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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review MSH2 (human mutS homolog 2) Enric Domingo, Simó Schwartz Jr Oncologia Molecular i Envelliment, Centre d'Investigacions en Bioquímica i Biologia Molecular (CIBBIM) Hospital Universitari Vall d'Hebron Passeig Vall d'Hebron 119-129 Barcelona 08035, Catalonia, Spain (ED, SSJr) Published in Atlas Database: July 2005 Online updated version: http://AtlasGeneticsOncology.org/Genes/MSH2ID340ch2p22.html DOI: 10.4267/2042/38240 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2005 Atlas of Genetics and Cytogenetics in Oncology and Haematology MSH2 is a protein involved in the mismatch repair process after DNA replication. It contains a DNA binding domain and two interaction domains, one for MSH3 or MSH6 and the other for MutL homologs (MLH1 and PMS2), located in two different regions of the gene. Identity Other names: COCA1; FCC1; hMSH2; HNPCC1 HGNC (Hugo): MSH2 Location: 2p22-p21 Local order: Between the FLJ40172 and MSH6 genes. Localisation DNA/RNA Nuclear. Description Function The MSH2 gene is composed of 16 exons spanning in a region of 80098 bp. MSH2 can bind to MSH6 or to MSH3 to form the MutS alpha or the MutS beta complexes respectively. While MutS alpha complex binds to base-base and insertion-deletion mismatches, MutS beta only binds to insertion-deletion mismatches. Upon binding to the mismatch, the MutS complex associates with the MutL complex (composed of MLH1 and PMS2), and recruits the proteins needed for DNA excision and repair. (See also: Repair of DNA double-strand breaks. Transcription The transcribed mRNA has 3145 bp. Protein Description Aminoacids: 934. Molecular Weight: 104.7 kDa. Diagram of the MSH2 gene. Exons are represented by boxes (in scale) transcribed and untranscribed sequences in blue and yellow, with exon numbers on top and number of base pairs at the bottom. Introns are represented by black bars (not in scale) and the number of base pairs indicated. The arrows show the ATG and the stop codons respectively. Atlas Genet Cytogenet Oncol Haematol. 2005; 9(4) 292 MSH2 (human mutS homolog 2) Domingo E, Schwartz S Jr Diagram of the MSH2 protein in scale. Numbers inside the blue boxes indicate the exon from which is translated each part of the protein. The boxes inside represent the DNA binding domain (red), the hMSH3/hMSH6 interaction domain (yellow) and the MutL homologs interaction domain (green); C: Carboxyl-terminal; N: Amino-terminal. Homology MSI (MicroSatellite Instability) MSH2 is homologue to the bacterial MutS gene and MSH2 homologues are also present in eukaryotes. Note Tumours in which the molecular feature that leads to cancer is the lost of the mismatch repair (MMR) system. Disease This phenotype is present in 15% of colorectal, gastric and endometrial cancer, and has a lower incidence in some other tissues. Prognosis MSI tumours have better prognosis than the MicroSatellite Stable (MSS). Oncogenesis Few sporadic cases and about 25% of the HNPCC are due to different mutations in MSH2. These mutations are germline in HNPCC. Mutations Germinal There are over 300 MSH2 germline mutations described along the gene that causes hereditary nonpolyposis colorectal cancer (HNPCC, see below). Mutations do not occur in any particular hotspot or region of the gene and include either nucleotide substitutions (missense, nonsense and splicing errors) and insertions/deletions (gross or small). In most of these mutations the resulting protein is truncated. Although rare there are described some founding mutations which account for a high proportion of the HNPCC tumours in some specific populations. Some germline genetic changes have also been described in exons and introns as non pathogenic. Muir-Torre syndrome Disease Coincidence of at least one sebaceous adenoma, epithelioma or carcinoma and one internal malignancy. Oncogenesis Muir-Torre syndrome is mainly due to inherited MSH2 mutations. Somatic Some sporadic mismatch repair deficient cases (sporadic MSI) with somatic MSH2 mutations are described. Implicated in References HNPCC (Hereditary Non Polyposis Colorectal Cancer) Fishel R, Lescoe MK, Rao MR, Copeland NG, Jenkins NA, Garber J, Kane M, Kolodner R. The human mutator gene homolog MSH2 and its association with hereditary nonpolyposis colon cancer. Cell. 1993 Dec 3;75(5):1027-38 Disease Predisposition to develop cancer, preferentially colorectal, but also in endometrium, urinary tract, stomach, small bowel, biliary tract and brain. Oncogenesis MSH2 mutations in HNPCC account for about 25% of the total cases approximately. These mutations are inherited in one allele and later the other allele is lost by LOH. This leads to mismatch repair deficiency in these patients, which is the cause of the accumulation of mutations along the genome, causing microsatellite instability (MSI) and promoting tumorigenesis. It has also been described that low levels of MSI characterize MLH1 and MSH2 HNPCC carriers before tumour diagnosis. Atlas Genet Cytogenet Oncol Haematol. 2005; 9(4) Eshleman JR, Markowitz SD. Microsatellite instability in inherited and sporadic neoplasms. Curr Opin Oncol. 1995 Jan;7(1):83-9 Jacob S, Praz F. DNA mismatch repair defects: role in colorectal carcinogenesis. Biochimie. 2002 Jan;84(1):27-47 Marti TM, Kunz C, Fleck O. DNA mismatch repair and mutation avoidance pathways. J Cell Physiol. 2002 Apr;191(1):28-41 Mitchell RJ, Farrington SM, Dunlop MG, Campbell H. Mismatch repair genes hMLH1 and hMSH2 and colorectal cancer: a HuGE review. Am J Epidemiol. 2002 Nov 15;156(10):885-902 Lynch HT, Coronel SM, Okimoto R, Hampel H, Sweet K, Lynch JF, Barrows A, Wijnen J, van der Klift H, Franken P, Wagner A, Fodde R, de la Chapelle A. A founder mutation of the MSH2 gene and hereditary nonpolyposis colorectal cancer in the United States. JAMA. 2004 Feb 11;291(6):718-24 293 MSH2 (human mutS homolog 2) Domingo E, Schwartz S Jr Mangold E, Pagenstecher C, Leister M, Mathiak M, Rütten A, Friedl W, Propping P, Ruzicka T, Kruse R. A genotypephenotype correlation in HNPCC: strong predominance of msh2 mutations in 41 patients with Muir-Torre syndrome. J Med Genet. 2004 Jul;41(7):567-72 levels of microsatellite instability characterize MLH1 and MSH2 HNPCC carriers before tumor diagnosis. Hum Mol Genet. 2005 Jan 15;14(2):235-9 Alazzouzi H, Domingo E, González S, Blanco I, Armengol M, Espín E, Plaja A, Schwartz S, Capella G, Schwartz S Jr. Low Domingo E, Schwartz S Jr. MSH2 (human mutS homolog 2). Atlas Genet Cytogenet Oncol Haematol. 2005; 9(4):292-294. Atlas Genet Cytogenet Oncol Haematol. 2005; 9(4) This article should be referenced as such: 294