PMID- 16785766 OWN - NLM STAT- MEDLINE DCOM- 20060804 LR - 20061115 IS - 1015-2008 (Print) IS - 1015-2008 (Linking) VI - 73 IP - 1 DP - 2006 TI - How wild-type TP53 is inactivated in undifferentiated-type gastric carcinomas: analyses of intratumoral heterogeneity in deletion and mutation of TP53. PG - 40-9 AB - OBJECTIVE: In undifferentiated-type gastric carcinoma (UGC), inactivation of TP53 is infrequent at early stages and comparable to tubular adenocarcinomas (TUBs) at advanced stages. To clarify how TP53 inactivation relates to histogenesis of UGCs, we examined p53 alterations in multiple samples of individual UGCs. METHODS: We used 27 UGCs including 12 mixed types with minor tubular component (TC) and 16 with a layered structure (LS), a histological remnant of incipient signet ring cell carcinoma (SIG). We examined p53 expression immunohistochemically and analyzed loss of heterozygosity (LOH) with four microsatellite markers within 17p13.1 in multiple microdissected samples. DNA sequence of mutation hot spots in TP53 was determined in representative samples of each tumor. RESULTS: In the mixed-type UGCs, 5 and 1 of the 8 tumors without LS showed global and regional loss of wild-type TP53, respectively, through mutation and LOH, and one fourth of the tumors with LS showed the regional loss. In the tumors with the mutation, the mutation pattern was identical between TC and poorly differentiated major component. CONCLUSION: The inactivation of wild-type TP53 is an earlier event before dedifferentiation of TUB to mixed-type UGC, but is less frequent and a later event in a subset of mixed-type UGC deriving from SIG. . FAU - Yoshimura, Akinobu AU - Yoshimura A AD - Department of Pathology, Shiga University of Medical Science, Otsu, Japan. FAU - Sugihara, Hiroyuki AU - Sugihara H FAU - Ling, Zhi-Qiang AU - Ling ZQ FAU - Peng, Dun-Fa AU - Peng DF FAU - Mukaisho, Ken-ichi AU - Mukaisho K FAU - Fujiyama, Yoshihide AU - Fujiyama Y FAU - Hattori, Takanori AU - Hattori T LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Switzerland TA - Pathobiology JT - Pathobiology : journal of immunopathology, molecular and cellular biology JID - 9007504 SB - IM MH - Adenocarcinoma/*genetics/*pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - Base Sequence MH - DNA Mutational Analysis MH - Female MH - *Genes, p53 MH - Humans MH - Immunohistochemistry MH - Loss of Heterozygosity MH - Male MH - Microsatellite Repeats MH - Middle Aged MH - Mutation MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational MH - Stomach Neoplasms/*genetics/*pathology EDAT- 2006/06/21 09:00 MHDA- 2006/08/05 09:00 CRDT- 2006/06/21 09:00 PHST- 2005/12/28 00:00 [received] PHST- 2006/03/01 00:00 [accepted] PHST- 2006/06/21 09:00 [pubmed] PHST- 2006/08/05 09:00 [medline] PHST- 2006/06/21 09:00 [entrez] AID - 93090 [pii] AID - 10.1159/000093090 [doi] PST - ppublish SO - Pathobiology. 2006;73(1):40-9. doi: 10.1159/000093090.