Gene-specific mechanisms of p53 transcriptional control and prospects for cancer therapy

Lois Resnick-Silverman1, James J Manfredi

  • 1Department of Oncological Sciences, Mount Sinai School of Medicine, New York, New York 10029, USA.

Insights

The tumor suppressor p53 protein regulates gene activation crucial for preventing cancer. Understanding how cancer disables p53 function can lead to new therapies restoring its tumor-suppressing activity.

Area of Science:

  • Molecular Biology
  • Cancer Biology
  • Genetics

Background:

  • The tumor suppressor protein p53 is a transcription factor that responds to DNA damage and genotoxic stress.
  • p53 activation leads to downstream targets involved in cell cycle arrest, apoptosis, DNA repair, and senescence.
  • p53's function is influenced by DNA binding, conformation, modifications, cofactor interactions, stability, and localization.

Purpose of the Study:

  • To define key features regulating p53's gene-specific activation.
  • To identify how these features are compromised in cancer cells.
  • To explore therapeutic strategies for restoring wild-type p53 function in cancer.

Main Methods:

  • This review synthesizes existing literature on p53 regulation and function.
  • It analyzes factors influencing p53's sequence-specific DNA binding and transcriptional activity.
  • The review examines alterations in these factors within the context of cancer.

Main Results:

  • p53's gene-specific activation relies on precise DNA binding, conformation, post-translational modifications, cofactor interactions, stability, and subcellular localization.
  • These regulatory features are frequently impaired in cancer cells, leading to loss of tumor suppressor function.
  • Dysregulation of p53 pathways is a common hallmark of many human cancers.

Conclusions:

  • Restoring wild-type p53 function by targeting its regulatory mechanisms offers a promising therapeutic avenue for cancer treatment.
  • Understanding the molecular basis of p53 inactivation in cancer is essential for developing effective p53-based therapies.
  • Targeted strategies to reactivate p53 could provide novel treatments for a wide range of malignancies.

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