Alteration of the Tumor Suppressor Gene p53 in a High Fraction of Hormone Refractory Prostate Cancer

AbstractPurpose: We studied the role of p53 tumor suppressor gene alteration in prostate cancer progression by demonstrating a difference in abnormal p53 findings between early and hormone refractory disease.Materials and Methods: The study included p53 immunohistochemistry of 26 archival transurethral resection specimens from patients with radiation recurrent and hormone refractory disease, 27 untreated primary tumors and 8 untreated metastatic lesions. p53 mutation analysis of tumor deoxyribonucleic acid (DNA) from microdissected specimens was done by cold single strand conformational polymorphism and DNA sequencing.Results: Elevated p53 protein was present in 16 of 17 hormone refractory specimens (94 percent), 4 of 8 untreated metastatic tumors (50 percent) and 6 of 27 primary untreated tumors (22 percent). DNA analysis of representative specimens with elevated p53 confirmed p53 gene alterations in 9 of 11 cases (82 percent).Conclusions: Our study revealed a clear progression of increased p53 alteratio...