G2 chromosomal sensitivity to bleomycin (30 mug/ml) was tested in PHA-
stimulated lymphocytes of healthy subjects and in patients with famili
al and sporadic tumors. These were multiple endocrine neoplasias (MEN)
types 1, 2A and 2B, familial medullar thyroid cancer, Recklinghausen
neurofibromatosis type I, sporadic and hereditary malignant tumors, an
d a preleukemic disorder, the myelodysplastic syndrome. Control subjec
ts were either young (15-20), middle-aged (28-49) or old (70-83 years)
. Cells from old healthy subjects and from subjects with MEN 1 showed
increased sensitivity to clastogenic effects of bleomycin. All the rem
aining investigated groups were insignificantly different from control
s. Our data suggest that in contrast with recessively inherited syndro
mes with chromosome instability the mutagen hypersensitivity, as evalu
ated by the extent of chromosomal damage, is not a feature or most dom
inantly inherited tumor syndromes.