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Updated: Jul 10, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Mutations of microsatellite instability target genes in sporadic basal cell carcinomas
Angelica A Saetta1, Angeliki Stamatelli, Maria Karlou
1Department of Pathology, Medical School, The National and Kapodistrian University of Athens, 75 Mikras Asias Street, Goudi, GR-115 27 Athens, Greece. asaetta@med.uoa.gr
Abstract:
Microsatellite instability (MSI) caused by a defective DNA mismatch repair (MMR) system is one of the phenotypes of genomic instability, accounting for the tumorigenesis of certain types of cancers conveying clinical and prognostic significance. Genes such as TGF-betaRII, IGFIIR, hMSH3, and hMSH6 include coding mononucleotide repeats that are known targets for mutations in MSI-high tumors. The aim of our study was to investigate the prevalence of mutations in the above 4 MSI target genes in correlation with the MSI status of 75 basal cell carcinomas (BCCs), including aggressive-growth BCCs and cases with perineural invasion. TGF-betaRII or hMSH3 frameshift mutations were identified in 5% of the BCCs, including two cases of aggressive-growth subtype, whereas there were no microsatellite alterations in the IGFIIR and hMSH6 genes. Mutations at the mononucleotide repeats within the hMSH3 and TGF-betaRII genes occurred in certain BCCs, not always in association with MSI. It seems likely that microsatellite alterations may be important in the development of individual cases of BCCs despite the low frequency of MSI in our cohort.
Insights
Microsatellite instability (MSI) is linked to DNA repair defects and cancer. In basal cell carcinomas (BCCs), mutations in TGF-betaRII or hMSH3 were found, though MSI was infrequent.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- Genomic instability, including microsatellite instability (MSI) due to DNA mismatch repair (MMR) defects, plays a role in tumorigenesis.
- Specific genes with coding mononucleotide repeats (e.g., TGF-betaRII, IGFIIR, hMSH3, hMSH6) are known mutation targets in MSI-high tumors.
Purpose of the Study:
- To investigate the prevalence of mutations in four key MSI target genes (TGF-betaRII, IGFIIR, hMSH3, hMSH6).
- To correlate these mutations with the MSI status in 75 basal cell carcinoma (BCC) cases, including aggressive subtypes.
Main Methods:
- Analysis of mutations in TGF-betaRII, IGFIIR, hMSH3, and hMSH6 genes.
- Assessment of microsatellite instability (MSI) status in 75 basal cell carcinoma (BCC) samples.
Main Results:
- Frameshift mutations in TGF-betaRII or hMSH3 were identified in 5% of BCCs, including aggressive cases.
- No microsatellite alterations were found in the IGFIIR and hMSH6 genes.
- Mutations in hMSH3 and TGF-betaRII mononucleotide repeats occurred in some BCCs, independent of overall MSI status.
Conclusions:
- Microsatellite alterations may contribute to the development of certain basal cell carcinomas (BCCs), despite a low overall frequency of microsatellite instability (MSI) in the cohort.
- The findings suggest a complex role for DNA repair gene mutations in BCC pathogenesis.
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