The distal portion of chromosome 1p is one of the most commonly affected regions in human cancer. In this study of hereditary and sporadic colorectal cancer, a region of frequent deletion was identified at 32.2 centimorgans from 1ptel. Deletion breakpoints clustered in the vicinity of or inside the gene RIZ, which encodes a retinoblastoma protein-interacting zinc finger protein. Sequence analysis revealed frequent frameshift mutations of the RIZ gene. The mutations consisted of 1-or 2-bp deletions of a coding (A)8 or (A) 9 tract and were confined to microsatellite-unstable colorectal tumors, being present in 9 of 24 (37.5%) primary tumors and in 6 of 11 (54.5%) cell lines; in 2 cell lines the mutation was homozygous͞hemizygous. The mutations apparently were selected clonally in tumorigenesis, because similar poly(A) tracts in other genes were not affected. Two alternative products of the gene exist, RIZ1, which contains a PR (PRDI-BF1-RIZ1) domain implicated in tumor suppressor function, and RIZ2, which is lacking this motif. Furthermore, the C-terminal region, which contains the poly(A) tracts, includes a PR-binding motif, possibly mediating interactions with other proteins or with RIZ itself (oligomerization). Four of eleven microsatellite-unstable colorectal cancer cell lines, three of which had frameshifts, showed reduced or absent mRNA expression of RIZ1. In a cell line that is homozygous͞hemizygous for the typical frameshift mutation, immunoblotting showed truncated RIZ protein, whereas adenovirus-mediated RIZ1 expression caused G2͞M arrest and apoptosis. We propose that RIZ is a target of the observed 1p alterations, with impairment of the PR domainmediated function through either frameshift mutation or genomic deletion.S poradic cancer arises as a result of a series of somatic mutations and epigenetic changes that silence tumor suppressor genes or activate oncogenes (1). As such, the APC-RAS-P53 pathway in colorectal cancer is well established (2), but many of its components are not fully understood (3). Recently, two pathways, CIN, a chromosomal instability pathway, and MIN, a microsatellite instability pathway, have been proposed. Loss of heterozygosity (LOH) is a hallmark of the CIN pathway, whereas microsatellite instability (MSI) characterizes the MIN pathway (4). In the MIN pathway, mutations or epigenetic silencing of one of the DNA mismatch repair genes lead to widespread accumulation of mutations, followed by clonal selection (5). The MSI(ϩ) phenotype is easily distinguishable by allelic changes of repetitive regions throughout the genome (6).Some genes contain repetitive regions in their coding sequences that are often targets of MSI. Insertion or deletion in these repetitive regions leads to frameshift and protein truncation. In colorectal cancer, the TGFBRII gene (7) and BAX gene (8) are examples of genes mutated in this way and whose loss of function is believed to contribute to tumorigenesis. Other examples include the DNA mismatch repair genes MSH6 and MSH3, and IGFR2 (9). In this paper, w...