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Updated: Aug 21, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Topoisomerase II gene mutations in tumors and tumor cell lines with microsatellite instability
Elena I Shagisultanova1, Zhe Piao, Hai-Ri Li
1The Burnham Institute, 10901 North Torrey Pines Road, La Jolla, CA 92037, USA.
Abstract:
Genetic or epigenetic inactivation of the DNA mismatch repair genes in tumor precursor cells results in a strong mutator phenotype, known as the microsatellite mutator phenotype (MMP), or microsatellite instability (MSI). This mutator phenotype causes mutations in genes responsible for the regulation of cell growth and survival/death and thus promotes the development and progression of tumors. In the present study, we examined the DNA topoisomerase II genes (topIIalpha and topIIbeta) as mutational targets for MMP. We screened 10 MSI-positive human tumor cell lines and 30 MSI-positive colorectal tumors for mutations within the entire coding region of the topIIalpha gene and two coding poly(A)7 sequences of topIIbeta. Mutations in either the topIIalpha or topIIbeta gene were found with an overall frequency of 18% (in 10% of the primary tumors and in 44% of the cell lines). This indicates that modulation of the DNA topoisomerase II (TOPII) activity may be important for the development of MSI-positive cancer.
Insights
Microsatellite instability (MSI) drives cancer by causing mutations. This study found DNA topoisomerase II genes are mutated in 18% of MSI-positive cancers, suggesting TOPII modulation is key in MSI-positive cancer development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Microsatellite mutator phenotype (MMP) or microsatellite instability (MSI) arises from DNA mismatch repair gene inactivation.
- This phenotype promotes tumor development by causing mutations in cell growth and survival genes.
Purpose of the Study:
- To investigate DNA topoisomerase II alpha (topIIalpha) and beta (topIIbeta) genes as potential mutational targets in MMP.
- To determine the frequency of mutations in topIIalpha and topIIbeta in MSI-positive cancers.
Main Methods:
- Screening of 10 MSI-positive human tumor cell lines and 30 MSI-positive colorectal tumors.
- Analysis of mutations in the coding regions of topIIalpha and topIIbeta genes.
Main Results:
- Mutations in topIIalpha or topIIbeta genes were identified in 18% of the samples analyzed.
- Mutation frequency was 10% in primary colorectal tumors and 44% in cell lines.
Conclusions:
- DNA topoisomerase II (TOPII) genes are frequently mutated in MSI-positive cancers.
- Modulation of TOPII activity may play a significant role in the pathogenesis of MSI-positive cancer.
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