A change in microsatellite instability caused by cisplatin-based chemotherapy of ovarian cancer

Br J Cancer. 2001 Sep 28;85(7):1064-9. doi: 10.1054/bjoc.2001.2037.


To clarify the mechanism of acquired CDDP resistance in ovarian cancer, we compared the microsatellite instability (MSI) by the amplification of 10 microsatellite loci and immunohistochemical detection of hMSH2 and hMLH1 expression between the primary resected tumours and the secondary resected residual tumours after 5 or 6 courses of CDDP-based chemotherapy in the 24 cases of ovarian cancer. Of the 24 primary resected tumours, 9 (37.5%) showed MSI (7 cases of MSI-L, 2 cases of MSI-H), while 15 (72.5%) were microsatellite stable tumours (MSS). The primary tumours also had MSI in the residual tumours after CDDP-based chemotherapy. However, all of the cases with MSS in the primary resected tumours exhibited MSI (2 cases were MSI-L, and 13 cases were MSI-H) in the residual tumours after CDDP-based chemotherapy (P< 0.001). Furthermore, 11 (73.3%) of these cases which changed from MSS to MSI also had a change in the expression of hMLH1 from positive to undetectable (P< 0.001). Our data suggest that tumour MSI changes during CDDP-based chemotherapy, and that the loss of hMLH1 expression is one of the factors that has the greatest effect on this transformation.

MeSH terms

  • Adult
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carcinoma / drug therapy*
  • Carcinoma / genetics*
  • Cisplatin / pharmacology*
  • DNA Primers
  • DNA, Neoplasm / analysis
  • DNA, Neoplasm / genetics*
  • DNA-Binding Proteins*
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Immunohistochemistry
  • Microsatellite Repeats / genetics*
  • Middle Aged
  • MutS Homolog 2 Protein
  • Ovarian Neoplasms / drug therapy*
  • Ovarian Neoplasms / genetics*
  • Polymerase Chain Reaction
  • Protein Biosynthesis
  • Proteins / analysis
  • Proto-Oncogene Proteins / analysis
  • Proto-Oncogene Proteins / biosynthesis


  • Antineoplastic Agents
  • DNA Primers
  • DNA, Neoplasm
  • DNA-Binding Proteins
  • Proteins
  • Proto-Oncogene Proteins
  • MSH2 protein, human
  • MutS Homolog 2 Protein
  • Cisplatin