Modifications in the control sequences of tumor suppressor genes have been
found to play a role in the activation or inactivation of these genes and m
ay play an important role in tumorigenesis. For example, hypermethylation o
f CpG islands and promoter polymorphisms have been found to be involved in
transcriptional repression. A decrease in the levels of expression of one s
uch tumor suppressor gene, the TGF beta type H receptor (T R-H), has been a
ssociated with increased tumorigenicity in a number of human tumors. Geneti
c alterations have been described in several tumor types in the coding regi
on of this gene. However, no comprehensive search for genetic alterations i
n the T betaR-II promoter has been reported. Genetic alterations in the pro
moter of the T betaR-II gene could inhibit binding of putative regulatory f
actors. For example, we have reported a A-364-G alteration in the T betaR-I
I promoter, which results in decreased transcriptional activity. In this st
udy, we analyzed the 1.0 kb region upstream of the T betaR-II transcription
al start site and found genetic alterations in 46% of the head and neck squ
amous cell carcinoma (SqCC) samples examined. The most frequent alteration
was a G-875-A alteration, present in 41.6% of the samples. Analysis of norm
al healthy individuals showed a similar frequency of this alteration, sugge
sting that alterations within the T betaR-II promoter are unlikely to accou
nt for the decreased expression of T betaR-II in head and neck SqCC. (C) 20
01 Elsevier Science B.V. All rights reserved.