Pancreatic expression of the p53 tumor suppressor gene was studied in
pancreatic adenocarcinomas and chronic pancreatitis. By immunohistoche
mistry, 16 of 34 (47%) cancers and none of the 24 chronic pancreatitis
samples revealed nuclear staining. Sequence analysis indicated that 8
of 24 (33%) cancers were mutated for the p53 gene. Point substitution
s occurred at codons 35, 105, 133, 213, 213, 258, and 299. A three bas
e-pair in-frame insertion was identified between codons 261 and 262. N
one of 8 chronic pancreatitis samples exhibited p53 gene mutations. Th
ese data support a role for p53 gene alterations in human pancreatic c
ancer, and suggest that loss of its regulatory functions may constitut
e one of the differences between pancreatic cancer and chronic pancrea
titis.