The mutational response of mismatch repair-deficient animals to the alkylating agent N-methyl-Nnitrosourea was evaluated by using a transgenic lacI reporter system. Although the mutations detected in MSH2 heterozygotes were similar to those of controls, MSH2؊͞؊ animals demonstrated striking increases in mutation frequency in response to this agent. G:C to A:T transitions at GpG sites, as opposed to CpG sites, dominated the mutational spectrum of both MSH2؉͞؉ and MSH2 ؊͞؊ N-methyl-N-nitrosourea -treated animals. Extrapolating to humans with hereditary non-polyposis colorectal cancer, the results suggest that MSH2 heterozygotes are unlikely to be at increased risk of mutation, even when exposed to potent DNA methylating agents. In contrast, mismatch repair-deficient cells spontaneously arising within individuals with hereditary nonpolyposis colorectal cancer would likely exhibit hypermutability in response to such mutagens, an outcome predicted to accelerate the pace of tumorigenesis.Kindreds with hereditary non-polyposis colorectal cancer (HNPCC) carry germ-line mutations in various human orthologs of the bacterial DNA mismatch repair (MMR) genes mutS and mutL (1). The gene most frequently involved in HNPCC, hMSH2, encodes a component required for DNA mismatch recognition (2, 3). Although heterozygosity for hMSH2 confers a high risk of colonic and endometrial neoplasms, malignancies at other sites, such as stomach, ovary, and urinary tract, also occur with increased frequency. Such tumors are accompanied by somatic mutations that inactivate the normal allele. The mutator phenotype arising from the combination of polymerase errors and a lack of MMR is thought to hasten the acquisition of alterations within key growth control genes, thus driving the multistep process that culminates in neoplasia (4).To generate a model of human HNPCC, mice harboring a disruption of the MSH2 locus were generated (5, 6). However, rodents heterozygous for MSH2, unlike humans with HNPCC, failed to show an increased rate of tumor formation. Mice lacking MSH2, on the other hand, developed thymic lymphomas with high frequency. In addition, although small intestinal adenomas and adenocarcinomas were seen, colonic tumors were rarely observed in these mice (5-7). Interestingly, MMR deficiency because of a lack of MSH2 or PMS2 was compatible with normal murine growth and development (5,6,8), despite the presence of an elevated mutation frequency in all tissues evaluated (9, 10). Thus, the restricted spectrum of tumors in MSH2 Ϫ͞Ϫ animals was not attributable solely to differences in tissue-specific spontaneous mutation frequencies.Although mice heterozygous for MSH2 did not demonstrate a mutator phenotype (10), it was conceivable that heterozygous cells might accrue mutations at a higher rate after mutagen exposure, owing to reduced levels of MSH2 protein.To determine whether specific mutagen administration would result in abnormal increases in mutation frequency in MSH2 ϩ͞Ϫ and MSH2 Ϫ͞Ϫ tissues, we investigated the effects of an S N ...