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Updated: Oct 18, 2025

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
ERα determines the chemo-resistant function of mutant p53 involving the switch between lincRNA-p21 and DDB2
Yu-Hao He1,2, Ming-Hsin Yeh3,4, Hsiao-Fan Chen2,5
1The PhD Program for Cancer Biology and Drug Discovery, China Medical University and Academia Sinica, Taichung 40402, Taiwan.
Abstract:
Mutant p53 (mutp53) commonly loses its DNA binding affinity to p53 response elements (p53REs) and fails to induce apoptosis fully. However, the p53 mutation does not predict chemoresistance in all subtypes of breast cancers, and the critical determinants remain to be identified. In this study, mutp53 was found to mediate chemotherapy-induced long intergenic noncoding RNA-p21 (lincRNA-p21) expression by targeting the G-quadruplex structure rather than the p53RE on its promoter to promote chemosensitivity. However, estrogen receptor alpha (ERα) suppressed mutp53-mediated lincRNA-p21 expression by hijacking mutp53 to upregulate damaged DNA binding protein 2 (DDB2) transcription for subsequent DNA repair and chemoresistance. Levels of lincRNA-p21 positively correlated with the clinical responses of breast cancer patients to neoadjuvant chemotherapy and had an inverse correlation with the ER status and DDB2 level. In contrast, the carboplatin-induced DDB2 expression was higher in ER-positive breast tumor tissues. These results demonstrated that ER status determines the oncogenic function of mutp53 in chemoresistance by switching its target gene preference from lincRNA-p21 to DDB2 and suggest that induction of lincRNA-p21 and targeting DDB2 would be effective strategies to increase the chemosensitivity of mutp53 breast cancer patients.
Insights
Mutant p53 promotes chemosensitivity by upregulating lincRNA-p21, but estrogen receptor alpha (ERα) confers chemoresistance by promoting DDB2. ER status dictates mutant p53
Area of Science:
- Molecular Oncology
- Cancer Biology
- Genomics
Background:
- Mutant p53 (mutp53) often impairs apoptosis and chemoresistance in breast cancer, but determinants are unclear.
- Estrogen receptor alpha (ERα) role in mutp53-mediated chemoresistance needs further elucidation.
Purpose of the Study:
- To investigate the role of mutp53 in chemotherapy response.
- To identify mechanisms by which ERα influences mutp53 function in breast cancer.
Main Methods:
- Analysis of mutp53 targeting of G-quadruplex and p53 response elements.
- Quantification of lincRNA-p21 and DDB2 expression in relation to ER status.
- Correlation of molecular findings with clinical response to neoadjuvant chemotherapy.
Main Results:
- Mutp53 promotes chemosensitivity via G-quadruplex-mediated lincRNA-p21 induction.
- ERα suppresses lincRNA-p21 and promotes DDB2, leading to chemoresistance.
- lincRNA-p21 levels inversely correlate with ER status and DDB2; DDB2 is higher in ER-positive tumors.
- ER status switches mutp53's target preference from lincRNA-p21 to DDB2.
Conclusions:
- ERα status is a critical determinant of mutp53 oncogenic function in breast cancer chemoresistance.
- Targeting lincRNA-p21 and DDB2 may enhance chemosensitivity in mutp53 breast cancers.
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