Presence of microsatellite instability in esophageal squamous cell carcinoma associated with chagasic megaesophagus

The molecular pathogenesis of esophageal squamous cell carcinoma (ESCC) has been increasingly studied, but there is no report on the role of MSI in ESCC development associated with chagasic megaesophagus (CM).Results/methodology: In four ESCC/CM (4/19) we found microsatellite instability (MSI) alterations (21.1%), being three MSI-L (15.8%) and one MSI-H (5.3%). Four out of 35 ESCC cases showed MSI-L (11.4%) and only one out of 26 CM cases presented MSI-L (3.9%). The MSI-H was observed in an ESCC/CM patient that presents lack of MSH6 immunostaining corroborating deficiency in MMR pathway. Interestingly, the MSI-H ESCC/CM case also presented a deletion the HSP110 poly(T)17 gene.This project was supported by Conselho Nacional de Desenvolvimento Cientifico (CNPq) (476192/2013-7) for RM Reis. NC Campanella was recipient of the Fundacao de Amparo a Pesquisada do Estado de Sao Paulo (FAPESP) Post Doctoral Fellowship (2016/03634-9). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.