The tumor-suppressor gene p53 may transactivate the transcription of g
enes that down-regulate cellular growth-related genes and may become o
ncogenic as a result of the production of mutant proteins or the loss
of its protein expression. This study reports that alterations of the
highly conserved consensus intervening sequences at the splice junctio
ns may lead to the inactivation of the p53 gene. Analyses with the com
bined polymerase chain reaction and single-strand conformational polym
orphism and direct DNA sequencing of DNAs amplified by means of asymme
tric polymerase chain reaction demonstrated sequence alterations at th
e splice junctions of introns 5 and 7 in four human hepatocellular car
cinomas, with a single base substitution at the splice junction in thr
ee and a 10-bp deletion starting from the dinucleotide AG of the accep
tor site of intron 5 in the fourth. Restriction fragment length polymo
rphism analysis disclosed allele loss in all three informative cases.
The p53 mRNA concentrations were remarkably reduced or undetectable in
two hepatocellular carcinomas, whereas the two tumors (cases 2 and 3)
that had single base changes at the acceptor site of intron 7 had bot
h normal and abnormally sized p53 mRNAs. Immunocytochemistry failed to
detect the wild-type and mutant p53 proteins in all four tumors. West
ern-blot analysis disclosed an abnormal, larger p53 protein of 55 kD i
n the tumor of case 3. These findings suggest that the inactivation of
p53 gene caused by the genetic alterations at the splice junction may
occur more often than perceived and plays an important role in human
hepatocarcinogenesis because of the inactivation of the p53 gene by wa
y of the loss of the protein or production of an abnormal protein.