PMID- 11309271 OWN - NLM STAT- MEDLINE DCOM- 20010510 LR - 20071114 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 61 IP - 8 DP - 2001 Apr 15 TI - A mutator phenotype in cancer. PG - 3230-9 AB - We have proposed that an early step in tumor progression is the expression of a mutator phenotype resulting from mutations in genes that normally function in the maintenance of genetic stability. There is new and strong experimental evidence that supports the concept of a mutator phenotype in cancer. As technologies for chromosomal visualization and DNA advance, there are increasing data that human cancer cells contain large numbers of mutations. First, I will review the concept of a mutator phenotype. Second, I will present the recent evidence that individual cancer cells contain thousands of mutations. Third, I will explore potential target genes that are required for maintenance of genetic stability in normal cells and ask if they are mutated in cancer cells. Fourth, I will address the timing of a mutator phenotype; is it an early event during tumor progression? Do tumors already contain cells that harbor mutations rendering them resistant to most chemotherapeutic agents? Lastly, I will speculate on the theoretical and practical implication of a mutator phenotype in cancer and consider the possibility of cancer prevention by delay, i.e., a reduction in mutation rates early during carcinogenesis might slow the progression of tumors. FAU - Loeb, L A AU - Loeb LA AD - Departments of Pathology and Biochemistry, The Joseph Gottstein Memorial Cancer Research Laboratory, University of Washington, Seattle, WA 98195-7705, USA. laloeb@u.washington.edu LA - eng GR - CA74184/CA/NCI NIH HHS/United States GR - CA80993/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R SB - IM MH - Animals MH - Humans MH - Mutation/*physiology MH - Neoplasms/*genetics MH - Phenotype RF - 101 EDAT- 2001/04/20 10:00 MHDA- 2001/05/22 10:01 CRDT- 2001/04/20 10:00 PHST- 2001/04/20 10:00 [pubmed] PHST- 2001/05/22 10:01 [medline] PHST- 2001/04/20 10:00 [entrez] PST - ppublish SO - Cancer Res. 2001 Apr 15;61(8):3230-9.