Loss of heterozygosity involving the short arm of chromosome 3 has bee
n reported in gastric and other human tumors. We have cloned and mappe
d a candidate tumor suppressor gene, FHIT (fragile histidine triad), t
o this chromosomal region (3p14.2). To investigate the role of FHIT ge
ne alterations in the development of gastric carcinoma, we examined 8
gastric carcinoma-derived cell lines and 32 primary adenocarcinoma sam
ples by Southern blot analysis. We also analyzed the integrity of FHIT
transcripts by reverse transcription-PCR. The occurrence of alteratio
ns in the FHIT gene and its transcript correlated with the absence of
Fhit protein expression by immunoblot analysis in the cancer cell line
s. Four of eight cell lines showed deletion or rearrangement within th
e FHIT gene, together with the absence of the wild-type transcript and
the Fhit protein. Among the primary gastric carcinomas, rearrangement
of the FHIT gene and/or aberrant reverse transcription-PCR products w
ere detected in 17 of 32 (53%) tumors, and 20 of 30 (67%) samples exhi
bited an absence of Fhit protein expression. Gastric cancer is thought
to develop from carcinogenic exposure, possibly explaining the high f
requency of abnormalities in the FHIT gene, a fragile locus exhibiting
susceptibility to carcinogen-induced alterations. The consequent abse
nce or reduction of Fhit protein expression is consistent with the pro
posal that the FHIT gene is a preferential target of environmental car
cinogens and that FHIT inactivation plays a role in the development of
gastric cancer.