Table 1. Characteristics of MSI-H and EMAST/IAMA CRCs and patients.
CRC=colorectal cancer; MSI-H=microsatellite instability-high; EMAST=elevated microsatellite alterations at selected tetranucleotide repeats; IAMA=inflammation-associated microsatellite alterations; MSS=microsatellite stable
| Type of MSI | Frequency among CRCs | Immune Mechanism | Patient prognosis (compared with MSS CRCs) | 5-fluorouracil sensitivity | Immune Checkpoint Sensitivity |
|---|---|---|---|---|---|
| MSI-H | 15% | Generates protective adaptive inflammation | Good | Low | High |
| EMAST/IAMA | 50% | Caused by innate inflammation | Poor | Moderate to High | Low |