We analyzed 57 p53 gene mutations in 181 colorectal cancer patients in Taiw
an and compiled data on 475 independent p53 mutations in 1,156 primary colo
rectal cancer patients worldwide between 1992 to 1998, Transitions at the C
pG sites were observed in 31 (54%) and 232 cases (49%), respectively. Frame
shift mutations occurring within exons were observed in II (20%) and 50 cas
es(10%), respectively, Among the various populations studied, colorectal ca
ncer in Taiwan had the lowest p53 mutation rate (31%), highest frequency (2
0%) of frameshift mutations and the second lowest rate (13%) of transversio
n mutation. Based on their relation to the base runs, the 61 frameshift mut
ations could be grouped into 4 subclasses. After corrections were made for
differences in the base number in a run, the relative mutational frequency
at a base run was found to be 9- to 47-fold over that in the no-run residue
s. The p53 frameshift mutational spectrum found in the cases in Taiwan, wit
h respect to hotspot sequence, was significantly different from those in th
e selected database (p = 0,008), These data support that the patterns of hi
gh frequency of transitions at CpG sites and low frequency of transversions
in base substitutions in the p53 gene are similar regardless of patient or
igin, However, these data also illustrate that frameshift mutations in the
p53 gene in colorectal cancer patients are sequence dependent and are disti
nct among populations. (C) 2001 Wiley-Liss, Inc.