Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

British Journal of Cancer
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. british journal of cancer
  3. regular article
  4. article
Microsatellite instability in sporadic colorectal cancer is not an independent prognostic factor
Download PDF
Download PDF
  • Regular Article
  • Open access
  • Published: 27 August 1999

Microsatellite instability in sporadic colorectal cancer is not an independent prognostic factor

  • S Salahshor1,
  • U Kressner2,
  • H Fischer1,
  • G Lindmark3,
  • B Glimelius4,
  • L Påhlman5 &
  • …
  • A Lindblom1 

British Journal of Cancer volume 81, pages 190–193 (1999)Cite this article

  • 1109 Accesses

  • 94 Citations

  • 3 Altmetric

  • Metrics details

This article has been updated

Summary

Hereditary non-polyposis colorectal cancer (HNPCC) is linked to an inherited defect in the DNA mismatch repair system. DNA from HNPCC tumours shows microsatellite instability (MSI). It has been reported that HNPCC patients have a better prognosis than patients with sporadic colorectal cancer. We examined whether the presence of MSI in a series of unselected colorectal tumours carries prognostic information. In a series of 181 unselected colorectal tumours, 22 tumours (12%) showed MSI. Survival analysis at 5–10 years follow-up showed no statistically significant difference in prognosis between MSI-positive and -negative tumours. Our results suggest that the MSI phenotype as such is not an independent prognostic factor.

Similar content being viewed by others

More subtle microsatellite instability better predicts fluorouracil insensitivity in colorectal cancer patients

Article Open access 08 November 2024

Association of microsatellite instability (MSI) status with the 5-year outcome and genetic ancestry in a large Brazilian cohort of colorectal cancer

Article 26 April 2022

Detecting mismatch repair deficiency in solid neoplasms: immunohistochemistry, microsatellite instability, or both?

Article 06 June 2022

Article PDF

Change history

  • 16 November 2011

    This paper was modified 12 months after initial publication to switch to Creative Commons licence terms, as noted at publication

References

  • Aaltonen, L, Peltomaki, P, Leach, F, Sistonen, P, Pylkkanen, L, Mecklin, J, Jarvinen, H, Powell, S, Jen, J & Hamilton, S (1993). Clues to the pathogenesis of familial colorectal cancer. Science 260: 812–816.

    Article  CAS  Google Scholar 

  • Bocker, T, Diermann, J, Friedl, W, Gebert, J, Holinski-Feder, E, Karner-Hanusch, J, Von Knebel-Doebertiz, M, Koelble, K, Moeslein, G, Schackert, H-K, Wirtz, H-C, Fishel, R & Ruschoff, J (1997). Microsatellite instability analysis: a multicenter study for reliability and quality control. Cancer Res 57: 4739–4743.

    CAS  PubMed  Google Scholar 

  • Boland, CR, Thibodeau, SN, Hamilton, SR, Sidransky, D, Eshleman, JR, Burt, RW, Meltzer, SJ, Rodriguez-Bigas, MA, Fodde, R, Ranzani, GN & Srivastava, S (1998). A National Cancer Institute Workshop on Microsatellite Instability for cancer detection and familial predisposition: development of international criteria for the determination of microsatellite instability in colorectal cancer. Cancer Res 58: 5248–5257.

    CAS  PubMed  Google Scholar 

  • Bubb, VJ, Curtis, LJ, Cunningham, C, Dunlop, MG, Carothers, AD, Morris, RG, White, S, Bird, CC & Wyllie, AH (1996). Microsatellite instability and the role of hMSH2 in sporadic colorectal cancer. Oncogene 12: 2641–2649.

    CAS  PubMed  Google Scholar 

  • Cox, D (1972). Regression models and life-tables (with discussion). J Roy Stat Soc 34: 187–220.

    Google Scholar 

  • Dietmaier, W, Wallinger, S, Bocker, T, Kullmann, F, Fishel, R & Ruschoff, J (1997). Diagnostic microsatellite instability: definition and correlation with mismatch repair protein expression. Cancer Res 57: 4749–4756.

    CAS  PubMed  Google Scholar 

  • Dukes, C & Bussey, H (1958). The spread of rectal cancer and its effect on prognosis. Br J Cancer 12: 309–320.

    Article  CAS  Google Scholar 

  • Fujita, S, Moriya, Y, Sugihara, K, Akasu, T & Ushio, K (1996). Prognosis of hereditary nonpolyposis colorectal cancer (HNPCC) and the role of Japanese criteria for HNPCC. Jpn J Clin Oncol 26: 351–355.

    Article  CAS  Google Scholar 

  • Herman, JG, Umar, A, Polyak, K, Graff, JR, Ahuja, N, Issa, J-PJ, Markowitz, S, Willson, JKV, Hamilton, SR, Kinzler, KW, Kane, MF, Kolodner, RD, Vogelstein, B, Kunkel, TA & Baylin, SB (1998). Incidence and functional consequences of hMLH1 promoter hypermethylation in colorectal carcinoma. Proc Natl Acad Sci USA 95: 6870–6875.

    Article  CAS  Google Scholar 

  • Hoang, J, Cottu, P, Thuille, B, Salmon, R, Thomas, G & Hamelin, R (1997). BAT-26, an indicator of the replication error phenotype in colorectal cancers and cell lines. Cancer Res 57: 300–303.

    CAS  PubMed  Google Scholar 

  • Ionov, Y, Peinado, MA, Malkhosyan, S, Shibata, D & Perucho, M (1993). Ubiquitous somatic mutations in simple repeated sequences reveal a new mechanism for colonic carcinogenesis. Nature 363: 558–561.

    Article  CAS  Google Scholar 

  • Kane, MF, Loda, M, Gaida, GM, Lipman, J, Mishra, R, Goldman, H, Jessup, JM & Kolodner, R (1997). Methylation of the hMLH1 promoter correlates with lack of expression of hMLH1 in sporadic colon tumors and mismatch repair-defective human tumor cell lines. Cancer Res 57: 808–811.

    CAS  PubMed  Google Scholar 

  • Kinzler, KW & Vogelstein, B (1996). Lessons from hereditary colorectal cancer. Cell 87: 159–70.

    Article  CAS  Google Scholar 

  • Lengauer, C, Kinzler, KW & Vogelstein, B (1997). Genetic instability in colorectal cancers. Nature 386: 623–627.

    Article  CAS  Google Scholar 

  • Lindblom, A, Tannergard, P, Werelius, B & Nordenskjold, M (1993). Genetic mapping of a second locus predisposing to hereditary non-polyposis colon cancer. Nat Genet 5: 279–2782.

    Article  CAS  Google Scholar 

  • Lothe, RA, Peltomaki, P, Meling, GI, Aaltonen, LA, Nystrom-Lahti, M, Pylkkanen, L, Heimdal, K, Andersen, TI, Moller, P & Rognum, TO and et al (1993). Genomic instability in colorectal cancer: relationship to clinicopathological variables and family history. Cancer Res 53: 5849–5852.

    CAS  PubMed  Google Scholar 

  • Morson, B & Sobin, L (1976). Histological typing of intestinal tumors. In:International Histological Classification of Tumours, WHO: Geneva

    Google Scholar 

  • Myrhoj, T, Bisgaard, ML, Bernstein, I, Svendsen, LB, Sondergaard, JO & Bulow, S (1997). Hereditary non-polyposis colorectal cancer: clinical features and survival. Results from the Danish HNPCC register. Scand J Gastroenterol 32: 572–576.

    Article  CAS  Google Scholar 

  • Percesepe, A, Benatti, P, Roncucci, L, Sassatelli, R, Fante, R, Ganazzi, D, Bellacosa, A, Genuardi, M, Neri, G, Viel, A & Ponz de Leon, M (1997). Survival analysis in families affected by hereditary non-polyposis colorectal cancer. Int J Cancer 71: 373–376.

    Article  CAS  Google Scholar 

  • Perucho, M (1999). Correspondence re: CR Boland et al, A National Cancer Institute Workshop on Microsatellite Instability for Cancer Detection and Familial Predisposition: Development of International Criteria for the Determination of Microsatellite Instability in Colorectal Cancer. Cancer Res, 58: 5248–5257, 1998. Cancer Res 59: 249–253.

    CAS  PubMed  Google Scholar 

  • Peto, R, Pike, M, Breslow, N, Cox, D, Howard, S, Mantel, N, McPherson, K, Peto, J & Smith, P (1977). Design and analysis of randomized clinical trials requiring prolonged observations of each patient. 2. Analysis and example. Br J Surg 35: 1–39.

    CAS  Google Scholar 

  • Sankila, R, Aaltonen, LA, Jarvinen, HJ & Mecklin, JP (1996). Better survival rates in patients with MLH1-associated hereditary colorectal cancer [see comments]. Gastroenterology 110: 682–687.

    Article  CAS  Google Scholar 

  • Tannergard, P, Liu, T, Weger, A, Nordenskjold, M & Lindblom, A (1997). Tumorigenesis in colorectal tumors from patients with hereditary non-polyposis colorectal cancer. Hum Genet 101: 51–55.

    Article  CAS  Google Scholar 

  • Thibodeau, S, Bren, G & Schaid, D (1993). Microsatellite instability in cancer of the proximal colon. Science 260: 816–819.

    Article  CAS  Google Scholar 

  • Thibodeau, SN, French, AJ, Roche, PC, Cunningham, JM, Tester, DJ, Lindor, NM, Moslein, G, Baker, SM, Liskay, RM, Burgart, LJ, Honchel, R & Halling, KC (1996). Altered expression of hMSH2 and hMLH1 in tumors with microsatellite instability and genetic alterations in mismatch repair genes. Cancer Res 56: 4836–4840.

    CAS  PubMed  Google Scholar 

  • Weber, JL & May, PE (1989). Abundant class of human DNA polymorphisms which can be typed using the polymerase chain reaction. Am J Hum Genet 44: 388–396.

    CAS  PubMed  PubMed Central  Google Scholar 

  • Zhou, XP, Hoang, JM, Li, YJ, Seruca, R, Carneiro, F, Sobrinho-Simoes, M, Lothe, RA, Gleeson, CM, Russell, SE, Muzeau, F, Flejou, JF, Hoang-Xuan, K, Lidereau, R, Thomas, G & Hamelin, R (1998). Determination of the replication error phenotype in human tumors without the requirement for matching normal DNA by analysis of mononucleotide repeat microsatellites. Genes Chromosomes Cancer 21: 101–107.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Molecular Medicine, Karolinska Institute, Stockholm, S171 76, Sweden

    S Salahshor, H Fischer & A Lindblom

  2. Department of Surgery, Ueddevalla Hospital, Sweden

    U Kressner

  3. Department of Surgery, University Hospital, University of Umeå, Sweden

    G Lindmark

  4. Department of Oncology, Radiology and Clinical Immunology, University Hospital, University of Uppsala, Sweden

    B Glimelius

  5. Department of Surgery, University Hospital, University of Uppsala, Sweden

    L Påhlman

Authors
  1. S Salahshor
    View author publications

    Search author on:PubMed Google Scholar

  2. U Kressner
    View author publications

    Search author on:PubMed Google Scholar

  3. H Fischer
    View author publications

    Search author on:PubMed Google Scholar

  4. G Lindmark
    View author publications

    Search author on:PubMed Google Scholar

  5. B Glimelius
    View author publications

    Search author on:PubMed Google Scholar

  6. L Påhlman
    View author publications

    Search author on:PubMed Google Scholar

  7. A Lindblom
    View author publications

    Search author on:PubMed Google Scholar

Rights and permissions

From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/

Reprints and permissions

About this article

Cite this article

Salahshor, S., Kressner, U., Fischer, H. et al. Microsatellite instability in sporadic colorectal cancer is not an independent prognostic factor. Br J Cancer 81, 190–193 (1999). https://doi.org/10.1038/sj.bjc.6690676

Download citation

  • Received: 13 October 1998

  • Revised: 22 March 1999

  • Accepted: 30 March 1999

  • Published: 27 August 1999

  • Issue date: 01 September 1999

  • DOI: https://doi.org/10.1038/sj.bjc.6690676

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Keywords

  • microsatellite instability (MSI)
  • prognosis
  • colorectal cancer

This article is cited by

  • The prognostic significance of microsatellite instability in colorectal cancer: a Swedish multi-center study

    • Petri Rantanen
    • Anne Keränen
    • Ulrik Lindforss

    International Journal of Colorectal Disease (2023)

  • Rate of dissemination and prognosis in early and advanced stage colorectal cancer based on microsatellite instability status: systematic review and meta-analysis

    • James W. T. Toh
    • Kevin Phan
    • Kevin J. Spring

    International Journal of Colorectal Disease (2021)

  • A microRNA molecular modeling extension for prediction of colorectal cancer treatment

    • Jian Li
    • Ulrich R. Mansmann

    BMC Cancer (2015)

  • Hierarchical clustering analysis of pathologic and molecular data identifies prognostically and biologically distinct groups of colorectal carcinomas

    • Daniela Furlan
    • Ileana W Carnevali
    • Capella Carlo

    Modern Pathology (2011)

  • Microsatellite instability in colorectal cancer: from molecular oncogenic mechanisms to clinical implications

    • Aziz Zaanan
    • Katy Meunier
    • Françoise Praz

    Cellular Oncology (2011)

Download PDF

Advertisement

Explore content

  • Research articles
  • Reviews & Analysis
  • News & Comment
  • Current issue
  • Collections
  • Follow us on Twitter
  • Sign up for alerts
  • RSS feed

About the journal

  • Journal Information
  • Open access publishing
  • About the Editors
  • Contact
  • Special Issues
  • For Advertisers
  • Subscribe

Publish with us

  • For Authors & Referees
  • Language editing services
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

British Journal of Cancer (Br J Cancer)

ISSN 1532-1827 (online)

ISSN 0007-0920 (print)

nature.com sitemap

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2025 Springer Nature Limited