Das Asha, Tan Wan-Loo, Smith Duncan R
Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Asian J Surg. 2005 Jan;28(1):7-10. doi: 10.1016/S1015-9584(09)60249-9.
In Asian populations, meningiomas account for up to 35% of all central nervous system tumours, a significantly higher incidence than in Caucasian populations. While several studies have examined p53 both at the level of the gene and the protein in both benign and malignant meningiomas, its role remains controversial, particularly with regard to the discrepancy between p53 over-expression and gene mutation. We examined 19 benign meningiomas, all of which were known to over-express p53, and eight malignant meningiomas, of which three were known to over-express p53, for mutations in the p53 gene using polymerase chain reaction amplification and direct sequencing of exons 4 to 9, inclusive. Only one single mutation was detected in a benign meningioma, confirming that p53 over-expression in meningiomas is commonly found in the absence of gene mutations, and that despite the significantly higher incidence of meningiomas in some Asian populations, this is not associated with a significantly higher rate of p53 mutations.
在亚洲人群中,脑膜瘤占所有中枢神经系统肿瘤的比例高达35%,其发病率显著高于白种人群。虽然已有多项研究在基因和蛋白水平上对良性和恶性脑膜瘤中的p53进行了检测,但其作用仍存在争议,尤其是在p53过度表达与基因突变之间的差异方面。我们使用聚合酶链反应扩增和外显子4至9(含)的直接测序,对19例已知p53过度表达的良性脑膜瘤和8例恶性脑膜瘤(其中3例已知p53过度表达)进行了p53基因突变检测。在1例良性脑膜瘤中仅检测到1个单一突变,这证实了脑膜瘤中p53过度表达通常在无基因突变的情况下出现,并且尽管某些亚洲人群中脑膜瘤的发病率显著较高,但这与p53突变率的显著升高并无关联。