Forty gastric tumors were investigated for microsatellite instability
at the D2S119 and L-myc loci. These tumors and 143 other gastrointesti
nal cancers were previously analyzed for instability at several differ
ent microsatellites. By evaluating previous and present results, repea
ted sequences were selected that frequently underwent replication erro
rs (RERs). To coamplify these sequences, the following multiplex polym
erase chain reactions (PCRs) were performed: 1) D2S119/L-myc/D18S59; 2
) D2S119/L-myc/D3S1076; and 3) D2S177/L-myc/BAT-RII. Therefore, the 40
gastric tumors in the present survey were rescreened using multiplex
PCRs. Each multiplex allowed detection of nearly all RER+ tumors (80%
for multiplex 3 and 87% for multiplexes 1 and 2) that had been previou
sly identified by amplifying 9 different loci with independent reactio
ns. Moreover, for multiplexes 1 and 2, the size differences between no
rmal and RER alleles were sufficient to be detected by electrophoresis
on conventional polyacrylamide gels after DNA staining with ethidium
bromide. This approach allows a rapid and easy assessment of RER pheno
type in gastric tumors.