Genome Stability Requires p53
Open accessAbstract
It is now clear that functional p53 is critical to protect the genome from alterations that lead to tumorigenesis. However, with the myriad of cellular stresses and pathways linked to p53 activation, much remains unknown about how p53 maintains genome stability and the proteins involved. The current understanding of the multiple ways p53 contributes to genome stability and how two of its negative regulators, Mdm2 and Mdmx, induce genome instability will be described.
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Loss of TP53 and RB1 likely occurs early in osteosarcoma transformation, with TP53 inactivation required to propagate abnormal genomes, followed by rapid accumulation of driver lesions such as MYC amplification, PTEN loss and deletion of ATRX.
“Using these genomic aberrations to infer the evolution of the tumours, loss of TP53 and RB1 likely occurs early in the transformation process (with TP53 inactivation required to propagate abnormal genomes 39,40,41 ), followed by rapid accumulation of driver lesions such as MYC amplification, PTEN loss 42 and deletion of ATRX”
From Osteosarcoma (2022) · cites this paper as [40]
The most likely order of events for osteosarcoma evolution is loss of TP53 and RB1 as early events, with TP53 loss likely initiating genomic instability, followed by whole-genome doubling, gain of 8q (CMYC) and loss of 10q (PTEN).
“The most likely order of events for osteosarcoma evolution is loss of TP53 and RB1 as early events, of which TP53 loss is likely the initiator of genomic instability 39,40,41 followed by whole-genome doubling, gain of 8q (CMYC) and loss of 10q (PTEN) 42 .”
From Osteosarcoma (2022) · cites this paper as [40]
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Yang, L.-K., Ma, W., Wang, X., Chen, H.-R., Jiang, Y., & Sun, H. (2025) · Life Sciences · doi:10.1016/j.lfs.2025.123394 · Cited by 24 · see citing works
Molecular mechanisms underlying the regulation of tumour suppressor genes in lung cancer
Jy, L., Bhandare, R. R., Boddu, S. H. S., SHAIK, A. B., Saktivel, L. P., Gupta, G., Negi, P., Barakat, M. M., Singh, S. K., Dua, K., et al. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.116275 · Cited by 24 · see citing works
Epi-nutrients for cancer prevention: Molecular mechanisms and emerging insights
Bakrim, S., Omari, N. E., Yaagoubi, O. M. E., Khalid, A., Abdalla, A. N., Hamza, S. M. A., Ibrahim, S. E., Atifi, F., Zaid, Y., Bouyahya, A., et al. (2025) · Cell Biology and Toxicology · doi:10.1007/s10565-025-10054-2 · Cited by 22 · see citing works
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Zhang, X., & Kschischo, M. (2022) · Cancers · doi:10.3390/cancers14061424 · Cited by 19 · see citing works
Y Chromosome Loss Is a Frequent Event in Barrett’s Adenocarcinoma and Associated with Poor Outcome
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Naert, T., Dimitrakopoulou, D., Tulkens, D., Demuynck, S., Carron, M., Noelanders, R., Eeckhout, L., Isterdael, G. V., Deforce, D. L. D., Vanhove, C., et al. (2020) · Oncogene · doi:10.1038/s41388-020-1173-z · Cited by 18 · see citing works
Makgoo, L., Mosebi, S., & Mbita, Z. (2022) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2022.875208 · Cited by 16 · see citing works
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Zengin, G., Çetiz, M. V., Abul, N., Gülçın, İ., Caprioli, G., Piatti, D., Ricciutelli, M., Koyuncu, İ., Yüksekdağ, Ö., Bahşi, M., et al. (2024) · Toxicology Mechanisms and Methods · doi:10.1080/15376516.2024.2397387 · Cited by 13 · see citing works
Brd2 haploinsufficiency extends lifespan and healthspan in C57B6/J mice
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Kang, K., Xie, F., Wu, Y., Chang, H., Bai, Y., Long, J., Lian, X., & Zhang, F. (2021) · Molecular Therapy — Oncolytics · doi:10.1016/j.omto.2021.07.011 · Cited by 12 · see citing works
Loss of p53 function promotes DNA damage-induced formation of nuclear actin filaments
Torii, T., Sugimoto, W., Itoh, K., Kinoshita, N., Gessho, M., Goto, T., Uehara, I., Nakajima, W., Budirahardja, Y., Miyoshi, D., et al. (2023) · Cell Death and Disease · doi:10.1038/s41419-023-06310-0 · Cited by 13 · see citing works
Pathophysiology of colitis-associated colorectal cancer
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Regulation of adult stem cell function by ketone bodies
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State of the Art of Pharmacological Activators of p53 in Ocular Malignancies
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Exploring the role and mechanisms of MAGEA4 in tumorigenesis, regulation, and immunotherapy
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Wang, C., Duan, J., Mao, N., He, M., Zhang, P., Yuan, Y., Gao, Y., He, X., Shao, X., Wang, S., et al. (2025) · Biochemical Pharmacology · doi:10.1016/j.bcp.2025.117160 · Cited by 10 · see citing works
p53 reactivating small molecule PRIMA‑1MET/APR‑246 regulates genomic instability in MDA‑MB‑231 cells
Amirtharaj, F., Venkatesh, G. H., Wojtaś, B., Nawafleh, H. H., Mahmood, A. S., Nizami, Z. N., Khan, M. S., Thiery, J., & Chouaı̈b, S. (2022) · Oncology Reports · doi:10.3892/or.2022.8296 · Cited by 10 · see citing works
Luo, Q., Wang, Q., Shi, J., Lv, Q., Dong, Z., Li, W., Xia, Y., Liu, J., & Yang, H. (2025) · Cell Death and Disease · doi:10.1038/s41419-025-07782-y · Cited by 10 · see citing works
Extrachromosomal DNA: shaping the evolutionary dynamics of cancer
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Liu, Z., Lu, Q., Zhang, Z., Feng, Q., & Wang, X. (2024) · Respiratory Research · doi:10.1186/s12931-024-02870-7 · Cited by 9 · see citing works
A Preview of Selected Articles
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The n-butanol extract of Polygonatum sibiricum improves spleen aging via p53 pathway
Chao, J., Wang, Y., Huang, Q., Zhang, H., Chen, Y., Cheng, X., Mao, J., Yu, J., Yan, M., Chen, S., et al. (2025) · Phytomedicine · doi:10.1016/j.phymed.2025.156888 · Cited by 8 · see citing works
Characterization of polyploidy in cancer: Current status and future perspectives
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USP33 Regulates DNA Damage Response and Carcinogenesis Through Deubiquitylating and Stabilising p53
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Loss of p53 and genetic evolution in pancreatic cancer: Ordered chaos after the guardian is gone
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Tumor Suppressor p53 Down-Regulates Programmed Cell Death Protein 4 (PDCD4) Expression
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p53 Tumor Suppressor: Functional Regulation and Role in Gene Therapy
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Histone H3 mutations and their impact on genome stability maintenance
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- Authors
- Eischen, C. M.
- Affiliations
- Vanderbilt University Medical Center (US)
- Corresponding author
- Eischen, Christine M.
- Venue
- Cold Spring Harbor Perspectives in Medicine
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2016-06
- Volume
- 6
- Issue
- 6
- Pages
- a026096
- ISSN
- 2157-1422 (ISSN-L)
- PMC
- PMC4888814
- OpenAlex
- W2410798112
- Semantic Scholar
- 22e4fde6cdb4eb9c2fdf8afc8725dd9308ce960e
- Cited by
- 161
- References
- 135
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 23 · 2023: 17 · 2022: 32 · 2021: 22 · 2020: 20 · 2019: 8 · 2018: 6 · 2017: 3
- Type
- posted content
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cold Spring Harbor Perspectives in Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01CA181204)
- Topics
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Keywords
- p53, genome stability, carcinogenesis, MDM2, MDMX, p53 activation, cellular stress, genomic instability
- MeSH terms
- Animals, Cell Transformation, Neoplastic, DNA Damage, Gene Amplification, Humans, Mutation, Nuclear Proteins, Proto-Oncogene Proteins, Tumor Suppressor Protein p53, Cell Cycle Proteins, MicroRNAs, Genomic Instability, Mice, Proto-Oncogene Proteins c-mdm2
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