Meng Xiangbing, Gao Jason Z, Gomendoza Sean Michael T, Li John W, Yang Shujie
Department of Pathology, The University of Iowa, Iowa City, IA, United States.
Holden Comprehensive Cancer Center, Carver College of Medicine, University of Iowa, Iowa City, IA, United States.
Front Med (Lausanne). 2021 Oct 4;8:737951. doi: 10.3389/fmed.2021.737951. eCollection 2021.
p53 is among the most frequently mutated tumor suppressor genes given its prevalence in >50% of all human cancers. One critical tumor suppression function of p53 is to regulate transcription of downstream genes and maintain genomic stability by inducing the G1/S checkpoint in response to DNA damage. Tumor cells lacking functional p53 are defective in the G1/S checkpoint and become highly dependent on the G2/M checkpoint to maintain genomic stability and are consequently vulnerable to Wee1 inhibitors, which override the cell cycle G2/M checkpoint and induce cell death through mitotic catastrophe. In addition to the lost tumor suppression function, many mutated p53 (Mutp53) proteins acquire gain-of-function (GOF) activities as oncogenes to promote cancer progression, which manifest through aberrant expression of p53. In cancer cells with GOF Mutp53, statins can induce CHIP-mediated degradation of Mutp53 within the mevalonate pathway by blocking the interaction between mutp53 and DNAJA1. Therefore, targeting critical downstream pathways of Mutp53 provides an alternative strategy for treating cancers expressing Mutp53. In this review, we summarize recent advances with Wee1 inhibitors, statins, and mevalonate pathway inhibitors in cancers with p53 mutations.
p53是最常发生突变的肿瘤抑制基因之一,因为它在超过50%的人类癌症中普遍存在。p53的一个关键肿瘤抑制功能是调节下游基因的转录,并通过响应DNA损伤诱导G1/S检查点来维持基因组稳定性。缺乏功能性p53的肿瘤细胞在G1/S检查点存在缺陷,高度依赖G2/M检查点来维持基因组稳定性,因此易受Wee1抑制剂的影响,Wee1抑制剂会越过细胞周期G2/M检查点并通过有丝分裂灾难诱导细胞死亡。除了失去肿瘤抑制功能外,许多突变型p53(Mutp53)蛋白还获得了作为癌基因的功能获得(GOF)活性,以促进癌症进展,这通过p53的异常表达表现出来。在具有GOF Mutp53的癌细胞中,他汀类药物可以通过阻断mutp53与DNAJA1之间的相互作用,在甲羟戊酸途径中诱导CHIP介导的Mutp53降解。因此,靶向Mutp53的关键下游途径为治疗表达Mutp53的癌症提供了一种替代策略。在本综述中,我们总结了Wee1抑制剂、他汀类药物和甲羟戊酸途径抑制剂在p53突变癌症中的最新进展。