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Department of Neuropathology, University of Bonn Medical Center, D-53105 Bonn, Germany [R. P. D., A. K., D. D., O. D. W., T. P.]; Department of Neurosurgery at the Ludwig Maximilian University in Munich, D-81377 Munich, Germany [J. C. T.]; Department of Pediatric Neurosurgery, University of Würzburg, D-97080 Würzburg, Germany [N. S.]; Department of Pediatric Hematology/Oncology, University of Cologne, D-50924 Cologne, Germany [F. B.]; Department of Experimental Medicine II, University of Erlangen-Nürnberg, D-91054 Erlangen, Germany [J. B.]; and Max-Delbrück-Center for Molecular Medicine, D-13092 Berlin, Germany [W. B.]
Medulloblastoma (MB) represents the most frequent malignant brain tumor in children. Most MBs appear sporadically; however, their incidence is highly elevated in two inherited tumor predisposition syndromes, Gorlins and Turcots syndrome. The genetic defects responsible for these diseases have been identified. Whereas Gorlins syndrome patients carry germ-line mutations in the patched (PTCH) gene, Turcots syndrome patients with MBs carry germ-line mutations of the adenomatous polyposis coli (APC) gene. The APC gene product is a component of a multiprotein complex controlling ß-catenin degradation. In this complex, Axin plays a major role as scaffold protein. Whereas APC mutations are rare in sporadic MBs, a hot-spot region of ß-catenin (CTNNB1) mutations was identified in a subset of MBs. To find out if Axin is also involved in the pathogenesis of sporadic MBs, we analyzed 86 MBs and 11 MB cell lines for mutations in the AXIN1 gene. Using single-strand conformation polymorphism analysis, screening for large deletions by reverse transcription-PCR, and sequencing analysis, a single somatic point mutation in exon 1 (Pro255Ser) and seven large deletions (12%) of AXIN1 were detected. This indicates that AXIN1 may function as a tumor suppressor gene in MBs.
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