Inhibition of nonsense-mediated decay rescues p53β/γ isoform expression and activates the p53 pathway in

Jayanthi P Gudikote1, Tina Cascone1, Alissa Poteete1

  • 1Department of Thoracic Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Insights

Inhibiting nonsense-mediated decay (NMD) reactivates the tumor suppressor p53 in certain cancers by upregulating p53β and p53γ isoforms. This strategy shows promise for treating p53-deficient tumors, including non-small cell lung cancer and glioblastoma.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • p53 tumor suppressor inactivation is nearly universal in cancer, necessitating p53-reactivation strategies.
  • Loss of p53 function occurs via MDM2 overexpression or TP53 mutations, with limited current therapeutic options.
  • Alternative p53 isoforms (p53β, p53γ) are less susceptible to MDM2 degradation but vulnerable to nonsense-mediated decay (NMD).

Purpose of the Study:

  • To investigate the therapeutic potential of NMD inhibition for restoring p53 function in cancer cells with p53 inactivation.
  • To evaluate the impact of NMD inhibition on p53 isoforms and downstream tumor suppressive activities.

Main Methods:

  • Utilized non-small cell lung cancer and glioblastoma cell line models.
  • Assessed the effect of NMD inhibition on p53β and p53γ isoform levels.
  • Evaluated tumor suppressive activities (apoptosis, cell viability, radiosensitivity) and tumor growth in vivo.

Main Results:

  • NMD inhibition significantly upregulated p53β and p53γ isoforms in cancer cells with MDM2 overexpression or TP53 mutations downstream of exon 9.
  • NMD inhibition restored p53 pathway activation, inducing apoptosis, reducing cell viability, and enhancing radiosensitivity.
  • NMD inhibition demonstrated tumor growth inhibition in a xenograft model.

Conclusions:

  • NMD inhibition is a novel therapeutic strategy for restoring p53 function in specific p53-deficient cancers.
  • This approach is effective in tumors with MDM2 overexpression or TP53 mutations downstream of exon 9, representing a significant patient subgroup.
  • Targeting NMD offers a promising avenue for cancer therapy by reactivating the p53 pathway.

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