Hereditary nonpolyposis colorectal cancer is associated with defects i
n DNA mismatch repair. Here, we characterize tumor susceptibility of t
he recently described Msh2-deficient mouse model. Within the first gea
r of observation, all homozygous mice succumbed to disease, with lymph
omas observed in at least 80% of the cases. The majority (70%) of anim
als 6 months or older developed intestinal neoplasms associated with A
PC inactivation. Microsatellite instability was more common in carcino
mas than in adenomas, but uncommon in normal tissues. Some animals (7%
) developed a variety of skin neoplasms analogous to the Muir-Torre sy
ndrome. Msh2(-/-) mice implicate a direct role for mismatch repair in
several neoplasms with striking phenotypic similarities to humans.