Deciphering the Role of p53 and TAp73 in Neuroblastoma: From Pathogenesis to Treatment
Joana Almeida1, Inês Mota1, Jan Skoda2,3
1LAQV/REQUIMTE, Laboratory of Microbiology, Department of Biological Sciences, Faculty of Pharmacy, University of Porto, Rua de Jorge Viterbo Ferreira 228, 4050-313 Porto, Portugal.
Abstract:
Neuroblastoma (NB) is an embryonic cancer that develops from neural crest stem cells, being one of the most common malignancies in children. The clinical manifestation of this disease is highly variable, ranging from spontaneous regression to increased aggressiveness, which makes it a major therapeutic challenge in pediatric oncology. The p53 family proteins p53 and TAp73 play a key role in protecting cells against genomic instability and malignant transformation. However, in NB, their activities are commonly inhibited by interacting proteins such as murine double minute (MDM)2 and MDMX, mutant p53, ΔNp73, Itch, and Aurora kinase A. The interplay between the p53/TAp73 pathway and N-MYC, a known biomarker of poor prognosis and drug resistance in NB, also proves to be decisive in the pathogenesis of this tumor. More recently, a strong crosstalk between microRNAs (miRNAs) and p53/TAp73 has been established, which has been the focused of great attention because of its potential for developing new therapeutic strategies. Collectively, this review provides an updated overview about the critical role of the p53/TAp73 pathway in the pathogenesis of NB, highlighting encouraging clues for the advance of alternative NB targeted therapies.
Insights
Neuroblastoma, a common childhood cancer, involves the p53/TAp73 pathway. Inhibited p53/TAp73 activity and its interplay with N-MYC and microRNAs are key in neuroblastoma development and drug resistance.
Area of Science:
- Pediatric Oncology
- Cancer Biology
- Molecular Oncology
Background:
- Neuroblastoma (NB) is a prevalent pediatric cancer originating from neural crest stem cells.
- Its clinical variability presents significant therapeutic challenges in pediatric oncology.
- The p53 family proteins, p53 and TAp73, are crucial in preventing genomic instability and malignant transformation.
Purpose of the Study:
- To review the critical role of the p53/TAp73 pathway in neuroblastoma pathogenesis.
- To highlight potential therapeutic strategies targeting this pathway.
- To explore the interplay between p53/TAp73, N-MYC, and microRNAs in NB.
Main Methods:
- Literature review focusing on the p53/TAp73 pathway in neuroblastoma.
- Analysis of interactions with inhibitory proteins (MDM2, MDMX, mutant p53, ΔNp73, Itch, Aurora kinase A).
- Examination of the crosstalk between p53/TAp73, N-MYC, and microRNAs.
Main Results:
- p53/TAp73 activities are frequently inhibited in NB by various proteins.
- N-MYC, a poor prognosis biomarker, significantly influences NB pathogenesis through interplay with p53/TAp73.
- MicroRNAs show a significant crosstalk with p53/TAp73, offering therapeutic potential.
Conclusions:
- The p53/TAp73 pathway is central to neuroblastoma pathogenesis.
- Targeting the p53/TAp73 pathway, its regulators, and interacting molecules like N-MYC and miRNAs offers promising therapeutic avenues for NB.
- Understanding these molecular interactions is vital for advancing alternative neuroblastoma treatments.
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