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Updated: May 10, 2026

Detection of Aggregation-Prone Behavior in Mutant P53 V157F Breast Cancer Cells Using Multipoint Thioflavin T Fluorescence
Published on: December 30, 2025
P53 mutations in triple negative breast cancer upregulate endosomal recycling of epidermal growth factor receptor
Iuliana Shapira1, Annette Lee, Reena Vora
1Monter Cancer Center, Don Monti Division of Oncology, Division of Hematology, Hofstra North Shore Long Island Jewish School of Medicine, United States.
Abstract:
There is no available targeted therapy for triple-negative or its more aggressive subtype, basal-like breast cancer. Multiple therapeutic strategies based on translational knowledge have not improved the treatment options for triple negative patients. As understanding of molecular pathways that drive tumor development is rapidly increasing, it is imperative to adapt our treatment strategies to perturbations in molecular pathways driving the malignant process. Basal-like breast cancers over-express EGFR (without mutations or EGFR gene amplifications) and have p53 mutations. While EGFR drives the malignant behavior in triple negative breast cancer (TNBC), anti-EGFR therapies have fallen short of the expected results in clinical trials. Here we bring evidence that the less than optimal results of the anti-EGFR therapies may be explained in part by the increased potency of the EGFR signaling due to increased endosomal recycling. The functional connection between EGFR and endosomal trafficking in TNBC is mutant p53 found in the most aggressive forms of TNBC. Mutant p53 acquires oncogenic functions and binds p63 protein, a member of p53 family with tumor suppressor activities. In the absence of functional p63 there is an upregulation of endosomal recycling EGFR and integrin to the membrane with increased proinvasive abilities of cancer cells. Blocking endosomal trafficking combined with anti-EGFR treatments may result in better clinical outcomes in TNBC.
Insights
Targeted therapies for triple-negative breast cancer (TNBC) are lacking. Blocking EGFR signaling and endosomal trafficking, driven by mutant p53, may improve TNBC treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Triple-negative breast cancer (TNBC) and basal-like breast cancer lack targeted therapies.
- Epidermal Growth Factor Receptor (EGFR) is overexpressed in TNBC, but anti-EGFR therapies show limited efficacy.
- Mutant p53, common in aggressive TNBC, influences EGFR signaling and cellular behavior.
Purpose of the Study:
- To investigate the role of endosomal trafficking in the efficacy of anti-EGFR therapies in TNBC.
- To elucidate the connection between mutant p53, EGFR signaling, and endosomal trafficking in TNBC.
- To identify potential combination strategies for improved TNBC treatment.
Main Methods:
- Analysis of EGFR signaling pathways in TNBC models.
- Investigation of the interaction between mutant p53 and p63 in regulating endosomal trafficking.
- Assessment of the impact of blocking endosomal trafficking on EGFR and integrin recycling.
- Evaluation of combined anti-EGFR and endosomal trafficking inhibition in preclinical models.
Main Results:
- Increased endosomal recycling of EGFR contributes to the limited success of anti-EGFR therapies in TNBC.
- Mutant p53 upregulates endosomal recycling of EGFR and integrins by interacting with p63.
- Inhibition of endosomal trafficking enhances EGFR signaling potency.
- Cancer cells exhibit increased proinvasive abilities due to EGFR and integrin upregulation.
Conclusions:
- The limited efficacy of anti-EGFR therapies in TNBC may be due to enhanced EGFR signaling via increased endosomal recycling.
- Mutant p53 plays a critical role in this process by affecting p63 function and promoting endosomal trafficking.
- Combining endosomal trafficking inhibitors with anti-EGFR treatments holds promise for improving clinical outcomes in TNBC.
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