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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Russian Journal of Biotherapy</journal-id><journal-title-group><journal-title xml:lang="en">Russian Journal of Biotherapy</journal-title><trans-title-group xml:lang="ru"><trans-title>Российский биотерапевтический журнал</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1726-9784</issn><issn publication-format="electronic">1726-9792</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1175</article-id><article-id pub-id-type="doi">10.17650/1726-9784-2019-18-4-17-24</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">MICROSATELLITE INSTABILITY AND GASTRIC CARCINOMA. REVIEW OF THELITERATURE</article-title><trans-title-group xml:lang="ru"><trans-title>МИКРОСАТЕЛЛИТНАЯ НЕСТАБИЛЬНОСТЬ И КАРЦИНОМА ЖЕЛУДКА. ОБЗОР ЛИТЕРАТУРЫ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3386-0077</contrib-id><name-alternatives><name xml:lang="en"><surname>Rotin</surname><given-names>D. L.</given-names></name><name xml:lang="ru"><surname>Ротин</surname><given-names>Д. Л.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>5 Second Botkinskyi Proyezd, Moscow 125284, Russia</p></bio><bio xml:lang="ru"><p>Россия, 125284 Москва, 2‑й Боткинский проезд, 5</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6373-1888</contrib-id><name-alternatives><name xml:lang="en"><surname>Paklina</surname><given-names>O. V.</given-names></name><name xml:lang="ru"><surname>Паклина</surname><given-names>О. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>5 Second Botkinskyi Proyezd, Moscow 125284, Russia</p></bio><bio xml:lang="ru"><p>Россия, 125284 Москва, 2‑й Боткинский проезд, 5</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tin’kova</surname><given-names>I. O.</given-names></name><name xml:lang="ru"><surname>Тинькова</surname><given-names>И. О.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>5 Second Botkinskyi Proyezd, Moscow 125284, Russia</p></bio><bio xml:lang="ru"><p>Россия, 125284 Москва, 2‑й Боткинский проезд, 5</p></bio><email>tinkovairen74@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Grekov</surname><given-names>D. N.</given-names></name><name xml:lang="ru"><surname>Греков</surname><given-names>Д. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>5 Second Botkinskyi Proyezd, Moscow 125284, Russia</p></bio><bio xml:lang="ru"><p>Россия, 125284 Москва, 2‑й Боткинский проезд, 5</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">S. P. Botkin City Clinical Hospital</institution></aff><aff><institution xml:lang="ru">ГБУЗ «Городская клиническая больница им. С. П. Боткина Департамента здравоохранения г. Москвы»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2019-12-02" publication-format="electronic"><day>02</day><month>12</month><year>2019</year></pub-date><volume>18</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>17</fpage><lpage>24</lpage><history><date date-type="received" iso-8601-date="2019-11-30"><day>30</day><month>11</month><year>2019</year></date><date date-type="accepted" iso-8601-date="2019-11-30"><day>30</day><month>11</month><year>2019</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://bioterapevt.abvpress.ru/jour/article/view/1175">https://bioterapevt.abvpress.ru/jour/article/view/1175</self-uri><abstract xml:lang="en"><p>Carcinoma of the stomach is wide spread malignancy with the poor prognosis. Recent investigations of the genome features let to consider this tumor as heterogeneous lesion, presenting different biological subtypes. Each of those subtypes has its own definitive characteristics including difference in prognosis. Microsatellite instability (MSI) – epigenetic molecular abnormality known in many tumors. The role of MSI in the carcinoma of stomach, prognostic as well predictive, is still not clear. High incidence (10 up to 22 %) of MSI in carcinoma of stomach requires performing more extensive studying of this malignancy. The present review is dedicated to recent data of the literature, concerning clinical, morphological, prognostic and predictive features of MSI in the carcinoma of stomach.</p></abstract><trans-abstract xml:lang="ru"><p>Рак желудка (РЖ) – широко распространенная злокачественная опухоль с плохим прогнозом. Последние исследования характеристик генома позволяют рассматривать РЖ как гетерогенное заболевание, представленное различными биологическими подтипами, каждый из которых имеет свои специфические свойства и признаки с различным прогнозом. Микросателлитная нестабильность (МСН) – эпигенетическое молекулярное нарушение, известное во многих опухолях. Роль МСН в РЖ, как прогностическая, так и предиктивная, не вполне ясна. Частая встречаемость (от 10 до 22 %) РЖ с МСН требует более интенсивного изучения ее роли в данной опухоли. Данный обзор посвящен современным данным литературы, касающимся клинических, морфологических, прогностических и предиктивных свойств МСН в РЖ.</p></trans-abstract><kwd-group xml:lang="en"><kwd>gastric cancer</kwd><kwd>microsatellite instability</kwd><kwd>prognosis</kwd><kwd>predictive factors</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак желудка</kwd><kwd>микросателлитная нестабильность</kwd><kwd>прогноз</kwd><kwd>предиктивный фактор</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Siegel R.L., Miller K.D., Jemal A. Cancer statistics, 2017. CA Cancer J Clin 2017;67(1):7–30. DOI: 10.3322/caac.21387.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Bang Y.J., van Cutsem E., Feyereislova A. et al. Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or gastro-oesophageal junction cancer (ToGA): a phase 3, open-label, randomized controlled trial. Lancet 2010;376(9742):687–97. DOI: 10.1016/s0140-6736(10)61121-x.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Fuchs C.S., Tomasek J., Yong C.J. et al. Ramucirumab monotherapy for previously treated advanced gastric or gastro-oesophageal junction adenocarcinoma (REGARD): an international, randomised, multicentre, placebo-controlled, phase 3 trial. Lancet 2014; 383(9911):31–9. DOI: 10.1016/s0140-6736(13)61719-5.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Wilke H., Muro K., van Cutsem E. et al. Ramucirumab plus paclitaxel versus placebo plus paclitaxel in patients with previously treated advanced gastric or gastro-oesophageal junction adenocarcinoma (RAINBOW): a double-blind, randomised phase3 trial. Lancet Oncol 2014;15(11):1224–35. DOI: 10.1016/s1470-2045(14)70420-6.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>The Cancer Genome Atlas Research Network. Comprehensive molecular characterization of gastric adenocarcinoma. Nature 2014;513(7517):202–9. DOI: 10.1038/nature13480.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Cristescu R., Lee J., Nebozhyn M. et al. Molecular analysis of gastric cancer identifies subtypes associated with distinct clinical outcomes. Nat Med 2015;21:449–56. DOI: 10.1038/nm.3850.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Baudrin L.G., Deleuze J.F., How-Kit A. Molecular and computational methods for the detection of microsatellite instability in cancer. Front Oncol 2018;12(8):621. DOI: 10.3389/fonc.2018.00621.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Ryan E., Sheahan K., Creavin B. et al. The current value of determining the mismatch repair status of colorectal cancer: A rationale for routine testing. Crit Rev Oncol Hematol 2017;116:38–57. DOI:10.1016/j.critrevonc.2017.05.006.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Laghi L., Bianchi P., Roncalli M., Malesci A. Revised Bethesda guidelines for hereditary nonpolyposis colorectal cancer(Lynch syndrome) and microsatellite instability. J Natl Cancer Inst 2004;96:1402–3. DOI: 10.1093/jnci/djh280.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Ratti M., Lampis A., Hahne J.C. et al. Microsatellite instability in gastric cancer: molecular bases, clinical perspectives, and new treatment approaches. Cell Mol Life Sci 2018;75(22):4151–62. DOI: 10.1007/s00018-018-2906-9.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Hudler P. Genetic aspects of gastric cancer instability. Sci World J 2012;2012:761909. DOI: 10.1100/2012/761909.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Cohen R., Buhard O., Cervera P. et al. Clinical and molecular characterization of hereditary and sporadic metastatic colorectal cancers harboring microsatellite instability/DNA mismatch repair deficiency. Eur J Cancer 2017;86:266–74. DOI: 10.1016/j.ejca.2017.09.022.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Boussios S., Ozturk M.A., Moschetta M. et al. The developing story of predictive biomarkers in colorectal cancer. J Pers Med 2019;7:9(1). DOI: 10.3390/jpm9010012.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Valeri N., Gasparini P., Fabbri M. et al. Modulation of mismatch repair and genomic stability by miR-155. Proc Natl Acad Sci U S A 2010;107(15):6982–7. DOI: 10.1073/pnas.1015541107.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Byrne M., Saif M.W. Selecting treatment options in refractory metastatic colorectal cancer. Onco Targets Ther 2019;12:2271–8. DOI: 10.2147/OTT.S194605.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Ribic C.M., Sargent D.J., Moore M.J. et al. Tumor microsatellite-instability status as a predictor of benefit from fluorouracil-based adjuvant chemotherapy for colon cancer. N Engl J Med 2003;349(3):247–57. DOI: 10.1056/NEJMoa022289.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Polom K., Marano L., Marrelli D. et al. Meta-analysis of microsatellite instability in relation to clinicopathological characteristics and overall survival in gastric cancer. Br J Surg 2018;105(3):159–67. DOI: 10.1002/bjs.10663.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>An J.Y., Kim H., Cheong J.H. et al. Microsatellite instability in sporadic gastric cancer: its prognostic role and guidance for 5-FU based chemotherapy after R0 resection. Int J Cancer 2012;131(2):505–11. DOI: 10.1002/ijc.26399.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Zhao P., Li L., Jiang X., Li Q. Mismatch repair deficiency/microsatellite instability-high as a predictor for anti-PD-1/PD-L1 immunotherapy efficacy. J Hematol Oncol 2019;12(1):54. DOI: 10.1186/s13045-019-0738-1.</mixed-citation></ref><ref id="B20"><label>20.</label><citation-alternatives><mixed-citation xml:lang="en">Smyth E.C., Wotherspoon A., Peckitt C. et al. Mismatch repair deficiency, microsatellite instability, and survival: an exploratory analysis of the medical research council adjuvant gastric infusional chemotherapy (MAGIC) trial. JAMA Oncol 2017;l3:1197–203. DOI: org/10.1001/jamaoncol.2016.6762.</mixed-citation><mixed-citation xml:lang="ru">Smyth E.C., Wotherspoon A., Peckitt C. et al. Mismatch repair deficiency, microsatellite instability, and survival: an exploratory analysis of the medical research council adjuvant gastric infusional chemotherapy (MAGIC) trial. JAMA Oncol 2017;l3:1197–203. DOI: org/10.1001/jamaoncol.2016.6762.</mixed-citation></citation-alternatives></ref><ref id="B21"><label>21.</label><mixed-citation>Le D.T., Durham J.N., Smith K.N. et al. Mismatch repair deficiency predicts response of solid tumors to PD-1 blockade. Science 2017;357:409–13. DOI: 10.1126/science.aan6733.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Le D.T., Uram J.N., Wang H. et al. PD-1 blockade in tumors with mismatch-repair deficiency. N Engl J Med 2015;372:2509–20.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Thompson E.D., Zahurak M., Murphy A. et al. Patterns ofPD-L1 expression and CD8 T cell infiltration in gastric adenocarcinomasand associated immune stroma. Gut 2017;66:794–801. DOI: org/10.1136/gutjnl-2015-310839.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Muro K., Chung H.C., Shankaran V. et al. Pembrolizumab for patients with PD-L1-positive advanced gastric cancer (KEYNOTE-012): a multicentre, open-label, phase 1b trial. Lancet Oncol. 2016;17(6):717–26. DOI: 10.1016/s1470-2045(16)00175-3.</mixed-citation></ref><ref id="B25"><label>25.</label><citation-alternatives><mixed-citation xml:lang="en">Yamamoto H., Imai K. Microsatellite instability: an update. Arch Toxicol 2015;89:899–921. DOI: 10.1007/s00204-015-1474-0.</mixed-citation><mixed-citation xml:lang="ru">Yamamoto H., Imai K. Microsatellite instability: an update. Arch Toxicol 2015;89:899–921. DOI: 10.1007/s00204-015-1474-0.</mixed-citation></citation-alternatives></ref><ref id="B26"><label>26.</label><mixed-citation>Falchetti M., Saieva C., Lupi R. et al. Gastric cancer with high-level microsatellite instability: target gene mutations, clinicopathologic features, and long-term survival. Hum Pathol 2008;39:925–32. DOI: 10.1016/j.humpath.2007.10.024.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Tang S., Wu W.K., Li X. et al. Stratification of Digestive Cancers with Different Pathological Features and Survival Outcomes by MicroRNA Expression. Sci Rep 2016;15(6):244–66. DOI: 10.1038/srep24466.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Yuza K., Nagahashi M., Watanabe S. et al. Hypermutation and microsatellite instability in gastrointestinal cancers. Oncotarget 2017;8(67):112103–15. DOI: 10.18632/oncotarget.22783.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Corso G., Velho S., Paredes J. et al. Oncogenic mutations in gastric cancer with microsatellite instability. Eur J Cancer 2011;47:443–51. DOI: 10.1016/j.ejca.2010.09.008.</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Leite M., Corso G., Sousa S. et al. MSI phenotype and MMR alterations in familial and sporadic gastric cancer. Int J Cancer 2011;128:1606–13. DOI: 10.1002/ijc.25495.</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Vasen H.F.A., Blanco I., Aktan-Collan K. et al. Revised guidelines for the clinical management of Lynch syndrome (HNPCC): recommendations by a group of European experts. Gut 2013;62(6):812–23. DOI: org/10.1136/gutjnl-2012-304356.</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Ottini L., Falchetti M., Lupi R. et al. Patterns of genomic instability in gastric cancer: clinical implications and perspectives. Ann Oncol 2006;17(Suppl. 7):97–102. DOI: 10.1093/annonc/mdl960.</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Dudley J.C., Lin M.T., Le D.T., Eshleman J.R. Microsatellite instability as a biomarker for PD-1 blockade. Clin Cancer Res 2016;22(4):813–20. DOI: 10.1158/1078-0432.ccr-15-1678.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Berg K.D., Glaser C.L., Thompson R.E. et al. Detection of microsatellite instability by fluorescence multiplex polymerase chain reaction. J Mol Diagn 2000;2(1):20–8. DOI: 10.1016/s1525-1578(10)60611-3.</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Deschoolmeester V., Baay M., Wuyts W. et al. Detection of microsatellite instability in colorectal cancer using an alternative multiplex assay of quasi-monomorphic mononucleotide markers. J Mol Diagn 2008;10(2):154–9. DOI: 10.2353/jmoldx.2008.070087.</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Rigau V., Sebbagh N., Olschwang S. et al. Microsatellite instability in colorectal carcinoma. The comparison of immunohistochemistry and molecular biology suggests a role for hMSH6 [correction of hMLH6] immunostaining. Arch Pathol Lab Med 2003;127:694–700.</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Vanderwalde A., Spetzler D., Xiao N. et al. Microsatellite instability status determinated by next-generation sequencing and compared with PD-L1 and tumor mutational burden in 11,348 patients. Cancer Med 2018;7:746–56. DOI: 10.1002/cam4.1372.</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Hause R.J., Pritchard C.C., Shendure J. et al. Classification and characterization of microsatellite instability across 18 cancer types. Nat Med 2016;22:1342–50. DOI: 10.1038/nm.4191.</mixed-citation></ref><ref id="B39"><label>39.</label><citation-alternatives><mixed-citation xml:lang="en">Hause R.J., Pritchard C.C., Shendure J. et al. Classification and characterization of microsatellite instability across 18 cancer types. Nat Med 2016;22:1342–50. DOI: 10.1038/nm.4191.</mixed-citation><mixed-citation xml:lang="ru">Zehir A.R., Benayed R.H., Shah A. et al. Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients. Nat Med 2017;23(6):703–13. DOI: 10.1038/nm.4333.</mixed-citation></citation-alternatives></ref><ref id="B40"><label>40.</label><citation-alternatives><mixed-citation xml:lang="en">Zehir A.R., Benayed R.H., Shah A. et al. Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients. Nat Med 2017;23(6):703–13. DOI: 10.1038/nm.4333.</mixed-citation><mixed-citation xml:lang="ru">Kim S.H., Ahn B.K., Nam Y.S. et al. Microsatellite instability is associated with the clinicopathologic features of gastric cancer in sporadic gastric cancer patients. J Gastric Cancer 2010;10(4):149–54. DOI: 10.5230/jgc.2010.10.4.149.</mixed-citation></citation-alternatives></ref><ref id="B41"><label>41.</label><citation-alternatives><mixed-citation xml:lang="en">Zehir A.R., Benayed R.H., Shah A. et al. Mutational landscape of metastatic cancer revealed from prospective clinical sequencing of 10,000 patients. Nat Med 2017;23(6):703–13. DOI: 10.1038/nm.4333.</mixed-citation><mixed-citation xml:lang="ru">Lin J.T., Wu M.S., Shun C.T. et al. Microsatellite instability in gastric carcinoma</mixed-citation></citation-alternatives></ref><ref id="B42"><label>42.</label><citation-alternatives><mixed-citation xml:lang="en">Kim S.H., Ahn B.K., Nam Y.S. et al. Microsatellite instability is associated with the clinicopathologic features of gastric cancer in sporadic gastric cancer patients. J Gastric Cancer 2010;10(4):149–54. DOI: 10.5230/jgc.2010.10.4.149.</mixed-citation><mixed-citation xml:lang="ru">with special references to histopathology and cancer stages. Eur J Cancer 1995;31A: 1879–82.</mixed-citation></citation-alternatives></ref><ref id="B43"><label>43.</label><citation-alternatives><mixed-citation xml:lang="en">Kim S.H., Ahn B.K., Nam Y.S. et al. Microsatellite instability is associated with the clinicopathologic features of gastric cancer in sporadic gastric cancer patients. J Gastric Cancer 2010;10(4):149–54. DOI: 10.5230/jgc.2010.10.4.149.</mixed-citation><mixed-citation xml:lang="ru">Choi Y.Y., Bae J.M., An J.Y. et al. Is microsatellite instability a prognostic marker in gastric cancer? A systematic review with meta-analysis. J Surg Oncol 2014;1109(2):129–35. DOI: 10.1002/jso.23618.</mixed-citation></citation-alternatives></ref><ref id="B44"><label>44.</label><citation-alternatives><mixed-citation xml:lang="en">Lin J.T., Wu M.S., Shun C.T. et al. Microsatellite instability in gastric carcinoma</mixed-citation><mixed-citation xml:lang="ru">Kim S.Y., Choi Y.Y., An J.Y. et al. The benefit of microsatellite instability is attenuated by chemotherapy in stage II and stage III gastric cancer: results from a large cohort with subgroup analyses. Int J Cancer 2015;137(4):819–25. DOI: 10.1002/ijc.29449.</mixed-citation></citation-alternatives></ref><ref id="B45"><label>45.</label><citation-alternatives><mixed-citation xml:lang="en">Lin J.T., Wu M.S., Shun C.T. et al. Microsatellite instability in gastric carcinoma</mixed-citation><mixed-citation xml:lang="ru">Mathiak M., Warneke V.S., Behrens H.M. et al. Clinicopathologic characteristics of microsatellite instable gastric carcinomas revisited: urgent need for standardization. Appl Immunohistochem Mol Morphol 2017;25:12–24. DOI: 10.1097/pai.0000000000000264.</mixed-citation></citation-alternatives></ref><ref id="B46"><label>46.</label><citation-alternatives><mixed-citation xml:lang="en">with special references to histopathology and cancer stages. Eur J Cancer 1995;31A: 1879–82.</mixed-citation><mixed-citation xml:lang="ru">Normanno N., Rachiglio A.M., Lambiase M. et al. Heterogeneity of KRAS, NRAS, BRAF and PIK3CA mutations inmetastatic colorectal cancer and potential effects on therapy in the CAPRI GOIM trial. Ann Oncol 2015;26(8):1710–14. DOI: org/10.1093/annonc/mdv176.</mixed-citation></citation-alternatives></ref><ref id="B47"><label>47.</label><citation-alternatives><mixed-citation xml:lang="en">with special references to histopathology and cancer stages. Eur J Cancer 1995;31A: 1879–82.</mixed-citation><mixed-citation xml:lang="ru">Mukohara T. PI3K mutations in breast cancer: prognostic and therapeutic implications. Breast Cancer 2015;7:111–23. DOI: 10.2147/BCTT.S60696.</mixed-citation></citation-alternatives></ref><ref id="B48"><label>48.</label><citation-alternatives><mixed-citation xml:lang="en">Choi Y.Y., Bae J.M., An J.Y. et al. Is microsatellite instability a prognostic marker in gastric cancer? A systematic review with meta-analysis. J Surg Oncol 2014;1109(2):129–35. DOI: 10.1002/jso.23618.</mixed-citation><mixed-citation xml:lang="ru">Nakashima H., Honda M., Inoue H. et al. Microsatellite instability in multiple gastric cancers. Int J Cancer 1995;64: 239–42. DOI: 10.1002/ijc.2910640405.</mixed-citation></citation-alternatives></ref><ref id="B49"><label>49.</label><citation-alternatives><mixed-citation xml:lang="en">Choi Y.Y., Bae J.M., An J.Y. et al. Is microsatellite instability a prognostic marker in gastric cancer? A systematic review with meta-analysis. J Surg Oncol 2014;1109(2):129–35. DOI: 10.1002/jso.23618.</mixed-citation><mixed-citation xml:lang="ru">Kim J.Y., Shin N.R., Kim A. et al. Microsatellite instability status in gastric cancer: a reappraisal of its clinical significance and relationship with mucin phenotypes. Korean J Pathol 2013;47:28–35. DOI: 10.4132/KoreanJPathol.2013.47.1.28.</mixed-citation></citation-alternatives></ref><ref id="B50"><label>50.</label><citation-alternatives><mixed-citation xml:lang="en">Kim S.Y., Choi Y.Y., An J.Y. et al. The benefit of microsatellite instability is attenuated by chemotherapy in stage II and stage III gastric cancer: results from a large cohort with subgroup analyses. Int J Cancer 2015;137(4):819–25. DOI: 10.1002/ijc.29449.</mixed-citation><mixed-citation xml:lang="ru">Nakajima T., Akiyama Y., Shiraishi J. et al. Age-related hypermethylation of the hMLH1 promoter in gastric cancers. Int J Cancer 2001;94(2):208–11. DOI: 10.1002/ijc.1454.</mixed-citation></citation-alternatives></ref><ref id="B51"><label>51.</label><citation-alternatives><mixed-citation xml:lang="en">Kim S.Y., Choi Y.Y., An J.Y. et al. The benefit of microsatellite instability is attenuated by chemotherapy in stage II and stage III gastric cancer: results from a large cohort with subgroup analyses. Int J Cancer 2015;137(4):819–25. DOI: 10.1002/ijc.29449.</mixed-citation><mixed-citation xml:lang="ru">Llosa N.J., Cruise M., Tam A. et al. The vigorous immune microenvironment of microsatellite instable colon cancer is balanced by multiple counter-inhibitory checkpoints. Cancer Discov 2015;5(1):43–51. DOI: 10.1158/2159-8290.cd-14-0863.</mixed-citation></citation-alternatives></ref><ref id="B52"><label>52.</label><citation-alternatives><mixed-citation xml:lang="en">Mathiak M., Warneke V.S., Behrens H.M. et al. Clinicopathologic characteristics of microsatellite instable gastric carcinomas revisited: urgent need for standardization. Appl Immunohistochem Mol Morphol 2017;25:12–24. DOI: 10.1097/pai.0000000000000264.</mixed-citation><mixed-citation xml:lang="ru">Ma C., Patel K., Singhi A.D. et al. Programmed death-ligand 1 expression is common in gastric cancer associated with Epstein–Barr virus or microsatellite instability. Am J Surg Pathol 2016;40:1496–506. DOI: 10.1097/pas.0000000000000698.</mixed-citation></citation-alternatives></ref><ref id="B53"><label>53.</label><citation-alternatives><mixed-citation xml:lang="en">Mathiak M., Warneke V.S., Behrens H.M. et al. Clinicopathologic characteristics of microsatellite instable gastric carcinomas revisited: urgent need for standardization. Appl Immunohistochem Mol Morphol 2017;25:12–24. DOI: 10.1097/pai.0000000000000264.</mixed-citation><mixed-citation xml:lang="ru">Kelderman S., Schumacher T.N., Kvistborg P. Mismatch repair-deficient cancers are targets for anti-PD-1 therapy. Cancer Cell 2015;28(1):11–3. DOI: 10.1016/j.ccell.2015.06.0012.</mixed-citation></citation-alternatives></ref><ref id="B54"><label>54.</label><citation-alternatives><mixed-citation xml:lang="en">Normanno N., Rachiglio A.M., Lambiase M. et al. Heterogeneity of KRAS, NRAS, BRAF and PIK3CA mutations inmetastatic colorectal cancer and potential effects on therapy in the CAPRI GOIM trial. Ann Oncol 2015;26(8):1710–14. DOI: org/10.1093/annonc/mdv176.</mixed-citation><mixed-citation xml:lang="ru">Cunningham D., Allum W.H., Stenning S.P. et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 2006;355(1):11–20. DOI: 10.1056/nejmoa055531.</mixed-citation></citation-alternatives></ref><ref id="B55"><label>55.</label><citation-alternatives><mixed-citation xml:lang="en">Normanno N., Rachiglio A.M., Lambiase M. et al. Heterogeneity of KRAS, NRAS, BRAF and PIK3CA mutations inmetastatic colorectal cancer and potential effects on therapy in the CAPRI GOIM trial. Ann Oncol 2015;26(8):1710–14. DOI: org/10.1093/annonc/mdv176.</mixed-citation><mixed-citation xml:lang="ru">Miyoshi E., Haruma K., Hiyama T. et al. Microsatellite instability is a genetic marker for the development of multiple gastric cancers. Int J Cancer 2001;95(6): 350–3. DOI: 10.1002/1097-0215(20011120)95:6&lt;350::aid-ijc1061&gt;3.0.co;2-a.</mixed-citation></citation-alternatives></ref><ref id="B56"><label>56.</label><citation-alternatives><mixed-citation xml:lang="en">Mukohara T. PI3K mutations in breast cancer: prognostic and therapeutic implications. Breast Cancer 2015;7:111–23. DOI: 10.2147/BCTT.S60696.</mixed-citation><mixed-citation xml:lang="ru">Ratti M., Lampis A., Jens C. et al. Microsatellite instability in gastric cancer: molecular bases, clinical perspectives, and new treatment approaches. Cell Mol Life Sci 2018;75(22):4151–62.</mixed-citation></citation-alternatives></ref><ref id="B57"><label>57.</label><mixed-citation>Mukohara T. PI3K mutations in breast cancer: prognostic and therapeutic implications. Breast Cancer 2015;7:111–23. DOI: 10.2147/BCTT.S60696.</mixed-citation></ref><ref id="B58"><label>58.</label><mixed-citation>Nakashima H., Honda M., Inoue H. et al. Microsatellite instability in multiple gastric cancers. Int J Cancer 1995;64: 239–42. DOI: 10.1002/ijc.2910640405.</mixed-citation></ref><ref id="B59"><label>59.</label><mixed-citation>Nakashima H., Honda M., Inoue H. et al. Microsatellite instability in multiple gastric cancers. Int J Cancer 1995;64: 239–42. DOI: 10.1002/ijc.2910640405.</mixed-citation></ref><ref id="B60"><label>60.</label><mixed-citation>Kim J.Y., Shin N.R., Kim A. et al. Microsatellite instability status in gastric cancer: a reappraisal of its clinical significance and relationship with mucin phenotypes. Korean J Pathol 2013;47:28–35. DOI: 10.4132/KoreanJPathol.2013.47.1.28.</mixed-citation></ref><ref id="B61"><label>61.</label><mixed-citation>Kim J.Y., Shin N.R., Kim A. et al. Microsatellite instability status in gastric cancer: a reappraisal of its clinical significance and relationship with mucin phenotypes. Korean J Pathol 2013;47:28–35. DOI: 10.4132/KoreanJPathol.2013.47.1.28.</mixed-citation></ref><ref id="B62"><label>62.</label><mixed-citation>Nakajima T., Akiyama Y., Shiraishi J. et al. Age-related hypermethylation of the hMLH1 promoter in gastric cancers. Int J Cancer 2001;94(2):208–11. DOI: 10.1002/ijc.1454.</mixed-citation></ref><ref id="B63"><label>63.</label><mixed-citation>Nakajima T., Akiyama Y., Shiraishi J. et al. Age-related hypermethylation of the hMLH1 promoter in gastric cancers. Int J Cancer 2001;94(2):208–11. DOI: 10.1002/ijc.1454.</mixed-citation></ref><ref id="B64"><label>64.</label><mixed-citation>Llosa N.J., Cruise M., Tam A. et al. The vigorous immune microenvironment of microsatellite instable colon cancer is balanced by multiple counter-inhibitory checkpoints. Cancer Discov 2015;5(1):43–51. DOI: 10.1158/2159-8290.cd-14-0863.</mixed-citation></ref><ref id="B65"><label>65.</label><mixed-citation>Llosa N.J., Cruise M., Tam A. et al. The vigorous immune microenvironment of microsatellite instable colon cancer is balanced by multiple counter-inhibitory checkpoints. Cancer Discov 2015;5(1):43–51. DOI: 10.1158/2159-8290.cd-14-0863.</mixed-citation></ref><ref id="B66"><label>66.</label><mixed-citation>Ma C., Patel K., Singhi A.D. et al. Programmed death-ligand 1 expression is common in gastric cancer associated with Epstein–Barr virus or microsatellite instability. Am J Surg Pathol 2016;40:1496–506. DOI: 10.1097/pas.0000000000000698.</mixed-citation></ref><ref id="B67"><label>67.</label><mixed-citation>Ma C., Patel K., Singhi A.D. et al. Programmed death-ligand 1 expression is common in gastric cancer associated with Epstein–Barr virus or microsatellite instability. Am J Surg Pathol 2016;40:1496–506. DOI: 10.1097/pas.0000000000000698.</mixed-citation></ref><ref id="B68"><label>68.</label><mixed-citation>Kelderman S., Schumacher T.N., Kvistborg P. Mismatch repair-deficient cancers are targets for anti-PD-1 therapy. Cancer Cell 2015;28(1):11–3. DOI: 10.1016/j.ccell.2015.06.0012.</mixed-citation></ref><ref id="B69"><label>69.</label><mixed-citation>Kelderman S., Schumacher T.N., Kvistborg P. Mismatch repair-deficient cancers are targets for anti-PD-1 therapy. Cancer Cell 2015;28(1):11–3. DOI: 10.1016/j.ccell.2015.06.0012.</mixed-citation></ref><ref id="B70"><label>70.</label><mixed-citation>Cunningham D., Allum W.H., Stenning S.P. et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 2006;355(1):11–20. DOI: 10.1056/nejmoa055531.</mixed-citation></ref><ref id="B71"><label>71.</label><mixed-citation>Cunningham D., Allum W.H., Stenning S.P. et al. Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med 2006;355(1):11–20. DOI: 10.1056/nejmoa055531.</mixed-citation></ref><ref id="B72"><label>72.</label><mixed-citation>Miyoshi E., Haruma K., Hiyama T. et al. Microsatellite instability is a genetic marker for the development of multiple gastric cancers. Int J Cancer 2001;95(6): 350–3. DOI: 10.1002/1097-0215(20011120)95:6&lt;350::aid-ijc1061&gt;3.0.co;2-a.</mixed-citation></ref><ref id="B73"><label>73.</label><mixed-citation>Miyoshi E., Haruma K., Hiyama T. et al. Microsatellite instability is a genetic marker for the development of multiple gastric cancers. Int J Cancer 2001;95(6): 350–3. DOI: 10.1002/1097-0215(20011120)95:6&lt;350::aid-ijc1061&gt;3.0.co;2-a.</mixed-citation></ref><ref id="B74"><label>74.</label><mixed-citation>Ratti M., Lampis A., Jens C. et al. Microsatellite instability in gastric cancer: molecular bases, clinical perspectives, and new treatment approaches. Cell Mol Life Sci 2018;75(22):4151–62.</mixed-citation></ref><ref id="B75"><label>75.</label><mixed-citation>Ratti M., Lampis A., Jens C. et al. Microsatellite instability in gastric cancer: molecular bases, clinical perspectives, and new treatment approaches. Cell Mol Life Sci 2018;75(22):4151–62.</mixed-citation></ref></ref-list></back></article>
