p53 is functionally inhibited in clear cell renal cell carcinoma (ccRCC): a mechanistic and correlative investigation

Karoline Diesing1, Silvia Ribback2, Stefan Winter3,4

  • 1Department of Urology, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, E17475, Greifswald, Germany.

Abstract

Insights

Wildtype p53 is functionally inhibited in clear cell renal cell carcinoma (ccRCC), despite rare mutations. Investigating mechanisms of this inhibition may reveal new therapeutic targets for ccRCC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Clear cell renal cell carcinoma (ccRCC) rarely exhibits p53 mutations.
  • Overexpression of p53 in ccRCC has been associated with poorer patient prognosis.

Purpose of the Study:

  • To investigate the distinct role of p53 in ccRCC using comprehensive genomic, proteomic, and functional analyses.
  • To elucidate the mechanisms behind p53's functional inhibition in ccRCC.

Main Methods:

  • Analysis of The Cancer Genome Atlas (TCGA) data for p53 genomic and proteomic profiles.
  • Tissue microarray (TMA) study to correlate p53 and phosphorylated p53 (pp53) with clinical outcomes.
  • In vitro experiments to assess p53 function, isoforms, and post-translational modifications in ccRCC cell lines.

Main Results:

  • Confirmed low somatic mutation rates for p53 in ccRCC.
  • Elevated p53 protein levels correlated with poor prognosis, while mRNA levels showed complex associations with survival.
  • In vitro studies indicated functional inhibition of p53 in ccRCC cells, as evidenced by sustained proliferation and transcriptional activity post-irradiation despite induced p53 and pp53 levels.

Conclusions:

  • Wildtype p53 is functionally inhibited in ccRCC, despite its low mutation rate.
  • Understanding the mechanisms of p53 functional inhibition presents potential therapeutic strategies for ccRCC.

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