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Updated: Jan 26, 2026

Assessment of the Metabolic Profile of Primary Leukemia Cells
Published on: November 21, 2018
Metabolic stress controls mutant p53 R248Q stability in acute myeloid leukemia cells
Nerea Allende-Vega1,2, Martin Villalba3,4
1IRMB, Univ Montpellier, INSERM, CHU Montpellier, Montpellier, France. nerea.allende-vega@inserm.fr.
Abstract:
Eliminating mutant p53 (mt p53) protein could be a useful strategy to treat mt p53 tumors and potentially improve the prognosis of cancer patients. In this study, we unveil different mechanisms that eliminate p53-R248Q, one of the most frequent mutants found in human cancers. We show that the Hsp90 inhibitor 17-AAG eliminates R248Q by stimulating macroautophagy under normal growth conditions. Metabolic stress induced by the pyruvate dehydrogenase kinase-1 (PDK1) inhibitor dichloroacetate (DCA) inhibits the macroautophagy pathway. This induces the accumulation of R248Q, which in addition further inhibits macroautophagy. Combination of DCA and 17-AAG further decreases the autophagy flux compared to DCA alone. Despite this, this co-treatment strongly decreases R248Q levels. In this situation of metabolic stress, 17-AAG induces the binding of p53-R248Q to Hsc70 and the activation of Chaperone-Mediated Autophagy (CMA), leading to higher R248Q degradation than in non-stress conditions. Thus, different metabolic contexts induce diverse autophagy mechanisms that degrade p53-R248Q, and under metabolic stress, its degradation is CMA-mediated. Hence, we present different strategies to eliminate this mutant and provide new evidence of the crosstalk between macroautophagy and CMA and their potential use to target mutant p53.
Insights
Targeting mutant p53 (mt p53) protein degradation is key for cancer treatment. This study reveals that Hsp90 inhibitor 17-AAG and dichloroacetate (DCA) promote mt p53 elimination through distinct autophagy pathways, offering new therapeutic strategies.
Area of Science:
- Molecular Biology
- Cancer Research
- Cellular Biology
Background:
- Mutant p53 (mt p53) proteins are frequently found in human cancers and contribute to tumor development.
- Eliminating mt p53 is a promising therapeutic strategy to improve cancer patient prognosis.
- Understanding the mechanisms of mt p53 degradation is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the mechanisms by which p53-R248Q, a common mt p53 mutant, is eliminated.
- To explore the role of autophagy pathways in mt p53 degradation under different metabolic conditions.
- To evaluate the potential of combining Hsp90 and PDK1 inhibitors for mt p53 targeting.
Main Methods:
- Utilized the Hsp90 inhibitor 17-AAG and the PDK1 inhibitor dichloroacetate (DCA).
- Assessed the impact of these inhibitors on macroautophagy and Chaperone-Mediated Autophagy (CMA) pathways.
- Quantified p53-R248Q levels and degradation under normal and metabolic stress conditions.
Main Results:
- 17-AAG promotes p53-R248Q degradation via macroautophagy under normal conditions.
- DCA induces p53-R248Q accumulation by inhibiting macroautophagy.
- Combined DCA and 17-AAG treatment enhances p53-R248Q degradation through CMA activation under metabolic stress.
Conclusions:
- Different metabolic contexts trigger distinct autophagy mechanisms for mt p53 degradation.
- Metabolic stress shifts p53-R248Q degradation towards CMA.
- Targeting both macroautophagy and CMA pathways offers a novel strategy for eliminating mt p53 in cancer.
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