Little is known about the molecular mechanisms responsible for the developm
ent of intracranial germ cell tumors (ICGTs), Recently, we demonstrated tha
t the balance of the p53-mdm2 interactions is disrupted in ICGTs, The p14(A
RF) product, a tumor suppresser gene located on the INK4a/ARF locus, acts a
s one of the major factors affecting p53-mdm2 interactions via its binding
to mdm2 and the stimulation of mdma degradation. To evaluate whether geneti
c alterations of the INK4a/ARF locus occur in the genesis of ICGTs, we anal
yzed the INK4a/ARF genes in 21 ICGTs-10 pure germinomas and 11 nongerminoma
tous germ cell tumors. Fifteen (71%) of the 21 ICGTs displayed genetic alte
rations, including 14 homozygous deletions and 1 frameshift mutation. Furth
ermore, the frequency of the alterations was higher in pure germinomas [9 (
90%) of the 10] than in nongerminomatous germ cell tumors [6 (55%) of the 1
1; P = 0.09], These data suggested that INK4a/ARF gene abnormalities could
play an important role in the genesis of ICGTs, especially in pure germinom
a.