p21Waf1/Cip1: its paradoxical effect in the regulation of breast cancer

Samir F Zohny1,2, Abdulrahman L Al-Malki3, Mazin A Zamzami3

  • 1Biochemistry Department, Faculty of Science, King Abdulaziz University, Jeddah, 21589, Kingdom of Saudi Arabia. sfmz@hotmail.com.

Breast Cancer (Tokyo, Japan)
|September 27, 2018
PubMed

Insights

p21 (cyclin-dependent kinase inhibitor) has a dual role in breast cancer, acting as both a tumor suppressor and oncogene. Understanding its localization is key for effective therapeutic targeting.

Area of Science:

  • Molecular Biology
  • Oncology
  • Biochemistry

Background:

  • p21Waf1/Cip1, a cyclin-dependent kinase (CDK) inhibitor, is known for mediating p53-dependent cell cycle arrest.
  • Its role in inhibiting apoptosis suggests potential oncogenic activity, presenting a dual behavior in cancer.

Purpose of the Study:

  • To review the discovery, induction, and paradoxical effects of p21Waf1/Cip1 in human breast cancer.
  • To elucidate the impact of p21Waf1/Cip1 subcellular localization on its function and patient prognosis.
  • To explore p21Waf1/Cip1's influence on chemotherapy response and discuss therapeutic targeting strategies.

Main Methods:

  • Literature review focusing on p21Waf1/Cip1 discovery and mechanisms.
  • Analysis of studies investigating p21Waf1/Cip1's dual role in breast carcinogenesis.
  • Examination of research on subcellular localization, clinicopathological factors, and treatment response.

Main Results:

  • p21Waf1/Cip1 exhibits context-dependent functions, acting as a tumor suppressor or oncogene.
  • Subcellular localization (nuclear vs. cytoplasmic) dictates p21Waf1/Cip1's role in cell cycle arrest or apoptosis inhibition.
  • p21Waf1/Cip1 expression patterns correlate with breast cancer prognosis and chemotherapy sensitivity.

Conclusions:

  • p21Waf1/Cip1's dual role necessitates careful therapeutic strategies in breast cancer treatment.
  • Targeting p21Waf1/Cip1 based on its localization and expression pattern may improve patient outcomes.
  • Further research into pharmacological approaches targeting p21Waf1/Cip1 is crucial for advancing breast cancer therapy.

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