Medical Research Updates ⌠MRU⌡. ORIGINAL RESEARCH ARTICLE 
                                   MRU 2024; Vol.1(Issue2): 19-24 ISSN 200XX |  
                                   DOI: https://www.mruj.online/_downloads/c4d0aa9d3b9526980434be67dff8a1a8  
 
 
MLH1  and  MSH2  gene  mutation  patterns  in  Lynch  syndrome-associated  colorectal 
cancer in Sudan 
 
Balgis Elhag Ibrahim Tager1, Salah Eldin G. Elzaki2, and Ahmed Abdula Agabeldour 3 
1Department of Histopathology and Cytology, Faculty of Medical Laboratory 
Sciences, West Kordofan University, Elnuhood, Sudan.   
2Department  of  molecular  epidemiology,  Tropical  Medicine  Research 
Institute, National Centre for Research Khartoum Sudan.  
3Department of Pathology, Faculty of Medicine, Kordofan University, El-Obeid, 
Sudan. 
 
ABSTRACT 
 Background: Colorectal cancer (CRC) is increasingly becoming dominant in Sudan, which is 
attributed  to several factors, including hereditary  mutations in the  DNA mismatch  repair 
genes MLH1 and MSH2. Therefore, this study aimed to examine the MLH1 and MSH2 gene 
mutation patterns in Lynch syndrome-associated colorectal cancer in a series of Sudanese 
patients with CRC. Methodology: This study investigated 50 patients with CRC who attended 
El-Obeid Hospital during the period from 2017 to 2022. The presence of MLH1 and MSH2 
was  indicated  by  immunohistochemical  testing  of  formalin-fixed,  paraffin-wax-embedded 
tissues. Results: The  MLH1  mutation  was  positive  in  28%  of  the  study  population  and 
negative in 72% of them. The MSH2 mutation was positive in 42% and negative in 58% of the 
study subjects. The MLH1 and MSH2 mutations shared positivity in 18% and negativity in 
24% of the cases. Conclusion: According to the present studies, CRC is more prevalent in 
women.  LS  is  more  common  in  Sudanese  patients  with  CRC  than  in  many  other  reports 
throughout the world. MSH2 mutations are more prevalent in Sudanese patients than MLH1 
mutations. 
Keywords: colorectal cancer, Lynch syndrome, MLH1, MSH2, Sudan.    
 
                                                                           
Correspondence to: Balgis Elhag Ibrahim Tager, Email: bintelhag@yahoo.com 
Cite  this  article:  Tager  BEI,  Elzaki SGE2,  and  Agabeldour  AA.  Medical  Research 
Updates  2024;1(2):1-5.  DOI: 
https://www.mruj.online/_downloads/c4d0aa9d3b9526980434be67dff8a1a8