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An inherited p53 mutation that contributes in a tissue-specific manner to pediatric adrenal cortical carcinoma.


ABSTRACT: The incidence of pediatric adrenal cortical carcinoma (ACC) in southern Brazil is 10-15 times higher than that of pediatric ACC worldwide. Because childhood ACC is associated with Li-Fraumeni syndrome, we examined the cancer history and p53 status of 36 Brazilian patients and their families. Remarkably, 35 of 36 patients had an identical germ-line point mutation of p53 encoding an R337H amino acid substitution. Differences within intragenic polymorphic markers demonstrated that at least some mutant alleles arose independently, thus eliminating a founder effect. In tumor cells, the wild-type allele was deleted, and mutant p53 protein accumulated within the nuclei. Although these features are consistent with Li-Fraumeni syndrome-associated adrenal tumors, there was no history of increased cancer incidence among family members. Therefore, this inherited R337H p53 mutation represents a low-penetrance p53 allele that contributes in a tissue-specific manner to the development of pediatric ACC.

SUBMITTER: Ribeiro RC 

PROVIDER: S-EPMC55420 | biostudies-literature | 2001 Jul

REPOSITORIES: biostudies-literature

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An inherited p53 mutation that contributes in a tissue-specific manner to pediatric adrenal cortical carcinoma.

Ribeiro R C RC   Sandrini F F   Figueiredo B B   Zambetti G P GP   Michalkiewicz E E   Lafferty A R AR   DeLacerda L L   Rabin M M   Cadwell C C   Sampaio G G   Cat I I   Stratakis C A CA   Sandrini R R  

Proceedings of the National Academy of Sciences of the United States of America 20010701 16


The incidence of pediatric adrenal cortical carcinoma (ACC) in southern Brazil is 10-15 times higher than that of pediatric ACC worldwide. Because childhood ACC is associated with Li-Fraumeni syndrome, we examined the cancer history and p53 status of 36 Brazilian patients and their families. Remarkably, 35 of 36 patients had an identical germ-line point mutation of p53 encoding an R337H amino acid substitution. Differences within intragenic polymorphic markers demonstrated that at least some mut  ...[more]

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