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Science 3 May 1991:
Vol. 252. no. 5006, pp. 706 - 709
DOI: 10.1126/science.2024123

Articles

Science, Vol 252, Issue 5006, 706-709
Copyright © 1991 by American Association for the Advancement of Science


articles

Identification of p53 gene mutations in bladder cancers and urine samples

D Sidransky, A Von Eschenbach, YC Tsai, P Jones, I Summerhayes, F Marshall, M Paul, P Green, Hamilton SR, P Frost, and al. et

Department of Oncology, Johns Hopkins University, Baltimore, MD 21231.

Although bladder cancers are very common, little is known about their molecular pathogenesis. In this study, invasive bladder cancers were evaluated for the presence of gene mutations in the p53 suppressor gene. Of 18 tumors evaluated, 11 (61 percent) were found to have genetic alterations of p53. The alterations included ten point mutations resulting in single amino acid substitutions, and one 24-base pair deletion. In all but one case, the mutations were associated with chromosome 17p allelic deletions, leaving the cells with only mutant forms of the p53 gene products. Through the use of the polymerase chain reaction and oligomer-specific hybridization, p53 mutations were identified in 1 to 7 percent of the cells within the urine sediment of each of three patients tested. The p53 mutations are the first genetic alterations demonstrated to occur in a high proportion of primary invasive bladder cancers. Detection of such mutations ex vivo has clinical implications for monitoring individuals whose tumor cells are shed extracorporeally.


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E. Perz and J. G. Kuhn (1998)
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Science, medicine, and the future: Molecular assessment of cancer.
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Association between Cigarette Smoking and Mutation of the p53 Gene in Squamous-Cell Carcinoma of the Head and Neck.
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W. M. Linehan, M. I. Lerman, and B. Zbar (1995)
JAMA 273, 564-570
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Cell cycle control and cancer.
L. Hartwell and M. Kastan (1994)
Science 266, 1821-1828
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Molecular Biology and the Early Detection of Carcinoma of the Bladder -- The Case of Hubert H. Humphrey.
R. H. Hruban, P. van der Riet, Y. S. Erozan, and D. Sidransky (1994)
N. Engl. J. Med. 330, 1276-1278
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Non-invasive detection of malignancy by identification of unusual CD44 gene activity in exfoliated cancer cells.
Y Matsumura, D Hanbury, J Smith, and D Tarin (1994)
BMJ 308, 619-624
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Poster Session.
(1993)
Toxicol Pathol 21, 623-646
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Molecular Screening: Prospects for a New Approach.
D. Sidransky, J. Boyle, and W. Koch (1993)
Arch Otolaryngol Head Neck Surg 119, 1187-1190
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Retrieval of p53 Protein in Paraffin-Embedded Head and Neck Tumor Tissues.
Z. P. Pavelic, L. G. Portugal, M. J. Gootee, P. J. Stambrook, C. Smith, R. E. Mugge, L. Pavelic, K. Wilson, C. R. Buncher, Y.-Q. Li, et al. (1993)
Arch Otolaryngol Head Neck Surg 119, 1206-1209
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Sensitive two-stage PCR of p53 genomic DNA exons 5-9..
W C Kusser, D B Levin, and B W Glickman (1993)
Genome Res. 2, 250-252
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Oncogenic forms of p53 inhibit p53-regulated gene expression.
S. Kern, J. Pietenpol, S Thiagalingam, A Seymour, K. Kinzler, and B Vogelstein (1992)
Science 256, 827-830
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Identification of ras oncogene mutations in the stool of patients with curable colorectal tumors.
D Sidransky, T Tokino, Hamilton SR, K. Kinzler, B Levin, P Frost, and B Vogelstein (1992)
Science 256, 102-105
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Tumor suppressor genes.
R. Weinberg (1991)
Science 254, 1138-1146
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DEFECTS IN AN ANTIONCOGENE ARE LINKED TO BLADDER CANCER.
(1991)
Journal Watch (General) 1991, 6
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Regulation of Transformation and the Cell Cycle by p53.
G.P. Zambetti, R.S. Quartin, J. Martinez, I. Georgoff, J. Momand, D. Dittmer, C.A. Finlay, and A.J. Levine (1991)
Cold Spring Harb Symp Quant Biol 56, 219-225
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