“…3.2 Alterations of DNA repair genes/activity in HNSCC and the relationship with HNSCC development, treatment, as well as patient's outcome GIN is a hallmark of most human malignancies including HNSCC that elevated microsatellite instability, aneuploidy and various genomic alterations have been found by genome-wide analyses (Bockmuhl et al, 1996;Brieger et al, 2003;Friedlander, 2001;Partridge et al, 1999;Sparano et al, 2006), suggesting that GIN may be involved in the development of HNSCC. Some studies also show that DNA repair activity is reduced in the peripheral blood cells of HNSCC patients when compared with normal individuals (Cheng et al, 1998;Paz-Elizur et al, 2006), implying that altered DNA repair genes and/or activity may play a critical role in the development of HNSCC.…”