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Updated: Jan 24, 2026

Mapping Dysfunctional Protein-Protein Interactions in Disease
Published on: October 24, 2025
Wild type- and mutant p53 proteins in mitochondrial dysfunction: emerging insights in cancer disease
Giovanni Blandino1, Fabio Valenti1, Andrea Sacconi1
1Oncogenomic and Epigenetic Unit, Department of Diagnostic Research and Technological Innovation, IRCCS Regina Elena National Cancer Institute, Rome, 00144, Italy.
Abstract:
Deregulated cell metabolism is one of the cancer hallmarks. Mitochondrial DNA mutations and enzyme defects, aberrant tumor suppressor or oncogenic activities cause mitochondrial dysfunction leading to deregulated cellular energetics. The tumor suppressor protein, p53 is a tetrameric transcription factor that in response to diverse genotoxic and non-genotoxic insults activates a plethora of target genes to preserve genome integrity. In the last two decades the discovery of cytoplasmic p53 localization focused intense research on its extra-nuclear functions. The ability of p53 to induce apoptosis acting directly at mitochondria and the related mechanisms of p53 localization and translocation in the cytoplasm have been investigated. A role of cytoplasmic p53 in autophagy, pentose phosphate pathway, fatty acid synthesis and oxidation, and drug response has been proposed. TP53 gene is mutated in more than half of human cancers. In parallel to loss of tumor suppressive functions, mutant p53 proteins often gain new tumorigenic activities (GOF, gain of function). It has been recently shown that mutant p53 proteins mediate metabolic changes thereby promoting cancer development and metastases. Here we review the contribution of either wild-type p53 or mutant p53 proteins to the fine-tuning of mitochondrial metabolism of both normal and cancer cells. Greater knowledge at the mechanistic level might provide insights to develop new cancer therapeutic approaches.
Insights
The tumor suppressor protein p53, both wild-type and mutant forms, plays a crucial role in regulating cell metabolism, impacting cancer development. Understanding these mechanisms offers potential for new cancer therapies.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Deregulated cellular metabolism is a hallmark of cancer, often involving mitochondrial dysfunction.
- The tumor suppressor protein p53 is critical for maintaining genome integrity and has known roles in apoptosis.
- Recent research highlights p53's extra-nuclear functions, particularly its involvement in cellular energetics and metabolism.
Purpose of the Study:
- To review the multifaceted roles of wild-type and mutant p53 in regulating mitochondrial metabolism.
- To explore how p53 influences metabolic pathways relevant to cancer development and progression.
- To discuss the potential of targeting p53-mediated metabolic changes for cancer therapy.
Main Methods:
- Literature review of studies on p53, mitochondrial metabolism, and cancer.
- Analysis of research on p53 localization (nuclear vs. cytoplasmic) and its functional consequences.
- Synthesis of findings regarding the impact of wild-type and mutant p53 on metabolic pathways.
Main Results:
- Wild-type p53 regulates mitochondrial metabolism to preserve cellular homeostasis.
- Mutant p53 proteins often gain new functions, promoting metabolic alterations that drive cancer growth and metastasis.
- Cytoplasmic p53 influences key metabolic processes including autophagy, the pentose phosphate pathway, and fatty acid metabolism.
Conclusions:
- Both wild-type and mutant p53 are critical regulators of cellular and mitochondrial metabolism in normal and cancer cells.
- Understanding the mechanistic details of p53's metabolic control is essential for developing novel therapeutic strategies.
- Targeting p53-driven metabolic reprogramming holds promise for future cancer treatments.
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