Triple-negative breast tumors are dependent on mutant p53 for growth and survival

Denada Dibra1, Sydney M Moyer1,2, Adel K El-Naggar3

  • 1Department of Genetics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030.

Insights

Targeting mutant TP53 in triple-negative breast cancer (TNBC) slows tumor growth. Genetic deletion of mutant TP53 activates immune pathways and extends survival, revealing a dependency in aggressive TNBC tumors.

Area of Science:

  • Oncology
  • Cancer Genetics
  • Tumor Suppressor Genes

Background:

  • The TP53 tumor suppressor gene is frequently mutated in triple-negative breast cancer (TNBC), contributing to tumor aggressiveness.
  • Missense mutations in TP53 are the most common alterations observed in TNBC patients.

Purpose of the Study:

  • To develop and utilize a genetically engineered mouse model to investigate the role of mutant TP53 in TNBC.
  • To assess the therapeutic potential of genetically ablating mutant TP53 in established TNBC tumors.

Main Methods:

  • Development of an autochthonous K14-Cre driven TNBC mouse model harboring switchable p53R172H and p53R245W mutations.
  • Genetic deletion of mutant p53 in established tumors to evaluate its impact on tumor growth and survival.
  • Downstream molecular analyses to elucidate mechanisms of tumor regression following mutant p53 deletion.

Main Results:

  • The developed TNBC mouse model exhibited a median latency of 1 year.
  • In vivo deletion of mutant p53R172H or p53R245W significantly blunted tumor growth and extended mouse survival.
  • Mutant TP53 deletion activated the cGAS-STING pathway but did not induce apoptosis, suggesting alternative tumor regression mechanisms.

Conclusions:

  • Mutant TP53 is crucial for the growth of a subset of TNBCs, and its genetic deletion can lead to tumor regression.
  • The findings highlight the potential of targeting mutant TP53 as a therapeutic strategy for TNBC.
  • Activation of the cGAS-STING pathway is implicated in the regression of TNBC tumors upon mutant TP53 ablation.

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