The critical role of the neurofibromatosis 1 (NF1) gene as a tumour suppres
sor has been clearly demonstrated for malignancies arising in NF1 patients.
However, little is known about the more common benign tumours, such as the
pilocytic astrocytoma. Most NF1-associated astrocytomas are benign and cli
nically non-progressive, though aggressive tumours are occasionally encount
ered. In this study, eight pilocytic astrocytomas from six individuals affe
cted with NF1 were analysed for NF1 expression. All eight tumours demonstra
ted loss of neurofibromin expression by immunohistochemistry, which was con
firmed in one case using Western blot analysis. Microsatellite analysis sho
wed loss of a single NF1 allele (LOH) in two of four NF1-associated tumours
. These results demonstrate that, in contrast to sporadic astrocytomas, los
s of NF1 expression is an important primary genetic event in the pathogenes
is of NF1-associated pilocytic astrocytomas.