The genetic events involved in the aetiology of non-clear-cell renal cell c
arcinoma (RCC) and a proportion of clear cell RCC remain to be defined. Ger
mline mutations of the TSC1 and TSC2 genes cause tuberous sclerosis (TSC),
a multi-system hamartoma syndrome that is also associated with RCC. We asse
ssed 17 sporadic clear cell RCCs with a previously identified VHL mutation,
15 clear-cell RCCs without an identified VHL mutation and 15 non-clear-cel
l RCCs for loss of heterozygosity (LOH) at chromosomes 9q34 and 16p13.3, th
e chromosomal locations of TSC1 and TSC2. LOH was detected in 4/9, 1/11 and
3/13 cases informative at both loci. SSCP analysis of the whole coding reg
ion of the retained allele did not reveal any cases with a detectable intra
genic second somatic mutation. Furthermore, RT-PCR analysis of TSC1 and TSC
2 on total RNA from 8 clear-cell RCC cell lines confirmed expression of bot
h TSC genes. These data indicate that biallelic inactivation of TSC1 or TSC
2 is not frequent in sporadic RCC and suggests that the molecular mechanism
s of renal carcinogenesis in TSC are likely to be distinct. (C) 2001 Cancer
Research Campaign.