Specific p53 mutations predict poor prognosis in oral squamous cell carcinoma

Yutaka Yamazaki, Itsuo Chiba, Atsuko Hirai, Chihiro Sugiura, Ken ichi Notani, Haruhiko Kashiwazaki, Kanchu Tei, Yasunori Totsuka, Hiroshi Fukuda

Research output: Contribution to journalArticlepeer-review

47 Citations (Scopus)


In this study, we focused on p53 mutations in specific regions, including DNA-binding surface regions, to clarify the correlation between mutations within the specific regions of p53 and clinical outcomes of patients with oral cancers. We analyzed p53 mutations in 121 fresh primary oral squamous cell carcinomas (SCCs) by polymerase chain reaction-single-strand conformation polymorphism or a yeast functional assay. p53 mutations were detected in 51/121 (42%) cases. Mutation of p53 was not associated with any clinicopathological parameters; however, tumors containing specific p53 mutations, e.g. DNA-binding surface regions (L2, L3 and the LSH motif) and conserved regions (II-V), had significantly poorer prognoses than tumors with mutations outside of those regions. Moreover, locoregional failure, lymph node metastasis and the occurrence of subsequent distant metastasis were also significantly associated with mutations within DNA-binding surface regions. These data indicate that specific mutations of p53 could be important prognostic factors in oral SCCs.

Original languageEnglish
Pages (from-to)163-169
Number of pages7
JournalOral Oncology
Issue number2
Publication statusPublished - Feb 2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Oral Surgery
  • Oncology
  • Cancer Research


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