Mutations of DNA double-strand breaks (DSB) repair genes, ATM, MRE11, RAD50, NBS1 and ATR, are postulated to play a role in the development of gastrointestinal malignancies with an impaired mismatch repair (MMR) function. In the present study, mutations of these genes together with the presence of microsatellite instability (MSI) were examined in 50 leukemia-lymphoma cell lines. MSI was detected in 13 (26%) lines. Mutations of intronic mononucleotide repeats in ATM and MRE11 were found in nine and six lines, respectively, whereas mutations of mononucleotide repeats of RAD50 were found in only one line, and none were found in either NBS1 or ATR. Frequencies of ATM and MRE11 mutations were significantly higher in MSI-positive than MSInegative lines. These mutations generated aberrant splicing in both genes. The intensity of the aberrant transcript of ATM E xposure to hazardous agents in the environment may induce DNA damage that could be harmful to the maintenance of cell homeostasis and transmission of highfidelity genetic information. Thus, cells have evolved several mechanisms for DNA repair to ensure genomic integrity and prevent mutations. The DNA MMR system corrects errors that might occur during DNA replication, whereas HR and non-homologous end joining are involved in the repair of DNA DSB.(1,2) Double-strand breaks, which are extremely cytotoxic DNA lesions, activate an extensive array of responses that lead to repair of the damage and allow continuation of cellular life.(1,3) The nuclear protein kinase ATM is regarded as the primary activator of this network, phosphorylating key proteins in numerous signaling pathways.(4) The highly conserved MRN complex plays a role in DSB repair, particularly in the HR pathways.(5) While NBS1 is a target of ATM, recent observation has shown that the MRN complex itself contributes to the direct activation of ATM.(6) ATR, another protein kinase, has been reported to regulate responses to a broad range of damage, including DSB. (7,8) Whereas ATM is engaged primarily in DSB repair, several observations suggest that ATR has a critical role in virtually all cellular responses to the arrest of DNA replication forks, which are the DNA structures formed during replication. (8)(9)(10) The increased rate of uncorrected replication errors at simple repeat sequences is known as MSI. Disruption of the MMR system, as revealed by MSI, is characterized by the accelerated accumulation of single nucleotide mutations and resultant alterations in the microsatellite DNA sequences, which affect the genome ubiquitously.(11) MSI is correlated with hereditary non-polyposis colorectal cancer, as well as a variety of sporadic cancers, including gastric, endometrial and colorectal cancers, through inactivation of several MMR target genes. (12,13) Although MSI was previously regarded to be uncommon in hematolymphoid malignancies, (14,15) recent studies have revealed it to be involved in the development of these malignancies, especially diseases involving the T-cell lineage. (16,17) Recent studies h...