by quantitative Southern blot analysis and immunohistochemistry, respectively. M utations in the p53 gene are the most common alteration found in human malignant tumors. 1,2 Its crucial role in the control of cell growth has been demonstrated both in vivo 3-5 and in vitro. 6,7 p53 has further been implicated in mediating programmed cell death, 8 including apoptosis induced by radiation and chemotherapeutic agents. 9,10 The inhibitory role of p53 in cell growth has been linked to its ability to stimulate transcription of the cycle-dependent kinase (CDK) inhibitor p21. 11 Several lines of evidence suggest a role for p53 in the pathogenesis of osteosarcoma (OS) in particular. Alterations of p53 have frequently been found in uncultured tissue samples of OS with a frequency ranging from 18 -42%. [12][13][14][15][16] OS is known to occur The MDM2 gene, which codes for a protein with the ability to Medical Center for Cancer, Osaka, Japan.bind both p53 18 and retinoblastoma protein (Rb) 19 and to inhibit the bors the gene for CDK4. 27 Amplification of MDM2 has been associated with recurrent or metastasic OS in some studies, 26 but not in others. 25