Related Experiment Video
Updated: Aug 10, 2026

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
p53 Gene mutation and genetic instability in superficial multifocal esophageal squamous cell carcinoma
Takehiro Fujiki1, Seiji Haraoka, Shingo Yoshioka
1Department of Pathology, School of Medicine, Fukuoka University, Fukuoka, Japan.
Abstract:
Tumor multicentricity is occasionally observed in esophageal squamous cell carcinoma (SCC). We studied five surgically resected superficial multifocal esophageal SCCs for p53 gene mutation and genetic instability, using DNA extracted from microdissected areas. A total of 38 target areas (TAs) were analyzed in SCC, dysplasia, basal cell hyperplasia (BCH) and normal squamous epithelium. Analysis of the replication error (RER) at 10 microsatellite loci showed microsatellite instability in all TAs, as well as in normal squamous epithelium. p53 gene mutation was identified in 28.9% (11/38 TAs). All cases showed a common missense mutation in exon 8 at codon 273 (CGT-->CAT, Arg-->His), which was DNA contact mutation in the S10 beta strand. In association with microsatellite alterations, 7 of 9 TAs with p53 mutation in exon 8 at codon 273 also showed loss of heterozygosity (LOH) of p53 gene. LOH of p53 gene was detected in 83.8% (31/37 TAs). LOH at D2S123 on 2p16 near MSH2 gene and at D3S1611 on 3p22 near MLH1 gene was detected in 65.4% (17/26) and 71.4% (10/14) TAs, respectively. Frequencies of LOH at p53 and D2S123 were similar in non-cancerous areas and SCCs. LOH of p53 and D2S123 were found in 50% (5/10 TAs) of non-cancerous areas and 60% (9/15 TAs) of SCCs. Our results suggest that genetic instability induces esophageal tumor multicentricity, and that p53 gene contact mutation together with LOH are early events of the multistage carcinogenesis of multifocal primary esophageal SCC.
Insights
Genetic instability and p53 gene alterations drive multifocal esophageal squamous cell carcinoma (SCC). These genetic changes, including microsatellite instability and loss of heterozygosity, appear early in the development of this complex cancer.
Area of Science:
- Oncology
- Genetics
- Gastroenterology
Background:
- Multicentricity, the presence of multiple independent tumors, is an occasional feature of esophageal squamous cell carcinoma (SCC).
- Understanding the genetic underpinnings of multifocal SCC is crucial for elucidating its carcinogenesis pathway.
Purpose of the Study:
- To investigate p53 gene mutations and genetic instability in surgically resected superficial multifocal esophageal SCC.
- To determine if these genetic alterations are early events in the multistage development of multifocal esophageal SCC.
Main Methods:
- DNA analysis from microdissected areas of SCC, dysplasia, basal cell hyperplasia (BCH), and normal squamous epithelium.
- Assessed replication error (RER) at 10 microsatellite loci for microsatellite instability.
- Analyzed p53 gene mutations, including missense mutations and loss of heterozygosity (LOH).
- Evaluated LOH at specific loci near MSH2 and MLH1 genes.
Main Results:
- Microsatellite instability was present in all analyzed areas, including normal epithelium.
- p53 gene mutations were found in 28.9% of target areas, with a common missense mutation in exon 8.
- Loss of heterozygosity (LOH) of the p53 gene was detected in 83.8% of target areas.
- LOH at p53 and D2S123 loci showed similar frequencies in non-cancerous and cancerous areas, suggesting early occurrence.
Conclusions:
- Genetic instability, characterized by microsatellite alterations and p53 gene changes (mutation and LOH), appears to be a key driver of tumor multicentricity in esophageal SCC.
- p53 gene contact mutation and LOH are likely early events in the multistage carcinogenesis process of multifocal primary esophageal SCC.
Related Concept Videos
Conservative Site-specific Recombination and Phase Variation
The recognition sites for Cre recombinase called LoxP...
Abnormal Proliferation
Cancers Originate from Somatic Mutations in a Single Cell
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Induced Pluripotent Stem Cells
Somatic cells are...
Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more similar...

