A panel of five quasimonomorphic mononucleotide repeats that dispenses with the need to analyse corresponding germline DNA was proposed by Suraweera et al for the detection of high-frequency microsatellite instability (MSI) in colorectal cancer. Using this panel, a simplified and a more sensitive (compared with the original) algorithm (p<0.05) was developed to define the instability of each repeat by assessing the morphological shape of its plot and not its absolute length. 103 cases of colorectal tumours were investigated and the results compared with those obtained by the analysis of five consensus microsatellites (Bethesda reference panel). By the proposed method, a higher specificity, but no loss of sensitivity, was found. Thus, the use of the five mononucleotide repeats in combination with the modified assessment technique simplifies the assessment of MSI, while retaining the sensitivity of the Bethesda panel for the detection of high-frequency MSI.

译文

Suraweera等人提出了一组五种准单态单核苷酸重复序列,这些重复序列无需分析相应的种系DNA,可用于检测大肠癌中的高频微卫星不稳定性(MSI)。使用该面板,开发了一种简化且更灵敏(与原始算法相比)的算法(p <0.05),通过评估图的形态学形状而非绝对长度来定义每个重复的不稳定性。研究了103例大肠肿瘤,并将结果与​​通过分析五个共有微卫星(贝塞斯达参考文献)获得的结果进行了比较。通过提出的方法,发现了更高的特异性,但没有灵敏度的损失。因此,将五个单核苷酸重复序列与改进的评估技术结合使用可简化对MSI的评估,同时保留Bethesda面板对检测高频MSI的敏感性。

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