MUTATIONS IN THE p53 tumor suppressor gene are the most common genetic
alterations found in diverse types of human cancer, including the pri
mary malignant brain tumor, glioblastoma multiforme. To estimate the f
requency of p53 mutations in human brain tumors, we screened 120 human
primary brain tumors (59 astrocytic; 61 nonastrocytic) by the polymer
ase chain reaction-single-strand conformation polymorphism technique.
Six astrocytic tumors (one anaplastic astrocytoma and five glioblastom
a multiforme) were found to have putative p53 mutations. Direct sequen
cing of polymerase chain reaction-amplified deoxyribonucleic acid from
these six tumors confirmed the presence of different point mutations
in the conserved regions of the p53 gene. Allelic losses on chromosome
17p were detected in four (67%) of the six tumors with p53 mutations.
p53 mutations were not detected in any of the 61 nonastrocytic brain
tumors. Also, polymerase chain reaction-single-strand conformation pol
ymorphism analysis of 74 leukocyte deoxyribonucleic acid samples from
patients with astrocytic and nonastrocytic brain tumors failed to dete
ct any germ-line p53 mutations. We conclude from these findings that p
53 gene mutations in brain neoplasms are primarily limited to tumors o
f astrocytic origin and that the p53 gene mutations in sporadic astroc
ytomas are somatic in origin (i.e., nonprenatally determined).