Age-related accumulation of mutations has been extensively documented, and
it has been proposed as one of the prominent causes of malignancies in old
age. The present review is focused on the particular case of DNA mismatch r
epair system (MMR), that has drawn increased attention for its possible rel
evance to malignancy. We also report on our own observations on an age-asso
ciated genomic instability that develops with age in the MMR system. Our st
udy was performed on DNA samples that were prepared from peripheral blood c
ells, obtained at a 10-year interval from young and old human subjects. The
two DNA samples from each individual were examined comparatively. The olde
r individuals showed a significantly higher rate of microsatellite instabil
ity (MSI) in several loci examined, whereas no difference was found between
the paired samples of any of the young subjects. We suggest that this incr
ease in MSI with age may indicate an overall genomic instability in the eld
erly. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.