Hereditary Nonpolyposis Colorectal Cancer–Related Tumors Displaying Low Microsatellite Instability with MSH6 Germline Mutations  Ying Wu, Maran J.W. Berends, Rob G.J. Mensink, Claudia Kempinga, Rolf H. Sijmons, Ate G.J. van der Zee, Harry Hollema, Jan H. Kleibeuker, Charles H.C.M. Buys, Robert M.W. Hofstra  The American Journal of Human Genetics  Volume 65, Issue 5, Pages 1291-1298 (November 1999) DOI: 10.1086/302612 Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 1 Pedigrees of the five families with suspected HNPCC and MSH6 mutations. Of these five families, four (D805, D840, Div682, and HNPCC49) had MSI-low tumors. The index patient in family Div448 had a tumor displaying an MSI-high phenotype. Squares represent males; circles, females; diagonal stripes, patients who died; unblackened symbols, no tumor; blackened symbols, patients with histologically verified carcinomas; gray symbols, patients with tumors that were not histologically verified. Abbreviations indicate the site of cancer: bas = basocellular; bili = bile duct; brc = breast; cns = brain; cra = adenoma of the colon; crc = colon; end = endometrium; leu = leucemia; lu = lung; ov = ovary; pr = prostate; pyl = pyelum; sk = skin; st =stomach; ure = ureter; ? = tumor of unknown origin. The numbers after the abbreviations indicate the age at onset of cancer diagnosis. The American Journal of Human Genetics 1999 65, 1291-1298DOI: (10.1086/302612) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 2 Two-dimensional DNA separation patterns of the 21 PCR-amplified fragments representing all exons of the MSH6 gene, with the exception of exon 1. Exon 4 is amplified in 11 fragments; exons 3 and 5 are each amplified in two fragments. A, Two-dimensional separation pattern of a control individual. B, Two-dimensional separation pattern from patient Div682 (see table 1). Comparison of A and B clearly shows a heterozygous mutation in exon 8 of patient Div682. This mutation results in four spots (two homoduplexes and two heteroduplexes). The American Journal of Human Genetics 1999 65, 1291-1298DOI: (10.1086/302612) Copyright © 1999 The American Society of Human Genetics Terms and Conditions