Previous studies have shown that nuclear p53 over-expression is an indicator of p53 mutations whereas cytoplasmic p53 accumulation is related to wild-type p53 in several kinds of tumors. Cytoplasmic p53 accumulation has been demonstrated to be an independent prognostic factor in colorectal adenocarcinomas. The purpose was to examine whether mutations occur in cases with p53 accumulated in the cytoplasm and whether there are any differences in the frequency and characteristics of p53 mutations in different staining patterns. In the present study, we identified p53 mutations using PCR single-strand conformation polymorphism (SSCP) and DNA sequencing in 75 primary colorectal adenocarcinomas with different staining patterns (negative, nucleus, cytoplasm, nucleus and cytoplasm). The results show that the frequency and nature of mutations in tumors with cytoplasmic p53 accumulation were similar to those with nuclear p53 expression. However, the tumors with accumulation in both the nucleus and cytoplasm demonstrated a higher mutation rate. We suppose that the role of cytoplasmic p53 accumulation in predicting prognosis in patients with colorectal cancer may be dependent on both mutational and non-mutational mechanisms. Wild-type p53 protein functions as a transregulator of genes involved in DNA synthesis, DNA repair and apoptosis. 1 Wild-type p53 is normally low. However, p53 that is inactivated through mutations, deletions or binding to other proteins results in p53 protein accumulation which can be detected by immunohistochemistry. 2 Over-expression of the p53 protein has been reported in approximately 50% of colorectal cancers. 3 The majority of investigators have focused on nuclear p53 expression and considered it as an indication of p53 gene mutation. Actually, p53 cytoplasmic accumulation is present in different types of tumors including colorectal cancer, 4 -7 breast cancer 5,8 and neuroblastoma. 8 However, the studies on these tumors showed that cytoplasmic p53 was associated with wild-type p53. 9,10 To our knowledge, investigators have not used DNA sequencing to investigate p53 mutations in human colorectal cancer tissue with cytoplasmic p53 over-expression. Several groups have shown that cytoplasmic p53 accumulation is associated with advanced tumor stage and is an independent prognostic factor in patients with colorectal cancer, whereas nuclear accumulation is not. 6,8,11 Further, the patients with p53-positive tumors in both the nucleus and cytoplasm had the most unfavorable outcome. 6 We previously found that cytoplasmic p53, but not nuclear p53, is associated with heat shock proteins in colorectal cancer. 12 These results indicate that the characteristics and roles of the subcellular localization of p53 protein may be different in controlling p53 function.In our study, we used PCR single-strand conformation polymorphism (SSCP) and DNA sequencing to evaluate p53 mutations with different patterns of p53 protein accumulation (negative, nucleus, cytoplasm, nucleus and cytoplasm) in 75 colorectal cancers from ...