Losses of heterozygosity are the most common molecular genetic alteration o
bserved in human cancers. However, there have been few systematic studies t
o understand the mechanism(s) responsible for losses of heterozygosity in s
uch tumors. Here we report a detailed investigation of the five chromosomes
lost most frequently in human colorectal cancers. A total of 10,216 determ
inations were made with 88 microsatellite markers, revealing 245 chromosoma
l loss events. The mechanisms of loss were remarkably chromosome-specific.
Some chromosomes displayed complete loss such as that predicted to result f
rom mitotic nondisjunction. However, more than half of the losses were asso
ciated with losses of only part of a chromosome rather than a whole chromos
ome. Surprisingly, these losses were due largely to structural alterations
rather than to mitotic recombination, break-induced replication, or gene co
nversion, suggesting novel mechanisms for the generation of much of the ane
uploidy in this common tumor type.