02
Inactivation of p53 in Tumors Confers a Strong Selective Advantage in the Carcinogenic Process
Eliminating p53 function may be a prerequisite for tumor survival 1-3
Preclinical work has shown that the absence of p53 function is a continuous resquirement for the maintenance of established tumors
Loss of functioning p53 promotes the oncogenic phenotype 4
Cellular insults trigger phosphorylation of the N-terminal domain of p53 leading to conformational changes 5.6
Prevention of p53 degradation, prolonged molecular half-life, accumulation of p53 at high levels
Cells without normal fuctioning p53 fail to recognize and address cellular stressors/abnormalities, allowing uncontrolled replication of affected cells 4
When p53 is functioning properly, oncogenic mutations are not propagated, as DNA repair activities are intact and cell cycling is tightly controlled 6
1. Ventuar A, Kirs DG, McLaughlin ME, et al. Nature.
2007; 445:661-665
2. Martins CP, Brown-Swigart L, Evan Gl. Cell.
2006;127:1323-1334.
3. Xue W, Zender L, Miething C, et al. Nature.
2001/doi:10:10.1038/nature05529.
4.Toledo F, Wahl GM. Nature Rev Cancer.
2006; 6:909-923
5. Vogelstein B, Lane D, Levine AJ. Nature.
2000;408:307-310.
6. Nag S, Qin J, Srivenugopal KS, et al. J Biomed Res,
2013;27:254-271
03
p53 is the Most Frequently Altered Gene in Human Cancer
Somatic mutations in p53 have been seen in several human tumors types-p53 multations or deletions are observed in apporoximately 50% of all solid tumors
Missense multations in p53 are frequent, and can resu in gain of function changes that enhance metastatic potential and invasiveness
In many tumor types, p53 mutations have been associated with a poorer prognosis with diminished overall survival and more aggressive tumor behavior
p53 is not mutated in up to 50% of solid tumors and is generally not mutated in hematologic malignancies
In these tumors, wild-type p53(p53wt) is most likely inactivated - inacyivation of p53 plays a critical role in development and progression of the cancer5
1. Toledo F, Wahl GM. Nature Rev Cancer.
2006; 6:909-923
2. Eischen CM, Lozano G. Human Mutation.
2014; 35:728-737.
3. Ventuar A, Kirs DG, McLaughlin ME, et al. Nature.
2007; 445:661-665
4. VuBT, Vassilev LT. Curr Topics Micrbio Immunol.
2011;348:151-172.
5. Pal S, Bhattacharjee A, Ali A, et al, J Inflammation.
2014;11023