Genetic instability was one of the first characteristics to be postula
ted to underlie neoplasia(1-3). Such genetic instability occurs in two
different forms. In a small fraction of colorectal and some other can
cers, defective repair of mismatched bases results in an increased mut
ation rate at the nucleotide level and consequent widespread microsate
llite instability(4-7). In most colorectal cancers, and probably in ma
ny other cancer types, a chromosomal instability (GIN) leading to an a
bnormal chromosome number (aneuploidy) is observed(8). The physiologic
al and molecular bases of this pervasive abnormality are unknown. Here
we show that CIN is consistently associated with the loss of function
of a mitotic checkpoint, Moreover, in some cancers displaying CIN the
loss of this checkpoint was associated with the mutational inactivati
on of a human homologue of the yeast BUB1 gene; BUB1 controls mitotic
checkpoints and chromosome segregation in yeast, The normal mitotic ch
eckpoints of cells displaying microsatellite instability become defect
ive upon transfer of mutant hBUB1 alleles from either of two CIN cance
rs.