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Diverse rescue potencies of p53 mutations to ATO are predetermined by intrinsic mutational properties
Abstract
Tumor suppressor p53 is inactivated by thousands of heterogeneous mutations in cancer, but their individual druggability remains largely elusive. Here, we evaluated 800 common p53 mutants for their rescue potencies by the representative generic rescue compound arsenic trioxide (ATO) in terms of transactivation activity, cell growth inhibition, and mouse tumor–suppressive activities. The rescue potencies were mainly determined by the solvent accessibility of the mutated residue, a key factor determining whether a mutation is a structural one, and the temperature sensitivity, the ability to reassemble the wild-type DNA binding surface at a low temperature, of the mutant protein. A total of 390 p53 mutants were rescued to varying degrees and thus were termed as type 1, type 2a, and type 2b mutations, depending on the degree to which they were rescued. The 33 type 1 mutations were rescued to amounts comparable to the wild type. In PDX mouse trials, ATO preferentially inhibited growth of tumors harboring type 1 and type 2a mutants. In an ATO clinical trial, we report the first-in-human mutant p53 reactivation in a patient harboring the type 1 V272M mutant. In 47 cell lines derived from 10 cancer types, ATO preferentially and effectively rescued type 1 and type 2a mutants, supporting the broad applicability of ATO in rescuing mutant p53. Our study provides the scientific and clinical communities with a resource of the druggabilities of numerous p53 mutations ( www.rescuep53.net ) and proposes a conceptual p53-targeting strategy based on individual mutant alleles rather than mutation type.
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“Thirty-three type 1 mutations were rescued to the same extent as the wild type, and ATO preferentially suppressed the growth of type 1 and type 2a mutant tumors.345”
From p53: from understanding its structure to advances in therapeutic targeting (2026) · cites this paper as [345]
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“More recently, arsenic trioxide (ATO), an established agent in treating acute promyelocytic leukemia, was shown to rescue structural p53 mutations [120].”
From The TP53 tumor suppressor gene: From molecular biology to clinical investigations (2025) · cites this paper as [120]
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Cited by
The TP53 tumor suppressor gene: From molecular biology to clinical investigations
Baliakas, P., & Soussi, T. (2025) · Journal of Internal Medicine · doi:10.1111/joim.20106 · Cited by 50
p53: from understanding its structure to advances in therapeutic targeting
Wang, W., Liu, X., Liu, H., Abolhassani, H., Yan, H., Zhang, H., & Wang, X. (2026) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-025-02549-5 · Cited by 30
Metadata
- Authors
- Song, H., Wu, J., Tang, Y., Dai, Y., Xiang, X., Li, Y., Wu, L., Wu, J., Liang, Y., Xing, Y., Yan, N., Li, Y., Wang, Z., Xiao, S., Li, J., Zheng, D., Chen, X., Fang, H., Ye, C., Ma, Y., Wu, Y., Wu, W., Li, J., Zhang, S., & Lu, M.
- Venue
- Science Translational Medicine
- Published
- 2023-04-05
- Volume
- 15
- Issue
- 690
- ISSN
- 1946-6234
- 1946-6242
- Cited by
- 62
- References
- 15
- Language
- en
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- Song, H., Wu, J., Tang, Y., Dai, Y., Xiang, X., Li, Y., Wu, L., Wu, J., Liang, Y., Xing, Y., Yan, N., Li, Y., Wang, Z., Xiao, S., Li, J., Zheng, D., Chen, X., Fang, H., Ye, C., . . . Lu, M. (2023). Diverse rescue potencies of p53 mutations to ATO are predetermined by intrinsic mutational properties. Science Translational Medicine. https://doi.org/10.1126/scitranslmed.abn9155
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