The role of p53 tumor suppressor gene in the pathomechanism of adrenal tumo
rs was investigated by measuring p53 protein and its messenger ribonucleic
acid (mRNA) in 12 normal human adrenals as well as in 56 adrenal tumors (7
aldosterone-producing adenomas, 5 adrenocortical adenomas causing Gushing's
syndrome, 19 nonhyperfunctioning adrenocortical adenomas, 5 adrenocortical
carcinomas, 12 pheochromocytomas, 3 myelolipomas, 4 ganglioneuromas and I
hemangioma). The p53 protein concentration was significantly increased in a
ldosterone-producing adenomas (394+/-36 pg/mg cytosolic protein, mean+/-SE,
vs 266+/-18 in normal human adrenals), whereas the concentration of this p
rotein in Gushing's adenomas, non-hyperfunctioning adrenocortical adenomas,
pheochromocytomas, and in all but one adrenocortical carcinomas was simila
r to that measured in normal human adrenal tissues. One adrenocortical carc
inoma tissue showed very high p53 protein content (3000 pg/mg cytosolic pro
tein). By contrast, myelolipomas (23+/- 20) ganglioneuromas (43+/-15) and a
hemangioma (11 pg/mg cytosolic protein) had very low p53 protlein content.
Northern blot analysis revealed the presence of p53 mRNA in each adrenal t
issue examined with highest levels in aldosterone-producing and Cushing's a
denomas. It. is possible that the differences in p53 protein and/or mRNA co
ntents reflect corresponding differences in the pathogenetic importance of
p53 alterations in these types of adrenal tumors. (C) 1998, Editrice Kurtis
.