The cerebellar
medulloblastoma (WHO Grade IV) is a highly malignant, invasive embryonal
tumor with preferential manifestation in children. Several molecular alterations appear to be involved, including
isochromosome 17q and the p53, PTCH, and
beta-catenin gene mutations. In this study, 46 sporadic
medulloblastomas were screened for the presence of mutations in genes of the Wnt signaling pathway (APC and
beta-catenin). Single-strand conformational polymorphism (SSCP) analysis followed by direct
DNA sequencing revealed 3 miscoding APC mutations in 2 (4.3%)
medulloblastomas. One case contained a GCA-->GTA mutation at
codon 1296 (Ala-->Val), and another case had double point mutations at
codons 1472 (GTA-->ATA, Val-->Ile) and 1495 (AGT-->GGT, Ser-->Gly). Miscoding
beta-catenin mutations were detected in 4
tumors (8.7%). Three of these were located at
codon 33 (TCT -->TTT, Ser-->Phe) and another at
codon 37 (TCT-->GCT, Ser-->Ala).
Adenomatous polyposis coli (APC) gene and
beta-catenin mutations were mutually exclusive and occurred in a total of 6 of 46 cases (13%). Although germline APC mutations are a well established cause of familial colon and
brain tumors (
Turcot syndrome), this study provides the first evidence that APC mutations are also operative in a subset of sporadic
medulloblastomas.