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Updated: Apr 29, 2026

Deficient Pms2, ERCC1, Ku86, CcOI in Field Defects During Progression to Colon Cancer
Published on: July 28, 2010
Relationship of mismatch repair proteins and survivin in colon polyps and carcinomas
Marian Adamkov1, Martina Furjelová1, Jaroslav Horáček2
1Department of Histology and Embryology, Jessenius Faculty of Medicine Martin, Comenius University Bratislava, Malá Hora 4, 036 01 Martin, Slovakia.
Abstract:
Mismatch repair genes (MMR) play an essential role in DNA repair. MMR mutations predominantly in MLH1, MSH2, MSH6, PMS2, and rarely in PMS1, may cause the production of abnormally short or inactivated proteins. The antiapoptotic protein survivin functions in the inhibition of apoptosis, regulation of cell division and also enhances angiogenesis. Both MMRP and survivin are considered to be powerful prognostic parameters. This study was designed to determine the relationship between MMRP and survivin in colon lesions. The study included 113 cases of colon carcinoma and 51 cases of colon polyps. Survivin expression and MMRP status were assessed by immunohistochemistry. In each section, expression, intensity of immunostaining and percentage of labeled cells were analyzed. In carcinomas, immunoreaction was detected in 100/113 cases for MLH1 (88.5%), 112/113 cases for MSH2 (99.1%), 110/113 cases for MSH6 (97.3%), and 103/113 cases for PMS2 (91.2%). Survivin was shown in 47/113 cases (41.6%). The statistical analysis confirmed a significant correlation between the expression of MMRP and survivin in the assessed parameters. All 51 polyp samples were positive for MLH1, MSH2, MSH6 and PMS2. Only 8 of those (15.7%) were positive for survivin. Statistically significant differences were observed between the expression of MMRP and survivin. In conclusion, this study revealed that MMRP may suppress the antiapoptotic function of survivin through p53 inactivation of its promoter in grade 1 and grade 2 colon carcinomas.
Insights
Mismatch repair proteins (MMRP) and survivin are key prognostic markers in colon cancer. This study found a significant correlation between MMRP and survivin expression, suggesting MMRP may suppress survivin
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Mismatch repair (MMR) genes are crucial for DNA repair, and mutations can lead to cancer.
- Survivin, an antiapoptotic protein, influences cell division, apoptosis, and angiogenesis.
- Both MMR protein (MMRP) status and survivin expression are significant prognostic indicators.
Purpose of the Study:
- To investigate the relationship between MMRP and survivin expression in colon lesions.
- To analyze MMRP and survivin in colon carcinomas and polyps.
Main Methods:
- Immunohistochemistry was used to assess MMRP (MLH1, MSH2, MSH6, PMS2) and survivin expression.
- Expression levels, staining intensity, and percentage of labeled cells were analyzed.
- Statistical analysis was performed to determine correlations.
Main Results:
- In colon carcinomas, MMRP expression was high (88.5%-99.1%), while survivin was detected in 41.6% of cases.
- All colon polyp samples showed positive MMRP expression, with only 15.7% positive for survivin.
- A significant correlation was found between MMRP and survivin expression in assessed parameters.
Conclusions:
- MMRP status and survivin expression are significantly correlated in colon lesions.
- MMRP may suppress survivin's antiapoptotic function via p53 in early-grade colon carcinomas.
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