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Functional analysis of p53 gene and the prognostic impact of dominant‐negative p53 mutation in endometrial cancer
Author(s) -
Sakuragi Noriaki,
Watari Hidemichi,
Ebina Yasuhiko,
Yamamoto Ritsu,
Steiner Eric,
Koelbl Heinz,
Yano Masahiro,
Tada Mitsuhiro,
Moriuchi Tetsuya
Publication year - 2005
Publication title -
international journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.475
H-Index - 234
eISSN - 1097-0215
pISSN - 0020-7136
DOI - 10.1002/ijc.21097
Subject(s) - mutation , endometrial cancer , biology , mutant , cancer , gene , cancer research , medicine , mutation testing , genetics
Abstract In addition to the loss of function, mutant p53 can possess a dominant‐negative effect on wild‐type p53 and may also exert gain‐of‐function activity. It is not clear whether the functional status of p53 mutation contributes to differences in outcome in endometrial cancer. We collected a total of 92 RNA samples of high quality from endometrial cancer tissues, and the samples were subjected to yeast functional assay and sequencing for p53 mutations. The detected mutant p53 genes were further investigated for their dominant‐negative activity using a yeast‐based transdominance assay. p53 mutation was found in 24 out of 92 (26.1%) tumors, of which 10 exhibited no dominant‐negative activity (recessive mutation) and 14 showed dominant‐negative activity. Dominant‐negative p53 mutation was related to advanced stages ( p = 0.01), nonendometrioid type tumors ( p = 0.01) and grade 3 tumors ( p = 0.04). The patients with dominant‐negative mutation had significantly shorter survival than patients with no mutation ( p < 0.0001) and those with a recessive mutation ( p = 0.01) in the p53 gene. No difference in survival was found between the patients with tumors harboring a recessive p53 mutation and those with tumors harboring a wild‐type p53 . Multivariate analysis revealed that dominant‐negative p53 mutation ( p = 0.019), FIGO stage ( p = 0.0037) and histologic subtype ( p = 0.014) were independently related to patient survival. Dominant‐negative p53 mutation was the most important prognostic factor for stage III/IV endometrial cancer ( p = 0.0023). In conclusion, dominant‐negative p53 mutation is often found in advanced stages and aggressive histologic subtypes of endometrial cancer and it is a strong predictor of survival of patients with advanced endometrial cancer. To elucidate further the role of p53 mutation in endometrial cancer, it is necessary to investigate gain‐of‐function activity involving dominant‐negative p53 mutant proteins. © 2005 Wiley‐Liss, Inc.