RT Journal Article SR Electronic T1 Microsatellite frameshift variants in SGO1 of gastric cancer are not always associated with MSI status JF Journal of Clinical Pathology JO J Clin Pathol FD BMJ Publishing Group Ltd and Association of Clinical Pathologists SP 386 OP 390 DO 10.1136/jclinpath-2020-206934 VO 74 IS 6 A1 Tomohiro Sugiyama A1 Moriya Iwaizumi A1 Terumi Taniguchi A1 Satoshi Suzuki A1 Shinya Tani A1 Mihoko Yamade A1 Yasushi Hamaya A1 Satoshi Osawa A1 Takahisa Furuta A1 Hiroaki Miyajima A1 Tsutomu Ohta A1 Satoshi Baba A1 Haruhiko Sugimura A1 Masato Maekawa A1 Ken Sugimoto YR 2021 UL http://jcp.bmj.com/content/74/6/386.abstract AB Aims Although frameshift variants in the microsatellite area of shugoshin 1 (SGO1) have been reported in the context of microsatellite instability-high (MSI-H)/deficient mismatch repair gastrointestinal cancer, most have been evaluated only in early stage I–III patients, and only two of its five microsatellite regions have been evaluated. Therefore, we investigated the frequency and MSI status of microsatellite frameshift variants in gastric cancer cases, including stage IV.Methods In a total of 55 cases, 30 gastric cancer resection and 25 non-resection cases, DNA was extracted from both tumour and normal parts and PCR was performed. The variant was confirmed by TA cloning, and MSI was evaluated using GeneMapper software.Results A frameshift variant of c.973delA was observed in 16 of the 45 evaluable cases. Its frequency was 35.6%. Of the 25 cases that could be assessed for MSI status, two cases of MSI-H were associated with the c.973delA SGO1 variant. However, c.973delA SGO1 variant was also observed in four cases of microsatellite stable.Conclusion Our study shows that SGO1 frameshift variants are not always associated with MSI status.All data relevant to the study are included in the article.