ELSEVIER Mutation Research 307 (1994) 375-386
Fundamental and Molecular
Mechanisms of Mutagenesis
Can we predict solar ultraviolet radiation as the causal event
in human tumours by analysing the mutation spectra
of the p53 gene?
Nicolas Dumaz a, Anne Stary a, Thierry Soussi h, Leela Daya-Grosjean a,
Alain Sarasin a,,
a Laboratory of Molecular Genetics, Institut de Recherches Scientiflques sur le Cancer, P.O. Box 8, 94800 I/illejuif, France,
b Unit~ de G~n~tique Moldculaire, U301, INSERM, 27, rue J. Dodu, 75010 Paris, France
(Received 24 December 1993; accepted 28 December 1993)
Abstract
The tumour suppressor gene, p53, has proved to be one of the genes most often modified in human cancers.
These alterations consist mainly of point mutations located in the evolutionarily conserved sequences which render
the protein inactive for its normal biological functions. In fact the p53 gene presents nearly 300 potential mutation
sites whose analysis should enable the correlation of specific mutation spectra with different causal agents in cancer
development. In this study we have analysed the mutation spectrum of the p53 gene in skin tumours from normal
individuals and repair-deficient xeroderma pigmentosum (XP) patients in comparison with mutations found in
internal cancers. Point mutations are mainly GC ~ AT transitions in skin tumours (74% in non-XP, 87% in XP), and
also to a lesser extent in internal tumours (47%) where, however, they are mainly located at CpG (63%) sequences
probably due to the deamination of the unstable 5-MeC. Moreover, mutations are targeted at py-py sequences in
over 90% of skin tumours whereas the distribution of mutations in internal malignancies is proportional to the
frequency of py-py sites (61%) and other sequences (39%) at mutable sites. Indeed, in XP skin tumours 100% of the
mutations are targeted at py-py sequences and 55% of these are tandem CC ~ "I'T transitions considered as a
signature of UV-induced lesions. In skin tumours from normal individuals, 14% of the p53 mutations are double
mutations and as in XP skin tumours all these are CC ~ "IT transitions. In contrast, internal tumours rarely contain
tandem mutations (0.8%), and of these only 2/14 were CC ~ "IT transitions. Finally, nearly all (95%) of the
mutations in XP are located on the non-transcribed strand while internal or non-XP skin tumours do not show this
strand bias. Hence, the mutation spectrum analysed in XP skin tumours also demonstrates for the first time the
existence of preferential repair in humans. In conclusion, the specificity of UV-induced p53 mutation spectra in skin
tumours shows that this gene is a particularly appropriate candidate for the correlation of mutation spectra with
specific damaging agents.
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