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Molecular Oncology, Markers, Clinical Correlates |
Divisions of Clinical Sciences [N. H., M. R. B., M. J. R., C. W., S. M. D., P. R. T.] and Cancer Epidemiology and Genetics [A. M. G.], National Cancer Institute, Bethesda, Maryland 20892; Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing 100021, Peoples Republic of China [J. H.]; Shanxi Cancer Hospital and Institute, Taiyuan, Shanxi 030013, Peoples Republic of China [Z. Z. T., G. L., W. J. L., Q. H. W., X. Y. H., T. D.]; and Information Management Services, Inc., Silver Spring, Maryland 20904 [C. G.]
Esophageal squamous cell carcinoma (ESCC) is one of the most common fatal cancers worldwide, and north central China has some of the highest rates in the world. Previous studies from tumors in this area of China have shown high frequencies of allelic loss on chromosome 17p1311, which includes the region where the TP53 gene is found. We examined 56 ESCC patients using single-strand conformation polymorphism and DNA sequencing to assess the frequency and spectrum of TP53 mutation and the association between allelic loss at microsatellite marker TP53 and TP53 mutations. Ninety-six % of cases were found to have at least one genetic alteration, including TP53 mutation (77%), allelic loss within the TP53 gene (73%), and/or loss of heterozygosity at the TP53 microsatellite marker (80%); 75% had two or more such alterations, including 59% with both a point mutation and an intragenic allelic loss ("two hits"). The majority of mutations observed were in exon 5, where the most common type of nucleotide substitution was a G:C
A:T or C:G
T:A transition, including half that occurred at CpG sites. Allelic loss was most commonly found in exon 4 but was very common in exon 5 as well. Taken together, the multiple genetic alterations of TP53 in this population at high risk for ESCC indicate that there is a very high degree of genetic instability in these tumors, that TP53 is a primary target for inactivation, and that this tumor suppressor gene plays a critical role in the carcinogenesis process for ESCC.
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