title: TP53 alterations and clinical outcome in low grade astrocytomas.
abstract: Thirty-eight WHO grade II astrocytomas and 10 malignant recurrent gliomas in these patients were examined for the presence of TP53 alterations. Seventeen/38 low grade astrocytomas and 6/10 malignant recurrent tumors harbored mutations of the gene detected by SSCP analysis and direct sequencing of PCR products. TP53 mutations in five out of six high grade mutant tumors were already present in the corresponding low grade astrocytomas. In two cases, TP53 mutations present in the low grade astrocytoma could not be demonstrated in the recurrent glioma. Immunohistochemistry with two different antibodies to the human TP53 protein revealed nuclear immunoreaction of tumor cells in 11/38 low grade and in 8/10 recurrent tumors. There was no correlation between the presence of TP53 alteration and clinical course. We conclude that, although TP53 mutations are detectable in a substantial fraction of WHO grade II astrocytomas, they do not appear to play a role in the malignant progression of these tumors and they are not of prognostic significance.
authors.affiliation: Department of Neurology, University of Bonn Medical Center, Federal Republic of Germany.
authors.forename: J A
authors.initials: JA
authors.lastname: Kraus
authors.forename: C
authors.initials: C
authors.lastname: Bolln
authors.forename: H K
authors.initials: HK
authors.lastname: Wolf
authors.forename: J
authors.initials: J
authors.lastname: Neumann
authors.forename: D
authors.initials: D
authors.lastname: Kindermann
authors.forename: R
authors.initials: R
authors.lastname: Fimmers
authors.forename: F
authors.initials: F
authors.lastname: Forster
authors.forename: A
authors.initials: A
authors.lastname: Baumann
authors.forename: U
authors.initials: U
authors.lastname: Schlegel
mesh_terms: D000595:Amino Acid Sequence; D001254:Astrocytoma / Q000235:genetics* / Q000401:mortality / Q000473:pathology; D001483:Base Sequence; D003062:Codon / Q000235:genetics; D017931:DNA Primers; D004273:DNA, Neoplasm / Q000032:analysis / Q000302:isolation & purification; D005091:Exons; D016158:Genes, p53; D006801:Humans; D007438:Introns; D008969:Molecular Sequence Data; D009364:Neoplasm Recurrence, Local; D017354:Point Mutation; D016133:Polymerase Chain Reaction / Q000379:methods*; D016019:Survival Analysis
chemical_list: D003062:Codon; D017931:DNA Primers; D004273:DNA, Neoplasm