p53 is a tumour suppressor protein that regulates the
expression of a wide variety of genes involved in Apoptosis, Growth arrest,
Inhibition of cell cycle progression, Differentiation and accelerated DNA
repair or Senescence in response to Genotoxic or Cellular Stress. As a
transcription factor, p53 is composed of an N-terminal Activation Domain, a
central specific DNA Binding Domain, and a C-terminal Tetramerization Domain,
followed by a Regulatory Domain rich in basic Amino acids. Having a short
half-life, p53 is normally maintained at low levels in unstressed mammalian
cells by continuous ubiquitylation and subsequent degradation by the 26S
Proteasome. Nonphosphorylated p53 is ubiquitylated by the MDM2 (Mouse Double
Minute-2) ubiquitin ligase. MDM2 binding inactivates p53 by two mechanisms.
First, MDM2 binds to the transactivation domain of p53, precluding interaction
with the transcriptional machinery. Second, this binding mediates the covalent
attachment of ubiquitin to p53. Ubiquitylated p53 is then degraded by the
Proteasome. Thus MDM2 acts as a major regulator of the tumor suppressor p53 by
targeting its destruction. When the cell is confronted with stress like DNA
damage, Hypoxia, Cytokines, Metabolic changes, Viral infection, or Oncogenes,
however, p53 ubiquitylation is suppressed and p53 accumulates in the nucleus,
where it is activated and stabilized by undergoing multiple covalent
modifications including Phosphorylation and Acetylation (Ref.1 & 2).
Phosphorylation of p53 mostly occurs in the N-terminal
activation domain at the Ser6, Ser9, Ser15, Thr18, Ser20, Ser33, Ser37, Ser46,
Thr55, and Thr81 residues, with some phosphorylation occurring in the
C-terminal linker and basic regions at Ser315, Ser371, Ser376, Ser378, and
Ser392. Phosphorylation on most of these sites is induced by DNA damage, with
some, such as Thr55 and Ser376, being repressed upon genotoxic stress. p53
phosphorylation is mediated by several cellular kinases including Chks
(Checkpoint Kinases), CSNK1-Delta (Casein Kinase-1-Delta), CSNK2 (Casein
Kinase-2), PKA (Protein Kinase A), CDK7 (Cyclin-Dependent Kinase-7), DNA-PK
(DNA-Activated- Protein Kinase), HIPK2 (Homeodomain-Interacting Protein
Kinase-2), CAK (CDK-Activating Kinase), p38 and JNK (Jun NH2-terminal kinase).
Notably, phosphorylation at Ser15 by ATM (Ataxia Telangiectasia Mutated
Gene)/ATR (Ataxia-Telangiectasia and Rad3 Related), either directly or through
Chk1 (Cell Cycle Checkpoint Kinase-1)/Chk2 (Cell Cycle Checkpoint Kinase-2), or
at Ser20 by Chk1/Chk2 has been shown to alleviate the inhibition or degradation
of p53, leading to p53 stabilization and activation. The
phosphorylation-induced p53 stabilization and activation are mediated through
multiple mechanisms and may vary according to the cellular context or
microenvironment. HIF-1Alpha (Hypoxia-Inducible Factor-1-Alpha) has been
implicated to be involved in p53 stabilization, the precise mechanism by which
HIF-1Alpha regulates p53-mediated function remains unknown. Recently, the
interaction between p53 and HIF-1Alpha was reported to evoke HIF-1Alpha
degradation. Members of the PIAS (Protein Inhibitor of Activated STAT) protein
family have also been found to interact with p53. PIAS1 and PIAS-Gamma function
as SUMO (Small Ubiquitin Related Modifier-1) ligases for p53. Moreover, the
RING finger domain of PIAS1 binds to the C-terminus of the tumor suppressor p53
and catalyzes its sumoylation, a modification which represses p53 activity on a
reporter plasmid containing consensus p53 DNA binding sites. PML (Promyelocytic
Leukemia) also activates p53 by recruiting it to multiprotein complexes termed
PML-nuclear bodies. PML is a tumor suppressor protein and the major component
of multiprotein nuclear complexes that have been variably termed Kremer bodies,
ND10, PODs (for PML Oncogenic Domains), and PML-NBs (PML-Nuclear Bodies). PML
binds directly with p53 and recruits it to PML-NBs. Recruitment to PML-NBs
activate p53 by bringing it in close proximity with CBP (CREB-Binding Protein)
/p300. BRCA1 (Breast Cancer-1 Gene) and p53 can also physically associate, both
in vitro and in vivo and function in a common pathway of tumor suppression. The
ability of BRCA1 to biochemically modulate p53 function suggests that this may be
a fundamental role of BRCA1 in tumor suppression (Ref.3, 4 & 5).
Another important modification of p53 is acetylation. p53 is
specifically acetylated at Lys370, Lys372, Lys373, Lys381, and Lys382 by
p300/CBP and at Lys320 by PCAF (p300/CBP-associated factor). Acetylation has
been shown to augment p53 DNA binding, and to stimulate p53-mediated
transactivation of its downstream target genes through the recruitment of
coactivators. Acetylation may also regulate the stability of p53 by inhibiting
its ubiquitination by MDM2. In vivo, acetylation at Lys320, Lys373, and Lys382
is induced by many genotoxic agents, including UV-radiation, IR (Ionizing
Radiation), hypoxia, oxidative stress, and even depletion of ribonucleotide
pools. p53 can also be deacetylated by HDAC1 (Histone Deacetylase-1) and SIRT1.
Human SIRT1 is an enzyme that deacetylates the p53 tumor suppressor protein and
has been suggested to modulate p53-dependent functions including DNA
damage-induced cell death. p53 deacetylation has been suggested to
down-regulate the activation of genes such as Bax and p21WAF1. Phosphorylation
and acetylation are interdependent. Indeed, phosphorylation at the p53
N-terminus has been shown to enhance its interaction with acetylase p300/CBP
and to potentiate p53 acetylation. Activated p53 functions effectively as a
transcription factor and induces transcription of several genes. The DNA
targets of p53 are consensus sequences consisting of a 10-base pair repeat of
5'-PuPuPu-C(A/T)(T/A)GPyPyPy-3' (where Pu is a purine and Py is a pyrimidine).
It also can bind to a palindromic site having a four or five-base pair inverted
repeat of a similar sequence. Complete p53 is inactive for specific DNA binding
unless activated by covalent and noncovalent modifications of the basic
C-terminal domain. After p53 is activated it can be involved in cell-cycle
inhibition, apoptosis, genetic repair, and inhibition of blood-vessel formation
(Ref.5, 6 & 7).
Cell cycle inhibition takes place when there is a block in
cell-cycle division. p53 does this by stimulating the expression of p21
WAF1/CIP1 (Cyclin Dependent Kinase Inhibitor-p21). This protein is an inhibitor
of CDKs (Cyclin-Dependent Kinases) that regulate the cell cycle via
perturbation of their partner cyclin. Cyclins are involved to ensure successful
transitions from S phase to G1. Since p21 WAF1/CIP1 inhibits CDKs it results in
inhibition of both G1-to-S and G2-to-mitosis transitions by causing
hypophosphorylation of Rb (Retinoblastoma) and preventing the release of E2F.
Additionally p53 can stimulate 14-3-3, a protein that sequesters Cyclin B1-CDK1
complexes out of the nucleus. This results in a G2 block. Activated p53 may
also initiate apoptosis and stop cell proliferation. p53 stimulates a wide
network of signals that act through two major apoptotic pathways: Extrinsic
Pathways and Intrinsic Pathways. The extrinsic pathway involves engagement of
particular `death' receptors that belong to the TNFR (Tumor Necrosis Factor
Receptor) family and, through the formation of the DISC (Death-Inducing-Signaling-Complex),
leads to a cascade of activation of Caspases, including Caspase8 and Caspase3,
which in turn induce apoptosis. Most common death receptors involved in
extrinsic apoptosis Fas, DR5 (Death Receptor-5) and PERP. The intrinsic apoptotic
pathway is dominated by the Bcl2 (B-Cell CLL/Lymphoma-2) family of proteins,
which governs the release of CytoC (Cytochrome-C) from the mitochondria. The
Bcl2 family comprises anti-apoptotic (pro-survival) and pro-apoptotic members.
The Bcl2 family is divisible into three classes: pro-survival proteins, whose
members are most structurally similar to Bcl2, such as BclXL; pro-apoptotic
proteins, BAX (Bcl2 Associated-X Protein) and BAK (Bcl2 Antagonist Killer-1),
which are structurally similar to Bcl2 and BclXL and antagonize their
pro-survival functions; and the pro-apoptotic `BH3-only' proteins.
Intriguingly, a key subset of the Bcl2 family genes are p53 targets, including
BAX, Noxa, PUMA (p53-Upregulated Modulator of Apoptosis) and the most recently
identified, BID (BH3 Interacting Domain Death Agonist). p53 may also inhibit
Bcl2 that is an inhibitor of apoptosis. p53 may also have a role in maintaining
genetic stability by 'nucleotide-excision' repair of DNA, chromosomal
recombination and chromosome segmentation. GADD45 (Growth Arrest- and DNA
Damage-Inducible Gene-45) is a multifunctional protein that is regulated by p53
and that may play a role in DNA repair and cell cycle checkpoints. p53 can play
a role in the inhibition of blood-vessel formation. In order for tumours to
reach a large size, they must initiate the growth of nutrient-bringing blood
vessels in their vicinity, the process of angiogenesis. p53 stimulates the
production of genes that prevent this process from happening. p53 activates the
expression of the Tsp1 (Thrombospondin-1), an anti-angiogenic factor, along
with other angiogenesis inhibitor BAI1 (Brain-specific Angiogenesis
Inhibitor-1) (Ref. 8, 9 & 10).
In addition, p53 regulates MDM2 function in a negative
feedback loop, because the MDM2 gene is a target for p53. Therefore, activation
of p53 eventually leads to its own inactivation by switching on a pathway that
leads to its destruction. MDM2 is subject to further regulation by direct
binding of the ARF (Active Response Factor) protein, which prevents
MDM2-mediated p53 proteolysis. PTEN (Phosphatase and Tensin Homolog), on the
other hand inhibits MDM2-mediated p53 degradation. p53 can transcriptionally activate
PTEN, which may further inhibit Akt activity. Therefore, inhibition of Akt by
the inhibitors may trigger a positive feedback with perhaps additional
anti-tumor effects. The c-Fos proto-oncogene is also a target for
transactivation by the p53 tumor suppressor. Mutations in p53 are associated
with genomic instability and increased susceptibility to cancer. It is the most
frequently mutated protein in all cancer with an estimated 60% of all cancers
having mutated forms that affect its growth suppressing activities. However
some common tumours have a higher incidence such that 90% of cervical and 70%
of colorectal are found to have p53 mutations. The p53 protein can be
inactivated in several ways, including inherited mutations that result in a
higher incidence of certain familial cancers such as Li-Fraumeni syndrome.
Certain DNA tumour viruses, such as the human adenovirus and the papilomavirus,
bind to and inactivate the protein. Functional p53 is thought to provide a
protective effect against tumorigenesis (Ref.2, 11 & 12).
References:
1. Hanazono K, Natsugoe S, Stein HJ, Aikou T, Hoefler H,
Siewert JR.
Distribution of p53 mutations in esophageal and gastric
carcinomas and the relationship with p53 expression.
Oncol Rep. 2006 Apr;15(4):821-4.
PubMed ID: 16525665
2. Francoz S, Froment P, Bogaerts S, De Clercq S, Maetens M,
Doumont G, Bellefroid E, Marine JC.
Mdm4 and Mdm2 cooperate to inhibit p53 activity in
proliferating and quiescent cells in vivo.
Proc Natl Acad Sci U S A. 2006 Feb 21;
PubMed ID: 16492744
3. Ho CC, Siu WY, Lau A, Chan WM, Arooz T, Poon RY.
Stalled replication induces p53 accumulation through
distinct mechanisms from DNA damage checkpoint pathways.
Cancer Res. 2006 Feb 15;66(4):2233-41.
PubMed ID: 16489026
4. Bianchi G, Di Giulio C, Rapino C, Rapino M, Antonucci A,
Cataldi A.
p53 and p66 Proteins Compete for Hypoxia-Inducible Factor
1 Alpha Stabilization in Young and Old Rat Hearts Exposed to Intermittent
Hypoxia.
Gerontology. 2006;52(1):17-23.
PubMed ID: 16439820
5. Navaraj A, Mori T, El-Deiry WS.
Cooperation Between BRCA1 and p53 in Repair of
Cyclobutane Pyrimidine Dimers.
Cancer Biol Ther. 2005 Dec;4(12):1409-14.
PubMed ID: 16357511
6. Ceskova P, Chichger H, Wallace M, Vojtesek B, Hupp TR.
On the Mechanism of Sequence-specific DNA-dependent
Acetylation of p53: The Acetylation Motif is Exposed upon DNA Binding.
J Mol Biol. 2006 Mar 24;357(2):442-56.
PubMed ID: 16438982
7. Kim IA, Shin JH, Kim IH, Kim JH, Kim JS, Wu HG, Chie EK,
Ha SW, Park CI, Kao GD.
Histone deacetylase inhibitor-mediated radiosensitization
of human cancer cells: class differences and the potential influence of p53.
Clin Cancer Res. 2006 Feb 1;12(3 Pt 1):940-9.
PubMed ID: 16467109
8. Zheng QH, Ma LW, Zhu WG, Zhang ZY, Tong TJ.
p21(Waf1/Cip1) plays a critical role in modulating
senescence through changes of DNA methylation.
J Cell Biochem. 2006 Mar 2; [Epub ahead of print]
PubMed ID: 16514663
9. Akhtar RS, Geng Y, Klocke BJ, Roth KA.
Neural precursor cells possess multiple p53-dependent
apoptotic pathways.
Cell Death Differ. 2006 Mar 3;
PubMed ID: 16514420
10. Rak J, Milsom C, May L, Klement P, Yu J.
Tissue Factor in Cancer and Angiogenesis: The Molecular
Link between Genetic Tumor Progression, Tumor Neovascularization, and Cancer
Coagulopathy.
Semin Thromb Hemost. 2006 Feb;32(1):54-70.
PubMed ID: 16479463
11. Gomes CP, Andrade LA.
PTEN and p53 expression in primary ovarian carcinomas:
immunohistochemical study and discussion of pathogenetic mechanisms.
Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:254-8.
PubMed ID: 16515600
12. Jiang PH, Motoo Y, Garcia S, Iovanna JL, Pebusque MJ,
Sawabu N.
Down-expression of tumor protein p53-induced nuclear
protein 1 in human gastric cancer.
World J Gastroenterol. 2006 Feb 7;12(5):691-6.
PubMed ID: 16521180
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