Schneider-Stock R, Walter H, Radig K, Rys J, Bosse A, Kuhnen C, Hoang-Vu C, Roessner A
Department of Pathology, Otto-von-Guericke University, Magdeburg, Germany.
J Cancer Res Clin Oncol. 1998;124(10):532-40. doi: 10.1007/s004320050211.
The present study aimed to investigate the status of alterations of the MDM2, Rb and p53 genes in a series of 45 liposarcomas. Furthermore, the possible correlation with histological and clinical parameters was studied.
MDM2 amplification was examined by non-radioactive Southern blot hybridization with a human MDM2 cDNA probe. Mutations in the p53 gene were screened by polymerase chain reaction/single-strand conformation polymorphism analysis and direct sequencing. To study loss of heterozygosity (LOH) at the tumor-suppressor genes Rb and p53, we used four polymorphic intragenic Rb markers (introns 1, 17, 20, and 25) and two p53 markers (intron 1 and exon 4).
MDM2 amplification was found in 19 of 45 liposarcomas (42.2%). The frequency of LOH in Rb and p53 was nearly identical (22%). In 4 of 9 tumors (44.4%) with LOH, allelic loss was a concurrent event in both genes. Of 45 liposarcomas, 6 (13.3%) showed p53 mutations. Overall, alterations of the p53/MDM2/Rb pathway occurred in 30 of 45 liposarcomas (66.6%). In contrast to myxoid and pleomorphic variants, well-differentiated liposarcomas were characterized by a high frequency of MDM2 amplification, a lack of LOH of Rb and p53, and p53 mutations.
Obviously MDM2 amplification and LOH at the Rh and p53 genes do not occur simultaneously in the oncogenesis of liposarcomas, as is the case for MDM2 amplification and p53 gene mutations (with one exception). We suggest that well-differentiated, myxoid and pleomorphic liposarcomas are characterized by a different pattern of molecular alterations.
本研究旨在调查45例脂肪肉瘤中MDM2、Rb和p53基因的改变情况。此外,还研究了其与组织学和临床参数之间可能存在的相关性。
采用非放射性Southern印迹杂交法,以人MDM2 cDNA探针检测MDM2基因扩增情况。通过聚合酶链反应/单链构象多态性分析及直接测序法筛查p53基因的突变情况。为研究肿瘤抑制基因Rb和p53的杂合性缺失(LOH),我们使用了4个Rb基因内多态性标记(内含子1、17、20和25)和2个p53标记(内含子1和外显子4)。
45例脂肪肉瘤中有19例(42.2%)发现MDM2基因扩增。Rb和p53基因的LOH频率几乎相同(22%)。在9例发生LOH的肿瘤中有4例(44.4%),两个基因同时出现等位基因缺失。45例脂肪肉瘤中,有6例(13.3%)出现p53基因突变。总体而言,45例脂肪肉瘤中有30例(66.6%)发生了p53/MDM2/Rb信号通路的改变。与黏液样和多形性脂肪肉瘤变体不同,高分化脂肪肉瘤的特征是MDM2基因扩增频率高、Rb和p53基因无LOH以及无p53基因突变。
显然,在脂肪肉瘤的肿瘤发生过程中,MDM2基因扩增与Rb和p53基因的LOH不会同时发生,MDM2基因扩增与p53基因突变的情况也是如此(有一个例外)。我们认为,高分化、黏液样和多形性脂肪肉瘤具有不同的分子改变模式。