Abstract: |
We set out to define the alterations of chromosome 17 in human bladder tumors and to correlate p53 nuclear over-expression with 17p deletions in those neoplasms. We studied 60 bladder tumors by restriction fragment-length polymorphism analysis directed at five different loci on chromosome 17. The same tumors were studied with a panel of mouse monoclonal antibodies (PAbl801, PAb240, and PAbl620) to mutant and wild-type p53 proteins using immunohistochemistry. Deletion of 17p correlated with grade (p = 0.039), stage (p = 0.004), and the presence of vascular invasion (p = 0.056). None of the pathologic parameters correlated with 17q deletions. p53 nuclear overexpression correlated with grade (p = 0.027), stage (p = 0.008), vascular invasion (p = 0.021), and the presence of nodal metastases (p = 0.007). In superficial (Ta) lesions, 17p was not deleted, whereas 55% of Tl and T2-T4 tumors showed a loss of heterozygosity. Mutations of p53 as detected by immunohistochemistry were seen in superficial as well as invasive tumors, whereas loss of heterozygosity was seen only in invasive tumors. A strong correlation was found between the presence of mutation and the loss of heterozygosity of the remaining allele (p = 0.0003). Additional follow-up and further studies are required to better define the role of p53 nuclear overexpression and 17p deletions as markers of tumor progression in human bladder cancer. © 1993 Raven-press. Ltd. |
Keywords: |
immunohistochemistry; human tissue; gene mutation; mutation; cancer grading; incidence; alleles; bladder cancer; protein p53; monoclonal antibody; cancer invasion; immunoenzyme techniques; tumor suppressor gene; heterozygosity; intermethod comparison; bladder neoplasms; tumor growth; chromosome deletion; chromosome 17; p53; chromosome 17q; genes, p53; chromosome 17p; chromosomes, human, pair 17; restriction fragment length polymorphism; polymorphism, restriction fragment length; human; article; support, u.s. gov't, p.h.s.; flp
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