Two p53 germline polymorphisms, a BstUI in exon 4 and a MspI in intron 6 we
re studied using polymerase chain reaction (PCR) based methods in 50 patien
ts with bladder cancer and 145 healthy controls. Increased frequencies of t
he BstUI and MspI A2 alleles were found to be associated with statistically
non-significant (p = 0.2308 and p = 0.5959) but increased odd ratios for b
ladder cancel (OR 1.44, 95% CI 0.82-2.27 and OR 1.20, 95% CI 0.61-2.33). St
atistically significant difference between patients with bladder cancer and
controls was found in the distribution of MspI genotypes. There was a sign
ificantly lower proportion of the heterozygous A1A2 genotype in all patient
s but not in controls (p = 0.0354). The results of this study suggest that
BstUI and MspI germline polymorphisms of the tumor suppressor gene p53 marg
inally modify the risk of bladder cancer.