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Published on: December 30, 2025
Anthracyclines induce the accumulation of mutant p53 through E2F1-dependent and -independent mechanisms
1Department of Molecular Oncology, Göttingen Center of Molecular Biosciences-GZMB, Ernst Caspari Haus, University of Göttingen, Göttingen, Germany.
Abstract:
Mutant p53 frequently accumulates in cancer cells and promotes tumor cell invasion, as part of its gain of function. Its accumulation is partially due to enhanced stability, but little is known about how the mRNA levels of mutant p53 can be regulated. Likewise, the impact of cancer therapy on the levels of mutant p53 is poorly understood. We show here that the anthracyclines doxorubicin, daunorubicin and epirubicin further increase the amounts of mutant p53 mRNA and protein in cancer cells. Moreover, we show for the first time that the transcription factor E2F1 associates with the promoter DNA of TP53. Upon genotoxic treatment, E2F1 contributed to the expression of mutant p53, both directly and through induction of TAp73. In contrast, the anthracycline idarubicin and also another topoisomerase inhibitor, etoposide, failed to increase the levels of p53 mRNA, despite their ability to induce the synthesis of TAp73 mRNA. Instead, a natural antisense transcript of TP53, WRAP53, was strongly augmented by idarubicin and etoposide, but only less so by the other anthracyclines under study. RNA corresponding to the first exon of WRAP53 was mainly found in cell nuclei and it reduced the levels of mutant p53. Taken together, this suggests a reciprocal activation pattern of TP53 and WRAP53 by different chemotherapeutics. Reducing the levels of mutant p53 by small-interfering RNA increased chemosensitivity, and idarubicin prevented cell survival more efficiently than the mutant p53-inducing doxorubicin. We conclude that even closely related anthracyclines induce the synthesis of different, opposing transcripts from the TP53 locus. When using these drugs for cancer therapy, the increased levels of mutant p53 may augment its gain of function and thus favor unwanted chemoresistance and tumor progression.
Insights
Certain cancer drugs increase mutant p53 mRNA and protein, promoting tumor invasion. However, other drugs decrease mutant p53 by boosting WRAP53, enhancing cancer therapy effectiveness.
Area of Science:
- Molecular Biology
- Cancer Research
- Pharmacology
Background:
- Mutant p53 protein accumulation in cancer cells enhances tumor invasion and chemoresistance.
- Regulation of mutant p53 mRNA levels and the impact of cancer therapy remain poorly understood.
- Gain-of-function mutations in p53 are common in various cancers.
Purpose of the Study:
- To investigate how cancer therapies affect mutant p53 mRNA and protein levels.
- To identify regulatory mechanisms of mutant p53 expression, including the role of transcription factors and antisense transcripts.
- To explore the therapeutic implications of modulating mutant p53 levels.
Main Methods:
- Treatment of cancer cells with various chemotherapeutic agents, including anthracyclines (doxorubicin, daunorubicin, epirubicin, idarubicin) and etoposide.
- Analysis of TP53 and WRAP53 mRNA and protein expression using molecular biology techniques.
- Investigation of transcription factor E2F1 binding to the TP53 promoter.
- Assessment of the effect of WRAP53 knockdown and mutant p53 knockdown on chemosensitivity.
Main Results:
- Anthracyclines like doxorubicin, daunorubicin, and epirubicin increased mutant p53 mRNA and protein levels.
- E2F1 was found to bind the TP53 promoter and contribute to mutant p53 expression upon genotoxic treatment.
- Idarubicin and etoposide did not increase p53 mRNA but strongly induced the natural antisense transcript WRAP53.
- WRAP53, particularly its first exon, localized to the nucleus and reduced mutant p53 levels.
- Reducing mutant p53 levels via small-interfering RNA enhanced chemosensitivity.
Conclusions:
- Different chemotherapeutics differentially regulate transcripts from the TP53 locus, leading to opposing effects on mutant p53 levels.
- Anthracyclines can increase mutant p53, potentially augmenting its gain-of-function and promoting chemoresistance.
- Idarubicin and etoposide's induction of WRAP53 suggests a mechanism to counteract mutant p53 accumulation.
- Understanding these differential drug effects is crucial for optimizing cancer therapy and overcoming chemoresistance.
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