ABSTRACT

Research Scholar Professor, Department of Radiation Oncology, Warren Alpert Medical School, Brown University, Physicians Offi ce Building, Suite 130, Rhode Island Hospital, 110 Lockwood Street, Providence, RI 02903, USA; Email: tkinsella@lifespan.org

resulting from genetic and/or epigenetic alterations in the MMR genes, the persistent base-base mismatches and IDLs remaining after DNA replication result in a mutator phenotype with a 102-103 elevation of spontaneous mutations highlighted by microsatellite instability (MSI) and a signifi cant risk of cancer (Jiricny 2006).