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Department of Molecular Pathology, Istituto di Ricovero e Cura a Carattere Scientifico Neuromed, Pozzilli, 86077 Italy [A. C., A. A., G. D. G., A. P., V. L., F. M. G., R. C., L. F., G. R.]; Departments of Experimental Medicine and Pathology [A. A., A. P., V. L., M. Z., G. G., A. G., L. F., G. R.] and Neurological Sciences [F. M. G., R. C.], University of Rome "La Sapienza," 00161 Rome, Italy; Sidney Kimmel Cancer Center, San Diego, California 92121 [D. M., C. L.]; and The Cancer Center, University of California at San Diego, La Jolla, California 92093 [D. M.]
Purpose: EGR-1 is an immediate early gene with diverse functions that include the suppression of growth. EGR-1 is down-regulated many cancer cell types, suggesting a tumor suppressor role, and may critically involve the p53 pathway. The aim of this work was to measure the expression of EGR-1 and the p16/INK4a/ARF-Mdm2-p53 pathway status in fresh human gliomas.
Experimental Design: Thirty-one human gliomas with different grades of malignancy were investigated for Egr-1 mRNA and the protein expression, frequency, and spectrum of p53 gene mutations, mdm2 gene amplification, and p16/INK4a/ARF allele loss.
Results: The amplification of Mdm2 and the deletion of the p16/INK4a gene was found in 3 and 5 cases, respectively, whereas mutations of p53, including two novel mutations, were observed in 10 other cases. The three types of changes occurred strictly mutually exclusively, emphasizing that these genes operate in a common pathway critical to glioma progression. EGR-1 mRNA was significantly down-regulated in astrocytomas (14.7 ± 5.1%) and in glioblastomas (33.6 ± 10.0%) versus normal brain. Overall, EGR-1 mRNA was strongly suppressed (average, 15.2 ± 13.9%) in 27 of 31 cases (87%), independent of changes in p16/INK4a/ARF and Mdm2; whereas 4 of 31 cases with residual EGR-1 expression as well as the highest EGR-1 variance segregated with p53 mutations. Immunohistochemical analyses confirmed the suppression of EGR-1 protein.
Conclusions: These results indicate that EGR-1 is commonly suppressed in gliomas independent of p16/INK4a/ARF and Mdm2 and that suppression is less crucial in tumors bearing p53 mutations, and these results implicate an EGR-1 growth regulatory mechanism as a target of inactivation during tumor progression.
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