Restoration of p53 to limit tumor growth

Wenge Wang1, Wafik S El-Deiry

  • 1Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.

Current Opinion in Oncology
|November 29, 2007
PubMed
Abstract

Insights

Restoring p53 function is a promising cancer therapy strategy. Researchers are developing targeted therapies to reactivate p53 pathways or utilize p53 family members in tumors with deficient p53 function.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • The tumor suppressor protein p53 is frequently inactivated in human cancers through mutation or pathway disruption.
  • Restoring p53 function presents a unique molecular target for developing novel cancer therapies.

Purpose of the Study:

  • To review current progress in restoring p53 function for molecularly targeted cancer therapy.
  • To highlight strategies for addressing p53 deficiency in human tumors.

Main Methods:

  • Review of small molecules targeting mutant p53 conformation (e.g., CP-31398).
  • Exploration of compounds inducing mutant p53-dependent cell death (e.g., PRIMA-1, ellipticine).
  • Investigation of strategies to stabilize wild-type p53 (e.g., Nutlin targeting MDM2).
  • Activation of p53 family members as alternative therapeutic approaches.

Main Results:

  • CP-31398 identified as the first small molecule to restore wild-type p53 conformation in mutants.
  • PRIMA-1 and ellipticine demonstrated efficacy in inducing mutant p53-dependent cell death.
  • Nutlin developed to prevent wild-type p53 degradation by MDM2.
  • Activation of p53 family members shows potential as a substitute for p53 function.

Conclusions:

  • Loss of p53 function is nearly universal in human tumors.
  • Reconstituting p53 function is a feasible and promising strategy for cancer treatment.

Related Concept Videos

Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
Negative Regulator Molecules01:23

Negative Regulator Molecules

Positive regulators allow a cell to advance through cell cycle checkpoints. Negative regulators have an equally important role as they terminate a cell’s progression through the cell cycle—or pause it—until the cell meets specific criteria.
Loss of Tumor Suppressor Gene Functions01:12

Loss of Tumor Suppressor Gene Functions

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...
Loss of Tumor Suppressor Gene Functions01:12

Loss of Tumor Suppressor Gene Functions

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
When the tumor suppressor genes develop mutations or are lost, cells start growing out of control, leading to cancer. However, a single functional copy of the tumor suppressor gene is enough for the cells to maintain their normal functions and cell...