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Clinical Chemistry 44: 455-462, 1998;
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(Clinical Chemistry. 1998;44:455-462.)
© 1998 American Association for Clinical Chemistry, Inc.


Molecular Pathology and Genetics

Assessment of sequence-based p53 gene analysis in human breast cancer: messenger RNA in comparison with genomic DNA targets

Cecilia Williams1, Torbjörn Norberg2, Afshin Ahmadian1, Fredrik Pontén3, Jonas Bergh4, Mats Inganäs2, Joakim Lundeberg1,a, and Mathias Uhlén1

1 Department of Biochemistry and Biotechnology, Royal Institute of Technology (KTH), S-100 44 Stockholm, Sweden.

2 Pharmacia Biotech AB, S-751 82 Uppsala, Sweden.
Departments of
3 Pathology and
4 Oncology, Akademiska University Hospital, S-751 85 Uppsala, Sweden.
a Author for correspondence. Fax 46-8-24 54 52;

The high prevalence of p53 mutations in human cancers and the suggestion from several groups that the presence or absence of p53 mutations might have both prognostic and therapeutic consequences point to the importance of optimal methods for p53 determination. Several strategies exploring this have been described, based either on mRNA or genomic DNA as a template. However, no comparative study on the reliability of the two templates has been performed. The principal aim of this study was to study the concordance of RNA- and DNA-based direct sequencing methods in detecting p53 mutations in breast tumors. In 100 tumors, 22 mutations were detected by both methods. Furthermore, one stop mutation, two splice-site mutations, and one intron alteration were found only by genomic sequencing. In addition, the comparative study suggests that cells with missense mutations have increased steady-state concentrations of p53-specific mRNA, in contrast to cells with a gene encoding a truncated protein.




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