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Article
Nature Genetics  9, 41 - 47 (1995)
doi:10.1038/ng0195-41

Functional inactivation but not structural mutation of p53 causes liver cancer

Hiroyuki Ueda1, Stephen J. Ullrich1, J. David Gangemi2, Catherine A. Kappel1, Lien Ngo1, Mark A. Feitelson3 & Gilbert Jay1

  1Department of Virology, Jerome H. Holland Laboratory, Rockville, Maryland 20855, USA

  2Greenville Hospital System, Clemson University Clemson, South Carolina 29634, USA

  3Department of Pathology and Cell Biology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA

 Correspondence should be addressed to G.J.

Structural mutations in the p53 gene are seen in virtually every form of human cancer. To determine whether such mutations are important for initiating tumorigenesis, we have been studying hepatocellular carcinoma, in which most cases are associated with chronic hepatitis B virus infections. Using a transgenic mouse model where expression of a single HBV gene product, the HBx protein, induces progressive changes in the liver, we show that tumour development correlates precisely with p53 binding to HBx in the cytoplasm and complete blockage of p53 entry into the nucleus. Analysis of tumour cell DMA shows no evidence for p53 mutation, except in advanced tumours where a small proportion of cells may have acquired specific base substitutions. Our results suggest that genetic changes in p53 are late events which may contribute to tumour progression.

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