title: Discordance of p53 status in matched primary tumours and metastases in head and neck squamous cell carcinoma patients.
abstract: To study the use of p53 as a diagnostic tool in head and neck squamous cell carcinoma (HNSCC), we analysed 15 primary tumours (PT) and matched lymph node metastases (LNM) for overexpression and mutations of p53. The primary goal was to study whether differentiation between primary and metastatic disease through their p53 status would be possible. Immunohistochemistry for p53 protein (antibody BP 53-12-1) was performed. Mutations of the p53 gene were detected by exon-specific amplification of DNA (exons 4-9), followed by exon analysis using denaturing gradient gel electrophoresis (DGGE). Mutant exons were sequenced. p53 overexpression was detected in seven (47%) of the PT and in seven (47%) of the LNM. 6 patients (40%) exhibited p53 protein overexpression in both PT and LNM. 2 patients had a different p53 protein expression in each sample. Mutations in the p53 gene were detected in 6 patients (40%) in the PT and in 7 patients (47%) in the LNM. In 2 patients (13%), the same mutation was found in the PT and in the LNM. 9 patients (60%) had a different mutation in each sample. We conclude that a poor correlation exists between p53 protein overexpression and p53 gene mutation in HNSCC. Also, a poor correlation for both detection techniques exists, when PT and LNM are compared. The p53 status may seem to differ between PT and LNM because of polyclonality in the PT. More sensitive detection techniques could be promising.
authors.affiliation: Department of Otorhinolaryngology, University Hospital, Utrecht, The Netherlands. kropveld@worldaccess.nl
authors.forename: A
authors.initials: A
authors.lastname: Kropveld
authors.forename: A D
authors.initials: AD
authors.lastname: van Mansfeld
authors.forename: N
authors.initials: N
authors.lastname: Nabben
authors.forename: G J
authors.initials: GJ
authors.lastname: Hordijk
authors.forename: P J
authors.initials: PJ
authors.lastname: Slootweg
mesh_terms: D001483:Base Sequence; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000235:genetics* / Q000556:secondary*; D003937:Diagnosis, Differential; D004591:Electrophoresis, Polyacrylamide Gel; D005091:Exons; D016158:Genes, p53; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000235:genetics* / Q000378:metabolism; D006801:Humans; D007124:Immunoenzyme Techniques; D008207:Lymphatic Metastasis / Q000175:diagnosis / Q000235:genetics*; D008969:Molecular Sequence Data; D009363:Neoplasm Proteins / Q000378:metabolism; D016133:Polymerase Chain Reaction; D012189:Retrospective Studies; D016159:Tumor Suppressor Protein p53 / Q000378:metabolism
chemical_list: D009363:Neoplasm Proteins; D016159:Tumor Suppressor Protein p53