Mutations affecting mismatch repair result in elevated frequencies of microsatellite length alteration in prokaryotes and eukaryotes. However, the finding that microsatellite instability is found often in cells with a functional mismatch repair system prompted a search for other factors of tract alteration. In the present report, we show that, in Escherichia coli, poly(ACÍTG) tracts are destabilized by mutations that induce SOS. These observations may have implications for eukaryotic cells because recent results suggest the existence of a mammalian SOS response analogous to that in prokaryotes. In addition, a defect in the 5-3 exonuclease domain of DNA polymerase I, homologous to the mammalian FEN1 and the yeast RAD27 nucleases, leads to a marked increase in repeat expansions characteristic of several genetic disorders. Finally, we found that the combination of a proofreading defect with mismatch repair deficiency results in extreme microsatellite instability.Microsatellites are tandemly repeated sequence motifs of Ïœ6 nt, which represent a substantial part of the eukaryotic genome. Length variation of trinucleotide repeats is known to be associated with a number of genetic diseases (1, 2), but recent work has demonstrated an association with somatic diseases as well, which is not restricted to triplets. For example, mono-, di-, and trinucleotide repeats are unstable in colon cancer cells (3)(4)(5).Although several mechanisms have been proposed to account for the dramatic length variation of simple repetitive DNA, there is presently a consensus on a major role for polymerase slippage (6-8). Numerous studies in prokaryotes and eukaryotes have shown that cells carrying mutations affecting mismatch repair are associated with elevated frequencies of tract instability (6,8,9). Conversely, human cells that exhibit microsatellite instability are frequently deficient in mismatch repair (10). However, a large proportion of sporadic cancers displaying microsatellite instability have no defect in any of the known mismatch repair genes (11). Mutations in the RAD27 (RTH1) Saccharomyces cerevisiae gene also destabilize microsatellites (12) by a mechanism distinct from mismatch repair (13). Moreover, it is becoming increasingly clear that, aside from proteins, a number of other factors are involved, such as the nature of the repeated motif, the length of the tract, the nature of the flanking sequences, and the orientation of the microsatellite with respect to the direction of replication.Studies in Escherichia coli as well as in yeast generally have used microsatellites cloned in phages or plasmids. To identify other potential factors of microsatellite instability without the complications introduced by the mode of replication and the copy number of the vectors, we inserted the most common dinucleotide tracts, poly(AC) and poly(TG), into the E. coli chromosome and examined length variation as a function of: (i) the original length, (ii) the location of the tract on the leading or lagging strand, and (iii) the influence ...