Li Fraumeni Syndrome (LFS) is a multicancer phenotype, most commonly associ
ated with germ-line mutations in TP53. In a kindred with LFS without an inh
erited TP53 mutation, we have previously reported a truncating mutation (11
00delC) in CHK2, encoding a kinase that phosphorylates p53 on Ser(20). Here
, we describe a CHK2 missense mutation (R145W) in another LFS family. This
mutation destabilizes the encoded protein, reducing its half-life from > 12
0 min to 30 min. This effect is abrogated by treatment of cells with a prot
eosome inhibitor, suggesting that CHK2(R145W) is targeted through this degr
adation pathway. Both 1100delC and R145W germ-line mutations in CHK2 are as
sociated with loss of the wild-type allele in the corresponding tumor speci
mens, and neither tumor harbors a somatic TP53 mutation. Our observations s
upport the functional significance of CHK2 mutations in rare cases of LFS a
nd suggest that such mutations may substitute for inactivation of TP53.