(Viskochil et al., 1990;Latif et al., 1993; Mulligan et al., 1993), little is known about the moleular pathogeness of the sporadic variants of the tumour. It has been shown that a number of phaeochromocytomas have loss of heterozygosity of chromosome 17p (Khosla et al., 1991). The p53 tumour-suppressor gene, located on this region (17pl3), has been reported as the most frequent genetic abnormality seen in human malignancies (Hollstein et al., 1991). This gene codes for a phosphoprotein that is involved in cell cycle regulation (Lane, 1993; Zambetti and Levine, 1993). Variations in the gene structure that lead to impaired function of the p53 protein may confer genetic instability to the cell, favouring the development of neoplasia (Hollstein et al., 1991).With the aim of detrmining the potential role of p53 in this tumour, we have searched for mutations in a series of phaeochromocytomas using polymerase chain reactionsingle strand conformation polymorphism (PCR-SSCP) analysis of the 'hotspot' region of the gene; the expression of the p53 protein in tumour samples was also assessed by immunohistochemistry.
Materak and PatientsWe studied 25 phaeochromocytomas, of which only one was non-functional. The patients' mean age was 31.4 years (range 9-64 years), with tumour size ranging from 4 to 11.5 cm (mean 7.2 cm). Four tumours were ectra-adrenal. Three of the tumours were hereditary, originatig from patients with neurofibromatosis, von Hippel-Lindau disease and familial phaeochromocytoma (without evidence of the complete multiple endocrine neoplasia 2A syndrome); the other 22 were sporadic forms. Twenty-one phaeochromocytomas were benign and four malignant. al., 1987). PCR of exons 5-8 was performed as previously described (Aguiar et al., 1995), usng two sets of primers: TGCAGAATTCTG-ACI1TCACTCTGTCTCCT and GATCAAGCITCCAGA-GACCCCAGTTGCAAAC for exons 5 and 6; and GAGCT-CGAGCTCGCGACTGCCTCATCIT and GCATGCGCA-TGCACCCITGGTCTCCTCCAC for exons 7 and 8. The amplification protocol of exon 4 consiste in a denaturation step of 4 min at 94C, followed by 35 cycles at 94'C for 1 min, 55C for 1 min and 72-C for 2 min, and a final 7 mi extension at 72C. The 25yd reactions contained: 400
PCR-SSCP analysis