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Causes

By Mayo Clinic staff

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Lynch syndrome runs in families in an autosomal dominant inheritance pattern. This means that if one parent carries a gene mutation for Lynch syndrome, there's a 50 percent chance that mutation will be passed on to each child. The risk of Lynch syndrome is the same whether the gene mutation carrier is the mother or father or the child is a son or daughter.

The genes inherited in Lynch syndrome are normally responsible for correcting mistakes in the genetic code, which is made of DNA. DNA is the genetic material that contains instructions for every chemical process in the body. As your cells grow and divide, they make copies of their DNA and it's not uncommon for some minor mistakes to occur. Normal cells have mechanisms to recognize mistakes and repair them. But people who inherit one of the abnormal genes associated with Lynch syndrome lack the ability to repair these minor mistakes. An accumulation of these mistakes leads to increasing genetic damage within cells and eventually can lead to the cells becoming cancerous.

References
  1. Genetics of colorectal cancer (PDQ): Health professional version. National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/genetics/colorectal/healthprofessional. Accessed Dec. 16, 2009.
  2. Lindor NM, et al. Concise handbook of familial cancer susceptibility syndromes. Journal of the National Cancer Institute Monographs. 2008;38:1.
  3. Lynch HT, et al. Review of the Lynch syndrome: History, molecular genetics, screening, differential diagnosis and medicolegal ramifications. Clinical Genetics. 2009;76:1.
  4. Lindor NM, et al. Recommendations for the care of individuals with an inherited predisposition to Lynch syndrome: A systematic review. Journal of the American Medical Association. 2006;296:1507.
  5. Offit K, et al. Genetic factors: Hereditary cancer predisposition syndromes. In: Abeloff MD, et al. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa.: Churchill Livingstone; 2008:180.
  6. Koornstra JK, et al. Management of extracolonic tumours in patients with Lynch syndrome. Lancet Oncology. 2009;10:400.
  7. Making sense of your genes: A guide to genetic counseling. National Society of Genetic Counselors. http://www.nsgc.org/client_files/GuidetoGeneticCounseling.pdf. Accessed Dec. 16, 2009.
  8. Lindor NM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 19, 2009.

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Jan. 23, 2010

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