McKenzie K E, Siva A, Maier S, Runnebaum I B, Seshadri R, Sukumar S
Breast Cancer Program, Johns Hopkins Oncology Center, Baltimore, Maryland 21045, USA.
Clin Cancer Res. 1997 Sep;3(9):1669-73.
Seventy-five to 80% of breast cancers are negative for p53 gene mutations. We have investigated the possibility that altered WAF1 genes provide an alternative mode of cell cycle disruption in these tumors. DNA from a total of 85 primary breast tumors and cell lines from both the United States and Australia were examined for WAF1 and p53 mutations. With the exception of one primary tumor containing the polymorphic codon 31 (AGC-->AGA), no missense mutations in the WAF1 gene were found in 33 primary tumors or in the 19 cell lines from the United States. By contrast, 2 of 33 tumors from Australia contained tumor-specific missense mutations in the WAF1 gene, while an additional six cases contained the AGC-->AGA polymorphic 31st codon in the WAF1 gene. The p53 mutation frequency in the Australian cohort (18%) was found to be similar to that reported by us (Glebov et al., Cancer Res., 54: 3703-3709, 1994; Runnebaum et al., Proc. Natl. Acad. Sci. USA, 88: 10657-10661, 1991) in the tumors of United States patients (13%) with sporadic breast cancer. Thus, mutations in the WAF1 gene are rare in tumors with or without p53 mutations, suggesting that except in a minor population of breast cancer patients of Caucasian origin, cell cycle dysregulation by mutated p53 or WAF1 genes may not contribute to breast tumor initiation or progression.
75%至80%的乳腺癌p53基因突变呈阴性。我们研究了WAF1基因改变在这些肿瘤中提供细胞周期破坏替代模式的可能性。对来自美国和澳大利亚的总共85个原发性乳腺肿瘤及细胞系的DNA进行了WAF1和p53突变检测。除了一个含有多态性密码子31(AGC→AGA)的原发性肿瘤外,在美国的33个原发性肿瘤或19个细胞系中未发现WAF1基因的错义突变。相比之下,澳大利亚的33个肿瘤中有2个在WAF1基因中含有肿瘤特异性错义突变,另外6个病例在WAF1基因中含有AGC→AGA多态性第31密码子。发现澳大利亚队列中的p53突变频率(18%)与我们(Glebov等人,《癌症研究》,54: 3703 - 3709, 1994;Runnebaum等人,《美国国家科学院院刊》,88: 10657 - 10661, 1991)报道的美国散发性乳腺癌患者肿瘤中的频率(13%)相似。因此,WAF1基因的突变在有或无p53突变的肿瘤中都很罕见,这表明除了一小部分高加索裔乳腺癌患者外,p53或WAF1基因突变导致的细胞周期失调可能对乳腺肿瘤的发生或进展没有作用。