p53 immunoreactivity and humoral immune response to p53 were examined
in 14 patients with malignant glioma, including 4 patients with Ieptom
eningeal glioma cell dissemination. Twelve patients expressed p53 prot
ein within the tumour tissue. p53 antibodies were detected in the seru
m in 2 of 14 patients but never in the cerebrospinal fluid (CSF). Solu
ble p53 protein was detected neither in serum nor in CSF of the glioma
patients. CSF levels of the immunosuppressive cytokine, transforming
growth factor (TGF)-beta, were elevated in the glioma patients, includ
ing those with a humoral response to p53. These preliminary findings r
aise the possibility of systemic humoral immune responses to antigens,
including mutant p53, expressed by glioma cells in the central nervou
s system.