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Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
Inhibiting the system xC-/glutathione axis selectively targets cancers with mutant-p53 accumulation
David S Liu1,2,3, Cuong P Duong2, Sue Haupt1
1Division of Cancer Research, Peter MacCallum Cancer Centre, Melbourne, Victoria 3000, Australia.
Abstract:
TP53, a critical tumour suppressor gene, is mutated in over half of all cancers resulting in mutant-p53 protein accumulation and poor patient survival. Therapeutic strategies to target mutant-p53 cancers are urgently needed. We show that accumulated mutant-p53 protein suppresses the expression of SLC7A11, a component of the cystine/glutamate antiporter, system xC-, through binding to the master antioxidant transcription factor NRF2. This diminishes glutathione synthesis, rendering mutant-p53 tumours susceptible to oxidative damage. System xC- inhibitors specifically exploit this vulnerability to preferentially kill cancer cells with stabilized mutant-p53 protein. Moreover, we demonstrate that SLC7A11 expression is a novel and robust predictive biomarker for APR-246, a first-in-class mutant-p53 reactivator that also binds and depletes glutathione in tumours, triggering lipid peroxidative cell death. Importantly, system xC- antagonism strongly synergizes with APR-246 to induce apoptosis in mutant-p53 tumours. We propose a new paradigm for targeting cancers that accumulate mutant-p53 protein by inhibiting the SLC7A11-glutathione axis.
Insights
Targeting mutant-TP53 cancers is crucial. Mutant-p53 suppresses SLC7A11, creating vulnerabilities exploitable by system xC- inhibitors and APR-246, offering new therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- TP53 gene mutations are prevalent in over 50% of human cancers, leading to mutant-p53 accumulation and reduced patient survival.
- Targeting cancers with mutant-p53 represents a significant unmet clinical need.
Purpose of the Study:
- To investigate the mechanism by which mutant-p53 affects cancer cell vulnerabilities.
- To identify novel therapeutic strategies targeting mutant-p53 cancers.
- To evaluate SLC7A11 as a predictive biomarker for APR-246 therapy.
Main Methods:
- Investigated the interaction between mutant-p53, NRF2, and SLC7A11 expression.
- Utilized system xC- inhibitors to target cancer cells.
- Assessed SLC7A11 expression as a biomarker for APR-246 efficacy.
- Examined the synergistic effects of system xC- antagonism and APR-246.
Main Results:
- Accumulated mutant-p53 protein suppresses SLC7A11 expression by binding to NRF2, reducing glutathione synthesis and increasing oxidative stress susceptibility in mutant-p53 tumors.
- System xC- inhibitors selectively kill cancer cells with stabilized mutant-p53.
- SLC7A11 expression serves as a predictive biomarker for APR-246, a mutant-p53 reactivator.
- Combined system xC- antagonism and APR-246 synergistically induce apoptosis in mutant-p53 tumors.
Conclusions:
- Inhibiting the SLC7A11-glutathione axis presents a promising therapeutic strategy for cancers with accumulated mutant-p53.
- SLC7A11 expression is a valuable predictive biomarker for APR-246 therapy.
- Combination therapy with system xC- inhibitors and APR-246 offers a synergistic approach to treat mutant-p53 cancers.
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