Article Text


Mutation screening analysis of the retinoblastoma related gene RB2/p130 in sporadic ovarian cancer and head and neck squamous cell cancer
  1. A J Alvi1,
  2. R Hogg1,
  3. J S Rader3,
  4. M J Kuo2,
  5. E R Maher1,
  6. F Latif1
  1. 1Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham B15 2TT, UK
  2. 2Department of Otolaryngology and Head and Neck Surgery, Queen Elizabeth Hospital, Birmingham, UK
  3. 3Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, Missouri 63110, USA
  1. Correspondence to:
 Dr F Latif, Section of Medical and Molecular Genetics, Department of Paediatrics and Child Health, University of Birmingham, Birmingham B15 2TT, UK;


Aims: To investigate the involvement of the RB2/p130 gene in the pathogenesis of sporadic ovarian cancer in addition to head and neck squamous cell carcinoma (HNSCC).

Methods: Paired tumour and patient matched normal DNA samples from 43 sporadic ovarian tumours and 39 normal/tumour HNSCC DNA samples were screened. The mutation screen used polymerase chain reaction (PCR) amplification followed by single strand conformation polymorphism analysis and direct sequencing of the PCR products. Exons 19 and 20 (B domain) and exons 21 and 22 (C-terminus) were analysed for mutations. These exons were chosen because most of the point mutations in RB2/p130 are located in the C-terminal region and mutations in these exons have been identified previously in nasopharyngeal carcinomas and primary lung tumours.

Results: No abnormal band shifts were seen in the samples analysed, and no bands directly sequenced revealed the presence of mutations.

Conclusions: Genetic alterations in the RB2/p130 gene (exons 19–22) are unlikely to be involved directly in the pathogenesis of sporadic ovarian cancer or HNSCC.

Statistics from

Ovarian cancer is the leading cause of death from gynaecological malignancy in Western women. Most cases are diagnosed at an advanced stage because of a lack of reliable and effective screening strategies and the late onset of symptoms. Epidemiological risk factors include early menarche, late menopause, and nulliparity, but most significant is a family history of the disease. High parity, breast feeding, and the use of oral contraceptive pills decrease the risk of ovarian cancer (reviewed by Berchuck et al).1 In general, major insights into the pathogenesis of sporadic cancers have been gained from the identification of familial cancer susceptibility genes. Approximately 10% of ovarian cancer cases are hereditary and can be attributed to mutations in the BRCA1 and BRCA2 genes, and a smaller proportion to mutations in the mismatch repair genes involved in the hereditary non-polyposis colorectal cancer syndrome (reviewed by Rubin et al).2 Families affected by hereditary non-polyposis colorectal cancer syndrome primarily present with colorectal cancers but endometrial, gastric, and ovarian cancers also feature prominently in certain affected families. The molecular pathogenesis of sporadic ovarian cancer is largely unknown. Mutations in the above mentioned genes do not appear to represent a feature of sporadic ovarian cancers and for this reason other genes must be investigated with regard to their role in the development of this disease.

Head and neck squamous cell carcinoma (HNSCC) includes neoplasms of the oral cavity, pharynx, and larynx and is strongly associated with tobacco and alcohol use.3 Interestingly, the incidence of HNSCC varies considerably with geographical location, representing approximately 5% of malignancies in the Western world,3 but up to 40% of malignancies occurring in the Far East and Indian subcontinent.4 Although HNSCC has a good prognosis when discovered early, symptoms may be vague, rendering diagnosis difficult. Multiple non-random chromosomal abnormalities such as deletions and rearrangements have been seen in patients with HNSCC.

Human RB2/p130 is a member of the retinoblastoma (Rb) gene family, which also includes the retinoblastoma tumour suppressor gene, RB/p105 (RB1) and the retinoblastoma related gene, p107. The best studied member of the Rb family is RB/p105. Its protein product, pRb, is a nuclear protein involved in the inhibition of cellular proliferation. The Rb family is based on structural and functional similarities, with the highest identity between Rb proteins in the conserved pocket region where binding to transcription factors such as E2F occurs. In addition to transcription factor binding, Rb proteins interact with several cyclin/cyclin dependent kinases, providing further proof that these proteins play a crucial role in cell cycle regulation. All three Rb family members display growth suppressive activities, which result in the blocking of cells in the G1 phase of the cell cycle.5 At the same time, the proteins demonstrate cell type specificity and distinct patterns of phosphorylation through the cell cycle. Disruption of the crucial cell cycle regulating functions of RB1 through binding of pRb by oncogenic DNA viruses in the pocket region of the protein can lead to cellular transformation.5

The elucidation of the intron–exon organisation of the RB2/p130 gene revealed 22 exons spread over more than 50 kb of genomic DNA.6 The pocket domain of RB2/p130 is contained within exons 10–13 (domain A) and 17–20 (domain B). An intact pocket domain is crucial for the proper functioning of the protein. In addition, full biological activity of the protein is dependent upon its correct nuclear localisation (putative nuclear localisation signal (NLS) located in exons 19–22). There is a general lack of information regarding the mutational status of RB2/p130 in human tumours. Giordano and collaborators recently reported frameshift mutations in 30% of primary nasopharyngeal carcinomas and in 78.5% of primary lung tumours in exons 19–22 of the RB2/p130 gene.7, 8 They also reported mutations leading to abnormal protein localisation in lymphoid cell lines through disruption of the NLS,9 in addition to providing strong evidence to support the role of RB2/p130 as a tumour suppressor gene in lung cancer.8

“All three retinoblastoma gene family members display growth suppressive activities, which result in the blocking of cells in the G1 phase of the cell cycle”

Cytogenetic studies have permitted the definition of chromosomal areas commonly displaying loss of heterozygosity (LOH) in tumour cells. A previous study of ovarian cancer suggested the involvement of one or more tumour suppressor genes on several chromosomes,10 in particular, chromosome 16q, the location of the putative tumour suppressor RB2/p130. The role of this gene in the pathogenesis of ovarian cancer was suggested by frequent LOH (38–67%) at this chromosomal region.10, 11 Recently, it was reported that 17% of HNSCCs also showed LOH at chromosome 16q.12 In addition, Claudio and colleagues7 found mutations in RB2/p130 in a significant proportion of nasopharyngeal carcinomas, a subset of HNSCC.

To investigate a possible role for the RB2/p130 gene in the pathogenesis of sporadic ovarian and head and neck cancers we undertook a mutation screen analysis of the RB2/p130 gene from exons 19 to 22 in these cancers.


DNA samples

Ovarian tumours and patient matched normal DNA sample pairs (43 pairs) were obtained from the Washington University School of Medicine (St Louis). Patient samples represented a wide range of tumour types and stages (stages I to IV epithelial tumours including 13 serous, eight endometrioid, eight mixed histological, four teratomas, three mucinous, two granulosas, two unknown, one clear cell, one fibroadenoma, and one unclassified sex cord). None of the family histories suggested a hereditary component in these patients. Normal/tumour pairs from patients with HNSCC (39 pairs: 18 laryngeal, 12 pharyngeal, seven oral cavity, and two paranasal sinuses), which included a full range of tumour stages and had been analysed for known clinicopathological parameters, were collected at the Queen Elizabeth Medical Hospital (Birmingham, UK).

PCR and mutation analysis

Tumour and normal DNA pairs were amplified by the polymerase chain reaction (PCR) using previously published primers.7 Exons 19, 20, and 22 of RB2/p130 were amplified using identical PCR programmes, which comprised one cycle of five minutes at 95°C and 38 cycles of 30 seconds at each of 95°C, 55°C, and 72°C, followed by one cycle of seven minutes at 72°C. Standard Taq polymerase was used for these PCRs (Gibco/Life Technologies, Paisley, UK). For PCR analysis of exon 21, a proofreading Taq polymerase (DyNAzyme; Flowgen) was used as follows: one cycle of denaturation at 95°C for five minutes, 35 cycles consisting of one minute at 95°C, one minute at 55°C, and one minute at 72°C, followed by one cycle at 72°C for five minutes (for exon 21 multiple bands were obtained with standard Taq polymerase so proofreading Taq polymerase was used).

For mutation analysis, 2 μl of each PCR product was mixed with 2 μl of loading buffer and denatured for 10 minutes at 96°C. The samples were then run in a cold chamber on 8% non-denaturing single strand conformational polymorphism (SSCP) polyacrylamide gels (Accugel 19/1; National Diagnostics, Hessle, Yorkshire, UK) containing 5% glycerol for 16–18 hours at 160–180 V, followed by silver staining and drying of the gels on to Whatman paper. Direct sequencing was performed on an ABI 377 automated sequencer using a dRhodamine cycle sequencing kit (PE Applied Biosystems, Warrington, UK).


Analysis of the RB2/p130 gene in ovarian cancer and HNSCC

To investigate whether mutations in the RB2/p130 gene could play a role in sporadic ovarian cancer and HNSCC, we analysed a total of 82 tumour/normal DNA pairs for mutations in exons 19–22 of this gene. Exons 19–22 span the region that encodes the B domain and C-terminus of the protein where the putative NLS is located. These exons were chosen on the basis of previous work, which identified mutations resulting in either frameshifts following insertions or point substitutions in nasopharyngeal carcinoma,7 or abnormal localisation of the Rb protein following disruption of the NLS in lymphoid cell lines.9 All four exons were amplified by PCR and were first analysed on an SSCP gel (fig 1). No abnormalities were seen upon gel analysis. Positive controls were not available for the SSCP analysis; therefore, we then directly sequenced the samples to ensure that we had not missed any shifts on SSCP as a result of false negativity. No changes were found upon direct sequencing of the exons (all ovarian samples were sequenced for exons 19–22, a third of head and neck samples were also directly sequenced). Thus, no mutations were found in the exons analysed for the 43 ovarian and 39 HNSCC tumour samples.

Figure 1

Single strand conformational polymorphism (SSCP) analysis of RB2/p120 exon 22 in matched primary ovarian tumour/normal pairs (the case number for each pair is shown at the top). N, normal; T, tumour; Co, control genomic DNA sample; L, DNA ladder.


The importance of the Rb pathway of cell proliferation regulation is underlined by the finding that most sporadic human cancers carry mutations either in Rb or in one of the other key components of the pathway. RB1 is the prototype tumour suppressor gene. In humans, retinoblastomas can arise after the loss of RB1 function through inactivating mutations and LOH. In the case of inherited retinoblastoma susceptibility, the defective allele is inherited through the germline. RB1 and the two other members of the Rb family, p107 and RB2/p130, perform overlapping but not fully redundant functions in cell cycle regulation and cell growth inhibition. The involvement of p107 mutations has not yet been reported for human cancers, but in the case of RB2/p130 pathological mutations are beginning to be identified. Recently, mutations disrupting the normal nuclear localisation of the pRb2/p130 protein in lymphoid cell lines were identified,9 in addition to mutations affecting the normal functioning of RB2/p130 in nasopharyngeal tumours.7 Furthermore, the role of RB2/p130 as a tumour suppressor gene is strongly supported by the finding of tumour regression in nude mice treated with wild-type RB2/p130 after the development of lung tumours.8

Take home messages

  • No abnormal band shifts were seen in the samples of ovarian and head and neck squamous cell carcinoma analysed and no mutations in the RB2/p130 gene (exons 19–22) by direct sequencing

  • Thus, genetic alterations in the RB2/p130 gene (exons 19–22) are unlikely to be involved directly in the pathogenesis of sporadic ovarian cancer or head and neck squamous cell carcinoma

This putative tumour suppressor gene is located on the long arm of chromosome 16, an area displaying a high degree of LOH in several tumour types, notably ovarian and breast cancers, but also HNSCC. LOH of chromosome 16q has been reported in 38–67% of ovarian tumours10, 11 and 17% of HNSCCs.12 In the same report by Sato et al,10 39% of ovarian tumours also showed LOH for 17q, where subsequently the breast/ovarian tumour susceptibility gene, BRCA1, was identified. However, other reports showing a high degree of LOH of chromosome 13 (where RB1 resides) in high grade ovarian carcinomas also found normal nuclear Rb protein expression, suggesting that RB1 was not the target of allelic loss and that other 13q genes were involved in malignant transformation.13, 14 In our present study, none of our 43 ovarian tumour samples had mutations in crucial areas of the RB2/p130 gene. The same was true for our series of 39 HNSCCs (our set of HNSCCs included only one nasopharangeal carcinoma), indicating that mutations in exons 19–22 of the RB2/p130 gene may not play a role in the aetiology of non-nasopharangeal carcinoma head and neck carcinomas and ovarian tumours.

“Loss of heterozygosity of chromosome 16q has been reported in 38–67% of ovarian tumours and 17% of head and neck squamous cell carcinomas”

It must be mentioned that the SSCP technique does not identify all of the mutations that may be present. However, many of our samples were directly sequenced and still no mutations were found. We conclude that mutations in exons 19–22 of the RB2/p130 gene are not an important factor in the pathogenesis of these cancer types and that other as yet unidentified genes located on chromosome 16q may play a more important role.


This work was supported in part by Wellbeing and Get A-Head charity. RPH is a recipient of a fellowship from Royal College of Surgeons of England (Newman Fellowship).


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