Journal article
The impact of p53 protein core domain structural alteration on ovarian cancer survival
Clinical cancer research : an official journal of the American Association for Cancer Research, Vol.9(11), pp.4139-4144
09/15/2003
PMID: 14519637
Abstract
PURPOSEAlthough survival with a p53 missense mutation is highly variable, p53-null mutation is an independent adverse prognostic factor for advanced stage ovarian cancer. By evaluating ovarian cancer survival based upon a structure function analysis of the p53 protein, we tested the hypothesis that not all missense mutations are equivalent.EXPERIMENTAL DESIGNThe p53 gene was sequenced from 267 consecutive ovarian cancers. The effect of individual missense mutations on p53 structure was analyzed using the International Agency for Research on Cancer p53 Mutational Database, which specifies the effects of p53 mutations on p53 core domain structure. Mutations in the p53 core domain were classified as either explained or not explained in structural or functional terms by their predicted effects on protein folding, protein-DNA contacts, or mutation in highly conserved residues. Null mutations were classified by their mechanism of origin.RESULTSMutations were sequenced from 125 tumors. Effects of 62 of the 82 missense mutations (76%) could be explained by alterations in the p53 protein. Twenty-three (28%) of the explained mutations occurred in highly conserved regions of the p53 core protein. Twenty-two nonsense point mutations and 21 frameshift null mutations were sequenced. Survival was independent of missense mutation type and mechanism of null mutation.CONCLUSIONSThe hypothesis that not all missense mutations are equivalent is, therefore, rejected. Furthermore, p53 core domain structural alteration secondary to missense point mutation is not functionally equivalent to a p53-null mutation. The poor prognosis associated with p53-null mutation is independent of the mutation mechanism.
Details
- Title: Subtitle
- The impact of p53 protein core domain structural alteration on ovarian cancer survival
- Creators
- Stephen L. RoseAndrew D RobertsonMichael J Goodheart - University of Iowa, Obstetrics and GynecologyBrian J Smith - University of Iowa, BiostatisticsBarry R DeYoungRichard E Buller
- Resource Type
- Journal article
- Publication Details
- Clinical cancer research : an official journal of the American Association for Cancer Research, Vol.9(11), pp.4139-4144
- Publisher
- United States
- PMID
- 14519637
- ISSN
- 1078-0432
- eISSN
- 1557-3265
- Language
- English
- Date published
- 09/15/2003
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557242202771
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