Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy

Abstract Cancer is a leading cause of death worldwide. Targeted therapies aimed at key oncogenic driver mutations in combination with chemotherapy and radiotherapy as well as immunotherapy have benefited cancer patients considerably. Tumor protein p53 (TP53), a crucial tumor suppressor gene encoding...

Full description

Bibliographic Details
Main Authors: Bin Song, Ping Yang, Shuyu Zhang
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:Cancer Communications
Subjects:
Online Access:https://doi.org/10.1002/cac2.12520
_version_ 1797248673423294464
author Bin Song
Ping Yang
Shuyu Zhang
author_facet Bin Song
Ping Yang
Shuyu Zhang
author_sort Bin Song
collection DOAJ
description Abstract Cancer is a leading cause of death worldwide. Targeted therapies aimed at key oncogenic driver mutations in combination with chemotherapy and radiotherapy as well as immunotherapy have benefited cancer patients considerably. Tumor protein p53 (TP53), a crucial tumor suppressor gene encoding p53, regulates numerous downstream genes and cellular phenotypes in response to various stressors. The affected genes are involved in diverse processes, including cell cycle arrest, DNA repair, cellular senescence, metabolic homeostasis, apoptosis, and autophagy. However, accumulating recent studies have continued to reveal novel and unexpected functions of p53 in governing the fate of tumors, for example, functions in ferroptosis, immunity, the tumor microenvironment and microbiome metabolism. Among the possibilities, the evolutionary plasticity of p53 is the most controversial, partially due to the dizzying array of biological functions that have been attributed to different regulatory mechanisms of p53 signaling. Nearly 40 years after its discovery, this key tumor suppressor remains somewhat enigmatic. The intricate and diverse functions of p53 in regulating cell fate during cancer treatment are only the tip of the iceberg with respect to its equally complicated structural biology, which has been painstakingly revealed. Additionally, TP53 mutation is one of the most significant genetic alterations in cancer, contributing to rapid cancer cell growth and tumor progression. Here, we summarized recent advances that implicate altered p53 in modulating the response to various cancer therapies, including chemotherapy, radiotherapy, and immunotherapy. Furthermore, we also discussed potential strategies for targeting p53 as a therapeutic option for cancer.
first_indexed 2024-04-24T20:18:20Z
format Article
id doaj.art-462640d709de4fed9ad7c074b145a36c
institution Directory Open Access Journal
issn 2523-3548
language English
last_indexed 2024-04-24T20:18:20Z
publishDate 2024-03-01
publisher Wiley
record_format Article
series Cancer Communications
spelling doaj.art-462640d709de4fed9ad7c074b145a36c2024-03-22T11:52:53ZengWileyCancer Communications2523-35482024-03-0144329736010.1002/cac2.12520Cell fate regulation governed by p53: Friends or reversible foes in cancer therapyBin Song0Ping Yang1Shuyu Zhang2Laboratory of Radiation Medicine West China Second University Hospital Sichuan University Chengdu Sichuan P. R. ChinaLaboratory of Radiation Medicine West China Second University Hospital Sichuan University Chengdu Sichuan P. R. ChinaLaboratory of Radiation Medicine West China Second University Hospital Sichuan University Chengdu Sichuan P. R. ChinaAbstract Cancer is a leading cause of death worldwide. Targeted therapies aimed at key oncogenic driver mutations in combination with chemotherapy and radiotherapy as well as immunotherapy have benefited cancer patients considerably. Tumor protein p53 (TP53), a crucial tumor suppressor gene encoding p53, regulates numerous downstream genes and cellular phenotypes in response to various stressors. The affected genes are involved in diverse processes, including cell cycle arrest, DNA repair, cellular senescence, metabolic homeostasis, apoptosis, and autophagy. However, accumulating recent studies have continued to reveal novel and unexpected functions of p53 in governing the fate of tumors, for example, functions in ferroptosis, immunity, the tumor microenvironment and microbiome metabolism. Among the possibilities, the evolutionary plasticity of p53 is the most controversial, partially due to the dizzying array of biological functions that have been attributed to different regulatory mechanisms of p53 signaling. Nearly 40 years after its discovery, this key tumor suppressor remains somewhat enigmatic. The intricate and diverse functions of p53 in regulating cell fate during cancer treatment are only the tip of the iceberg with respect to its equally complicated structural biology, which has been painstakingly revealed. Additionally, TP53 mutation is one of the most significant genetic alterations in cancer, contributing to rapid cancer cell growth and tumor progression. Here, we summarized recent advances that implicate altered p53 in modulating the response to various cancer therapies, including chemotherapy, radiotherapy, and immunotherapy. Furthermore, we also discussed potential strategies for targeting p53 as a therapeutic option for cancer.https://doi.org/10.1002/cac2.12520cancerchemotherapydrug targetingimmunotherapyp53tumor suppressor
spellingShingle Bin Song
Ping Yang
Shuyu Zhang
Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
Cancer Communications
cancer
chemotherapy
drug targeting
immunotherapy
p53
tumor suppressor
title Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
title_full Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
title_fullStr Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
title_full_unstemmed Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
title_short Cell fate regulation governed by p53: Friends or reversible foes in cancer therapy
title_sort cell fate regulation governed by p53 friends or reversible foes in cancer therapy
topic cancer
chemotherapy
drug targeting
immunotherapy
p53
tumor suppressor
url https://doi.org/10.1002/cac2.12520
work_keys_str_mv AT binsong cellfateregulationgovernedbyp53friendsorreversiblefoesincancertherapy
AT pingyang cellfateregulationgovernedbyp53friendsorreversiblefoesincancertherapy
AT shuyuzhang cellfateregulationgovernedbyp53friendsorreversiblefoesincancertherapy