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Published on: September 13, 2019
Noncanonical roles of p53 in cancer stemness and their implications in sarcomas
Lucie Curylova1, Helena Ramos2, Lucília Saraiva2
1Department of Experimental Biology, Faculty of Science, Masaryk University, 62500 Brno, Czech Republic; International Clinical Research Center, St. Anne's University Hospital, 65691 Brno, Czech Republic.
Abstract:
Impairment of the prominent tumor suppressor p53, well known for its canonical role as the "guardian of the genome", is found in almost half of human cancers. More recently, p53 has been suggested to be a crucial regulator of stemness, orchestrating the differentiation of embryonal and adult stem cells, suppressing reprogramming into induced pluripotent stem cells, or inhibiting cancer stemness (i.e., cancer stem cells, CSCs), which underlies the development of therapy-resistant tumors. This review addresses these noncanonical roles of p53 and their implications in sarcoma initiation and progression. Indeed, dysregulation of p53 family proteins is a common event in sarcomas and is associated with poor survival. Additionally, emerging studies have demonstrated that loss of wild-type p53 activity hinders the terminal differentiation of mesenchymal stem cells and leads to the development of aggressive sarcomas. This review summarizes recent findings on the roles of aberrant p53 in sarcoma development and stemness and further describes therapeutic approaches to restore normal p53 activity as a promising anti-CSC strategy to treat refractory sarcomas.
Insights
The tumor suppressor p53 regulates stemness and its impairment drives sarcoma development. Restoring p53 function offers a strategy against therapy-resistant cancer stem cells in sarcomas.
Area of Science:
- Oncology
- Molecular Biology
- Stem Cell Biology
Background:
- The tumor suppressor p53, known as the "guardian of the genome", is frequently impaired in human cancers.
- Emerging evidence highlights p53's noncanonical roles in regulating stemness, including differentiation and cancer stem cell (CSC) inhibition.
- Dysregulation of p53 family proteins is common in sarcomas and linked to poor patient outcomes.
Purpose of the Study:
- To review the noncanonical roles of p53 in sarcoma initiation and progression.
- To summarize recent findings on aberrant p53 function in sarcoma development and stemness.
- To explore therapeutic strategies targeting p53 for anti-CSC approaches in refractory sarcomas.
Main Methods:
- Literature review of recent findings on p53, stemness, and sarcomas.
- Analysis of studies investigating p53 family protein dysregulation in sarcoma.
- Examination of research on mesenchymal stem cell differentiation and p53 activity.
Main Results:
- Impaired p53 function is implicated in sarcoma development and progression.
- Loss of wild-type p53 activity hinders mesenchymal stem cell differentiation, promoting aggressive sarcomas.
- Aberrant p53 contributes to cancer stemness, leading to therapy resistance.
Conclusions:
- Aberrant p53 plays a critical role in sarcoma initiation, progression, and stemness.
- Restoring normal p53 activity is a potential therapeutic strategy against CSCs in sarcomas.
- Targeting p53 offers a promising avenue for treating refractory sarcomas.
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