Prostate cancer is the most common cancer in aged men. Although ras an
d p53 gene mutations have been detected in some prostate cancers, the
major genetic alterations involved in its carcinogenesis are not well
understood. Mutation of the APC gene is responsible for colorectal tum
ors in which ras and p53 mutations are also often involved. Using PCR-
SSCP analysis and sequencing, we examined 31 human primary prostate ca
ncers (three cases at stage A, 10 at stage B, five at stage C and 13 a
t stage D) and four cases of lymph node metastasis from the stage D ca
ses, for mutations in the APC gene. A mutation was detected in only on
e of the 35 samples (3%). This mutation, present in a primary stage B
cancer, had a T to C transition in exon 15 at the first position of co
don 956, resulting in substitution of histidine for tyrosine. This stu
dy clarified that APC gene mutations are not largely involved in the d
evelopment of clinical prostate cancer.