Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients

High levels of microsatellite instability (MSI-high) are a cardinal feature of colorectal tumors from patients with Lynch Syndrome. Other key characteristics of Lynch Syndrome are that these patients experience fewer metastases and have enhanced survival when compared to patients diagnosed with micr...

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Main Authors: Kristen M. Drescher, Poonam Sharma, Henry T. Lynch
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2010/170432
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author Kristen M. Drescher
Poonam Sharma
Henry T. Lynch
author_facet Kristen M. Drescher
Poonam Sharma
Henry T. Lynch
author_sort Kristen M. Drescher
collection DOAJ
description High levels of microsatellite instability (MSI-high) are a cardinal feature of colorectal tumors from patients with Lynch Syndrome. Other key characteristics of Lynch Syndrome are that these patients experience fewer metastases and have enhanced survival when compared to patients diagnosed with microsatellite stable (MSS) colorectal cancer. Many of the characteristics associated with Lynch Syndrome including enhanced survival are also observed in patients with sporadic MSI-high colorectal cancer. In this review we will present the current state of knowledge regarding the mechanisms that are utilized by the host to control colorectal cancer in Lynch Syndrome and why these same mechanisms fail in MSS colorectal cancers.
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institution Kabale University
issn 1740-2522
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spelling doaj-art-2d336995cf374c3f968822707c533e342025-02-03T06:00:22ZengWileyClinical and Developmental Immunology1740-25221740-25302010-01-01201010.1155/2010/170432170432Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome PatientsKristen M. Drescher0Poonam Sharma1Henry T. Lynch2Department of Medical Microbiology and Immunology, Creighton University School of Medicine, Omaha, NE 68178, USADepartment of Pathology, Creighton University School of Medicine, Omaha, NE 68178, USADepartment of Preventative Medicine, Creighton University School of Medicine, Omaha, NE 68178, USAHigh levels of microsatellite instability (MSI-high) are a cardinal feature of colorectal tumors from patients with Lynch Syndrome. Other key characteristics of Lynch Syndrome are that these patients experience fewer metastases and have enhanced survival when compared to patients diagnosed with microsatellite stable (MSS) colorectal cancer. Many of the characteristics associated with Lynch Syndrome including enhanced survival are also observed in patients with sporadic MSI-high colorectal cancer. In this review we will present the current state of knowledge regarding the mechanisms that are utilized by the host to control colorectal cancer in Lynch Syndrome and why these same mechanisms fail in MSS colorectal cancers.http://dx.doi.org/10.1155/2010/170432
spellingShingle Kristen M. Drescher
Poonam Sharma
Henry T. Lynch
Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
Clinical and Developmental Immunology
title Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
title_full Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
title_fullStr Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
title_full_unstemmed Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
title_short Current Hypotheses on How Microsatellite Instability Leads to Enhanced Survival of Lynch Syndrome Patients
title_sort current hypotheses on how microsatellite instability leads to enhanced survival of lynch syndrome patients
url http://dx.doi.org/10.1155/2010/170432
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