Exploratory Proteomic Profiling Reveals Potential Mediators of 5-FU Response under p53 Deficiency in Colon Cancer

Seonyong Lee1,2, Jiwon Lee1, Ga Seul Lee3

  • 1College of Pharmacy, Duksung Women's University, Seoul 01369, Republic of Korea.

Biomolecules & Therapeutics
|February 27, 2026
PubMed

Insights

Colon cancer cells lacking p53 show altered protein expression, contributing to resistance against 5-fluorouracil (5-FU) chemotherapy. Understanding these proteomic changes offers new insights into treatment strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Proteomics

Background:

  • p53 gene mutations are linked to poor prognosis and 5-fluorouracil (5-FU) resistance in colon cancer.
  • p53's role in 5-FU resistance is not fully understood, especially regarding cellular signaling alterations.

Purpose of the Study:

  • To profile proteomic changes in colon cancer cells with and without p53 expression after 5-FU treatment.
  • To investigate how p53 deficiency impacts cellular signaling and contributes to 5-FU resistance.

Main Methods:

  • Comparative proteomic analysis of colon cancer cells (HCT116 p53 wild-type vs. p53 knockout).
  • Assessment of cell cycle arrest patterns (G1 vs. S phase) following 5-FU treatment.
  • Identification of differentially expressed proteins (DEPs) in p53-deficient cells.

Main Results:

  • p53 knockout cells exhibited S phase arrest, unlike wild-type cells showing G1 arrest upon 5-FU treatment.
  • Key DEPs identified: increased F3 expression; decreased aldehyde dehydrogenase family 1 member A4 (ALDH1A3), histone deacetylase 2 (HDAC2), and protein S100-A4 (S100A4).
  • Expression levels of these DEPs correlated with overall survival in colon cancer patients.

Conclusions:

  • p53 deficiency leads to specific proteomic alterations in colon cancer cells.
  • Differential protein regulation associated with p53 loss may contribute to reduced 5-FU sensitivity.
  • Findings provide a foundation for further research into mechanisms of 5-FU resistance in p53-deficient colon cancer.