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Originally published In Press as doi:10.1074/jbc.M709276200 on December 4, 2007

J. Biol. Chem., Vol. 283, Issue 6, 3211-3216, February 8, 2008
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Evidence That a Mutation in the MLH1 3'-Untranslated Region Confers a Mutator Phenotype and Mismatch Repair Deficiency in Patients with Relapsed Leukemia*Formula

Guogen Mao{ddagger}, Xiaoyu Pan{ddagger}, and Liya Gu{ddagger}§1

From the Departments of {ddagger}Toxicology and §Pathology and Laboratory Medicine, University of Kentucky College of Medicine, Lexington, Kentucky 40536

Defects in DNA mismatch repair (MMR) are the molecular basis of certain cancers, including hematological malignancies. The defects are often caused by mutations in coding regions of MMR genes or promoter methylation of the genes. However, in many cases, despite that a hypermutable phenotype is detected in a patient, no mutations/hypermethylations of MMR genes can be detected. We report here a novel mechanism that a mutation in the MLH1 3'-untranslated region (3'-UTR) leads to MMR deficiency. A relapsed leukemia patient displayed microsatellite instability, but no genetic and epigenetic alterations in key MMR genes were identifiable. Instead, a 3-nucleotide (TTC) deletion in the MLH1 3'-UTR was found in the patient's blood sample. The mutant MLH1 3'-UTR was found to significantly reduce the expressions of both a firefly luciferase reporter gene and an ectopic MLH1 gene in model cell lines. Consistent with these observations, a significant reduction in the steady-state level of MLH1 mRNA was observed in white blood cells of the patient. These findings suggest that the mutant MLH1 3'-UTR can cause a severely reduced/defective MMR activity conferring leukemia relapse, likely by down-regulating MLH1 expression at the mRNA level. Although the exact mechanism by which the mutant 3'-UTR down-regulates the MLH1 mRNA is not known, our findings provide a novel marker for cancers with MMR defects.


Received for publication, November 12, 2007 , and in revised form, December 3, 2007.

* This work was supported by Grants CA104333 from the National Institutes of Health and IRG-163H from the American Cancer Society (to L. G.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Formula The on-line version of this article (available at http://www.jbc.org) contains supplemental Fig. 1.

1 To whom correspondence should be addressed: 136 Health Science Research Building, 1095 VA Dr., Lexington, KY 40536. Tel.: 859-323-0285; Fax: 859-323-1059; E-mail: lgu0{at}email.uky.edu.


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