ECRG2, a novel transcriptional target of p53, modulates cancer cell sensitivity to DNA damage

Harsh Patel1, M Saeed Sheikh1, Ying Huang2

  • 1Department of Pharmacology, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.

Cell Death & Disease
|July 19, 2020
PubMed

Insights

Esophageal Cancer-Related Gene 2 (ECRG2) is upregulated by p53 during DNA damage. A common ECRG2 variant impairs this response, affecting cancer cell survival and patient prognosis.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Genetics

Background:

  • Esophageal Cancer-Related Gene 2 (ECRG2) is a novel tumor suppressor.
  • Its regulation and role in DNA damage response remain uncharacterized.

Purpose of the Study:

  • To elucidate the regulation of ECRG2 by p53 during DNA damage.
  • To investigate the functional impact of ECRG2 in cancer cell response to DNA damage and its clinical relevance.

Main Methods:

  • p53-binding site analysis in the ECRG2 promoter.
  • Reporter assays to assess promoter activity.
  • mRNA and protein expression analysis following DNA damage.
  • CRISPR/Cas9 gene editing for ECRG2 disruption.
  • Analysis of ECRG2 expression in human malignancies.

Main Results:

  • DNA damage induces ECRG2 upregulation in a p53-dependent manner, with p53 binding to specific sites on the ECRG2 promoter.
  • A prevalent ECRG2 promoter variant with a deletion is unresponsive to p53 and DNA damage.
  • ECRG2 overexpression promotes cancer cell death, while its disruption enhances cell survival under genotoxic stress.
  • Reduced ECRG2 expression correlates with poorer disease-free survival in cancer patients.

Conclusions:

  • ECRG2 is a direct p53 target gene crucial for the DNA damage response.
  • The identified ECRG2 promoter variant compromises tumor suppression and impacts therapeutic sensitivity.
  • ECRG2 functions as a key determinant of cancer cell fate following DNA damage, influencing patient outcomes.

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