RB1

🔍 What is RB1?

RB1 (Retinoblastoma 1) encodes the retinoblastoma protein (pRB) — a tumor suppressor that acts as a brake on the cell cycle. It regulates the G1-to-S phase transition by binding and inhibiting E2F transcription factors, which drive expression of genes required for DNA synthesis.


🧠 Key Function

In its active, hypophosphorylated form, pRB:

  • Binds E2F → prevents transcription of S-phase genes
  • Halts cell cycle progression
  • Allows time for DNA repair or response to cellular stress

When phosphorylated by CDK4/6, pRB releases E2F → cells proceed to S-phase.


📊 Prevalence in Cancer

Cancer TypeRB1 Alterations
Retinoblastoma~100% (germline + somatic)
Small cell lung cancer (SCLC)~90% (biallelic loss)
Osteosarcoma~60–70%
Triple-negative breast cancer~20–30%
Bladder cancer~15–25%
Prostate cancer (advanced)~15–20%
Glioblastoma~10–15%

⚙️ Mechanism: How RB1 Loss Drives Cancer

  1. Uncontrolled Cell Cycle Entry
    • Without functional RB1, E2F is constantly active
    • Leads to continuous expression of DNA replication genes
    • Drives unchecked cell division
  2. Genomic Instability
    • pRB also contributes to:
      • Chromatin structure maintenance
      • DNA damage repair
    • Loss leads to increased mutation rates and chromosomal abnormalities
  3. Senescence Escape
    • Normal pRB function helps trigger cellular senescence in response to stress
    • RB1 loss allows cells to bypass this fail-safe

💊 Therapeutic Implications

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