The FRA3B at 3p14.2 is the most common of the constitutive aphidicolin
-inducible fragile sites. Using independent approaches, four groups of
investigators have cloned and characterized this fragile site. The re
sults of these studies have revealed that the FRA3B differs from other
heretofore cloned rare fragile sites. First, instability as manifeste
d by chromosome breakage occurs over a large region of DNA, encompassi
ng at least 500 kb. Second, sequence analysis has not revealed trinucl
eotide repeat motifs, characteristic of the rare fragile sites. In add
ition to containing the FRA3B, band 3p 14 is also likely to contain a
tumor suppressor gene, as evidenced by the presence of deletions, rear
rangements, and allele loss in a variety of human tumors, including lu
ng, renal, nasopharyngeal, cervical, and breast carcinomas. The recent
ly cloned FHIT gene in 3p14.2 is a promising candidate tumor suppresso
r gene, since aberrant FHIT transcripts have been found in a significa
nt proportion of cancer-derived cell lines and primary tumors of the d
igestive and respiratory tracts. Nonetheless, several lines of evidenc
e garnered over the past year have called into question the role of FH
IT as a classical tumor suppressor gene, and raised the question of wh
ether its apparent involvement simply reflects its location within an
unstable region of the genome. In the following study, we have summari
zed the evidence in support of FHIT as a tumor suppressor gene as well
as evidence against such a role, and the experimental evidence needed
to demonstrate that FHIT functions as a tumor suppressor gene in the
pathogenesis of human tumors. The paradigm of FHIT emphasizes that con
firming the role of a candidate tumor suppressor gene may prove diffic
ult, particularly for those genes that are located in genetically unst
able regions. (C) 1998 Wiley-Liss, Inc.