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June 5, 2026European Journal of Human GeneticsOpen Access

Constitutional methylation of the MLH1 promoter: a case series including tumors not typically caused by Lynch Syndrome

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Authors

LGLise GraversenJAJannie AssenholtIPInge Søkilde Pedersen

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Overview

Case series reveals constitutional MLH1 methylation in tumors not typically caused by Lynch syndrome, suggesting the need for heightened awareness.

Key Points

  • The aim is to explore the implications of constitutional MLH1 methylation in tumors with Lynch syndrome phenotypes.
  • Presented cases of four unrelated patients from Denmark and Australia
  • Conducted immunohistochemistry and genomic analysis
  • Assessed clinical features and MLH1 promoter methylation status
  • Two patients exhibited MLH1 methylation levels indicating mosaicism
  • Clinical presentations varied and included breast cancer and dermal lipofibroma
  • Findings highlight the challenge in distinguishing these cases from classic Lynch syndrome

Cite This Study

Graversen et al. (2026) studied this question.

synapsesocial.com/papers/6a22698b763171746d548242https://doi.org/10.1038/s41431-026-02149-z
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