Prevalence and Spectrum of Germline Mutations of the p53 Gene among Patients with Sarcoma
HEREDITARY mutations of tumor-suppressor genes have been correlated with a genetic predisposition to cancer, and several such genes have been linked to distinct familial cancer syndromes. 1 The best-studied example is retinoblastoma; about 40 percent of the cases are due to germline mutations of the...
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Published in | The New England journal of medicine Vol. 326; no. 20; pp. 1301 - 1308 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Boston, MA
Massachusetts Medical Society
14.05.1992
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Subjects | |
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Abstract | HEREDITARY mutations of tumor-suppressor genes have been correlated with a genetic predisposition to cancer, and several such genes have been linked to distinct familial cancer syndromes.
1
The best-studied example is retinoblastoma; about 40 percent of the cases are due to germline mutations of the retinoblastoma gene (the remaining 60 percent of cases are nonhereditary and are due to somatic mutations).
2
Patients with the hereditary form have a high risk of multifocal retinoblastoma and other tumors, and they may pass the disease to their progeny as an autosomal dominant trait. Three fourths of the hereditary cases of retinoblastoma occur in patients . . . |
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AbstractList | BACKGROUNDRecent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li-Fraumeni syndrome, a rare inherited disorder characterized by a high risk of sarcomas of bone and soft tissue, breast cancer, and other tumors. In this report, we address the possibility that some sporadic sarcomas may be associated with new germline mutations of the p53 gene, which would not be manifested as familial cancer unless the patient survived to reproduce.METHODSWe studied DNA from peripheral leukocytes of 196 patients with sarcoma and from 200 controls. Of the 196 patients with sarcoma, 15 were selected because they had had multiple primary cancers or had a family history of cancer. The entire coding sequence and splice junctions of the p53 gene were analyzed for mutations.RESULTSEight germline mutations were found, three in patients with no known family history of cancer and five in patients with an unusual personal or family history of cancer. Four mutations caused amino acid substitutions, and four caused stop codons. These mutations were not present in any of the 200 controls.CONCLUSIONSNew germline mutations of the p53 gene are rare among patients with "sporadic" sarcoma but may be common in patients with sarcoma whose background includes either multiple primary cancers or a family history of cancer. Diverse mutations of this gene were associated with an increased likelihood of cancer; hence, the entire gene should be considered a target for heritable mutation. It appears that the group of patients with cancer who carry germline mutations of the p53 gene is more diverse than is suggested by the clinical definition of the Li-Fraumeni syndrome. The identification of carriers could be of substantial clinical importance. Abstract Background Recent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li--Fraumeni syndrome, a rare inherited disorder characterized by a high risk of sarcomas of bone and soft tissue, breast cancer, and other tumors. In this report, we address the possibility that some sporadic sarcomas may be associated with new germline mutations of the p53 gene, which would not be manifested as familial cancer unless the patient survived to reproduce. Methods We studied DNA from peripheral leukocytes of 196 patients with sarcoma and from 200 controls. Of the 196 patients with sarcoma, 15 were selected because they had had multiple primary cancers or had a family history of cancer. The entire coding sequence and splice junctions of the p53 gene were analyzed for mutations. Results Eight germline mutations were found, three in patients with no known family history of cancer and five in patients with an unusual personal or family history of cancer. Four mutations caused amino acid substitutions, and four caused stop codons. These mutations were not present in any of the 200 controls. Conclusions New germline mutations of the p53 gene are rare among patients with "sporadic" sarcoma but may be common in patients with sarcoma whose background includes either multiple primary cancers or a family history of cancer. Diverse mutations of this gene were associated with an increased likelihood of cancer; hence, the entire gene should be considered a target for heritable mutation. It appears that the group of patients with cancer who carry germline mutations of the p53 gene is more diverse than is suggested by the clinical definition of the Li--Fraumeni syndrome. The identification of carriers could be of substantial clinical importance. (N Engl J Med 1992;326: 1301-8.) We studied DNA from peripheral leukocytes of 196 patients with sarcoma and from 200 controls. Of the 196 patients with sarcoma, 15 were selected because they had had multiple primary cancers or had a family history of cancer. The entire coding sequence and splice junctions of the p53 gene were analyzed for mutations. Eight germline mutations were found, three in patients with no known family history of cancer and five in patients with an unusual personal or family history of cancer. Four mutations caused amino acid substitutions, and four caused stop codons. These mutations were not present in any of the 200 controls. HEREDITARY mutations of tumor-suppressor genes have been correlated with a genetic predisposition to cancer, and several such genes have been linked to distinct familial cancer syndromes. 1 The best-studied example is retinoblastoma; about 40 percent of the cases are due to germline mutations of the retinoblastoma gene (the remaining 60 percent of cases are nonhereditary and are due to somatic mutations). 2 Patients with the hereditary form have a high risk of multifocal retinoblastoma and other tumors, and they may pass the disease to their progeny as an autosomal dominant trait. Three fourths of the hereditary cases of retinoblastoma occur in patients . . . Recent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li-Fraumeni syndrome, a rare inherited disorder characterized by a high risk of sarcomas of bone and soft tissue, breast cancer, and other tumors. In this report, we address the possibility that some sporadic sarcomas may be associated with new germline mutations of the p53 gene, which would not be manifested as familial cancer unless the patient survived to reproduce. We studied DNA from peripheral leukocytes of 196 patients with sarcoma and from 200 controls. Of the 196 patients with sarcoma, 15 were selected because they had had multiple primary cancers or had a family history of cancer. The entire coding sequence and splice junctions of the p53 gene were analyzed for mutations. Eight germline mutations were found, three in patients with no known family history of cancer and five in patients with an unusual personal or family history of cancer. Four mutations caused amino acid substitutions, and four caused stop codons. These mutations were not present in any of the 200 controls. New germline mutations of the p53 gene are rare among patients with "sporadic" sarcoma but may be common in patients with sarcoma whose background includes either multiple primary cancers or a family history of cancer. Diverse mutations of this gene were associated with an increased likelihood of cancer; hence, the entire gene should be considered a target for heritable mutation. It appears that the group of patients with cancer who carry germline mutations of the p53 gene is more diverse than is suggested by the clinical definition of the Li-Fraumeni syndrome. The identification of carriers could be of substantial clinical importance. |
Author | Dayton, Siri H Weichselbaum, Ralph R Toguchida, Junya Herrera, Guillermo E Yamamuro, Takao Meyers, Paul A Beaughamp, Roberta L Little, John B Yandell, David W Sasaki, Masao S Ishizaki, Kanji Yamaguchi, Toshikazu |
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BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4353637$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/1565143$$D View this record in MEDLINE/PubMed |
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Keywords | Human Sarcoma Germ line Cytogenetics Mutation Malignant tumor Molecular biology Suppressor gene Carcinogenesis |
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10.1073/pnas.87.15.5863 – ident: r007 doi: 10.1126/science.2144363 – ident: r014 doi: 10.1038/342705a0 – ident: r013 doi: 10.1073/pnas.84.21.7716 – ident: r010 doi: 10.1126/science.2047879 – ident: r011 doi: 10.1016/0092-8674(89)90045-7 – volume: 62 start-page: 4737 year: 1988 ident: r031 publication-title: J Virol doi: 10.1128/JVI.62.12.4737-4744.1988 contributor: fullname: Kraiss – volume: 45 start-page: 1437 year: 1985 ident: r001 publication-title: Cancer Res contributor: fullname: Knudson – ident: r015 doi: 10.1073/pnas.86.17.6783 – ident: r012 doi: 10.1126/science.2144057 – ident: r002 doi: 10.1007/BF00295569 – ident: r035 doi: 10.1093/jnci/83.13.938 – ident: r024 doi: 10.1073/pnas.74.3.1245 |
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Snippet | HEREDITARY mutations of tumor-suppressor genes have been correlated with a genetic predisposition to cancer, and several such genes have been linked to... Recent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li-Fraumeni syndrome, a rare inherited disorder... Abstract Background Recent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li--Fraumeni syndrome, a rare... We studied DNA from peripheral leukocytes of 196 patients with sarcoma and from 200 controls. Of the 196 patients with sarcoma, 15 were selected because they... BACKGROUNDRecent studies have identified germline mutations of the p53 tumor-suppressor gene in families with the Li-Fraumeni syndrome, a rare inherited... |
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SubjectTerms | Adolescent Adult Age Factors Amino acids Base Sequence Biological and medical sciences Bone cancer Bone tumors Brain cancer Breast cancer Cancer Cell cycle Child Codon Codons Cross-Sectional Studies Deoxyribonucleic acid DNA Family medical history Female Genes Genes, p53 Genetic testing Genetics Heterozygote Humans Infant Japan - epidemiology Leukocytes Male man Medical sciences Molecular Sequence Data Mutation Neoplastic Syndromes, Hereditary - epidemiology Neoplastic Syndromes, Hereditary - genetics Osteosarcoma - genetics p53 gene p53 Protein Patients Polymorphism, Genetic Sarcoma Sarcoma - epidemiology Sarcoma - genetics Splice junctions tumor suppressor genes Tumors United States - epidemiology |
Title | Prevalence and Spectrum of Germline Mutations of the p53 Gene among Patients with Sarcoma |
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