Proteasome inhibition paradoxically degrades gain-of-function mutant p53 R273H in NSCLC and could have therapeutic implications
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Updated: Jun 27, 2025

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
Eziafa I Oduah1,2,3, Susan T Sharfstein4, Nagashree Seetharamu5
1Duke University School of Medicine, Division of Oncology, Durham, NC, United States.
Abstract:
Lung cancer is the leading cause of cancer mortality. Despite therapeutic advances in recent years, new treatment strategies are needed to improve outcomes of lung cancer patients. Mutant p53 is prevalent in lung cancers and drives several hallmarks of cancer through a gain-of-function oncogenic program, and often predicts a poorer prognosis. The oncogenicity of mutant p53 is related to its stability and accumulation in cells by evading degradation by the proteasome. Therefore, destabilization of mutant p53 has been sought as a therapeutic strategy, but so far without clinical success. In this study, we report that proteasome inhibition results in degradation of mutant p53 in non-small cell lung cancer (NSCLC) cell lines bearing the R273H mutant protein and show evidence that this was mediated by hsp70. NSCLC cell lines with the mutant R273H allele demonstrated increased susceptibility and apoptosis to proteasome inhibitors. These data suggest that proteasome inhibitors could have therapeutic implications in some subsets of TP53 mutated NSCLC.
Insights
Proteasome inhibitors can degrade mutant p53 in non-small cell lung cancer (NSCLC) cells. This finding suggests proteasome inhibitors may offer a new therapeutic strategy for lung cancer patients with specific TP53 mutations.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Lung cancer remains a leading cause of cancer mortality globally.
- Mutant p53, prevalent in lung cancers, drives oncogenesis and predicts poor prognosis.
- Targeting mutant p53 stability is a potential therapeutic strategy, but clinical success has been limited.
Purpose of the Study:
- To investigate the effect of proteasome inhibition on mutant p53 degradation in non-small cell lung cancer (NSCLC).
- To explore the role of hsp70 in mediating mutant p53 degradation.
- To assess the therapeutic potential of proteasome inhibitors in NSCLC with specific TP53 mutations.
Main Methods:
- Utilized NSCLC cell lines harboring the R273H mutant p53 protein.
- Administered proteasome inhibitors to study their effect on mutant p53 levels.
- Investigated the involvement of hsp70 in the degradation pathway.
- Assessed cell susceptibility and apoptosis induction by proteasome inhibitors.
Main Results:
- Proteasome inhibition led to the degradation of mutant p53 in R273H-mutated NSCLC cell lines.
- Evidence suggests hsp70 mediates this degradation process.
- NSCLC cell lines with the R273H mutation showed increased sensitivity and apoptosis upon treatment with proteasome inhibitors.
Conclusions:
- Proteasome inhibition effectively degrades mutant p53 in specific NSCLC contexts.
- Hsp70 plays a role in the proteasome inhibitor-induced degradation of mutant p53.
- Proteasome inhibitors represent a promising therapeutic avenue for subsets of NSCLC patients with TP53 mutations.
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