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Unité dOncologie Moléculaire et Unité U453, Institut National de la Santé et de la Recherche Médicale [Q. W., C. N., E. R., A. P.], Département de Santé Publique [C. L.], Département de Médecine [F. D.], and Département de Pédiatrie [D. F., C. B.], Centre Léon Bérard, 69008 Lyon, France
Hereditary nonpolyposis colon cancer is a common hereditary disorder caused by the germ-line mutations of DNA mismatch repair (MMR) genes, especially hMLH1 and hMSH2. We report here the first identification of human compounds with a homozygous inactivation of a MMR gene. In a typical hereditary nonpolyposis colon cancer family, MMR-deficient children conceived from matings between heterozygotes for a hMLH1 deleterious mutation exhibited clinical features of de novo neurofibromatosis type 1 and early onset of extracolonic cancers. This observation demonstrates that MMR deficiency is compatible with human development but may lead to mutations during embryogenesis. On the basis of clinical symptoms observed in MMR-deficient children, we speculate that the neurofibromatosis type 1 gene is a preferential target for such alterations.
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