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Published on: December 30, 2025
Role of p53 isoforms and aggregations in cancer
1Department of Bionano Technology, Gachon University, Gyeonggi-do, Republic of Korea.
Abstract:
p53 is a master regulatory protein that is involved in diverse cellular metabolic processes such as apoptosis, DNA repair, and cell cycle arrest. The protective function of p53 (in its homotetrameric form) as a tumor suppressor is lost in more than 50% of human cancers.Despite considerable experimental evidence suggesting the presence of multiple p53 states, it has been difficult to correlate the status of p53 with cancer response to treatments and clinical outcomes, which suggest the importance of complex but essential p53 regulatory pathways.Recent studies have indicated that the expression pattern of p53 isoforms may play a crucial role in regulating normal and cancer cell fates in response to diverse stresses. The human TP53 gene encodes at least 12 p53 isoforms, which are produced in normal tissue through alternative initiation of translation, usage of alternative promoters, and alternative splicing. Furthermore, some researchers have suggested that the formation of mutant p53 aggregates may be associated with cancer pathogenesis due to loss-of function (LoF), dominant-negative (DN), and gain-of function (GoF) effects.As different isoforms or the aggregation state of p53 may influence tumorigenesis, this review aims to examine the correlation of p53 isoforms and aggregation with cancer.
Insights
The tumor suppressor protein p53 has multiple forms (isoforms) and aggregation states that influence cancer development. Understanding these p53 variations is crucial for cancer treatment and patient outcomes.
Area of Science:
- Molecular Biology
- Cancer Biology
- Genetics
Background:
- p53 is a key tumor suppressor protein regulating apoptosis, DNA repair, and cell cycle arrest.
- Loss of functional p53 occurs in over 50% of human cancers, impacting treatment response.
- The role of p53's diverse states and regulatory pathways in cancer remains complex and incompletely understood.
Purpose of the Study:
- To review the correlation between p53 isoforms and aggregation states with cancer pathogenesis.
- To explore how different p53 expression patterns influence normal and cancerous cell fates under stress.
- To investigate the potential impact of mutant p53 aggregation on cancer development (LoF, DN, GoF effects).
Main Methods:
- Literature review of recent studies on p53 isoforms and aggregation.
- Analysis of TP53 gene expression and alternative splicing mechanisms.
- Examination of experimental evidence linking p53 states to cancer biology.
Main Results:
- The human TP53 gene encodes at least 12 p53 isoforms generated through alternative translation, promoters, and splicing.
- Emerging evidence suggests p53 isoforms and aggregation states significantly impact normal and cancer cell behavior.
- Mutant p53 aggregation is implicated in cancer pathogenesis via loss-of-function, dominant-negative, and gain-of-function mechanisms.
Conclusions:
- p53 isoforms and aggregation states are critical determinants of cancer development and progression.
- Further research into these p53 variations is essential for improving cancer therapies and predicting clinical outcomes.
- Understanding the complex regulatory roles of p53 isoforms and aggregates offers potential therapeutic targets.
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