TP53

🧬 TP53 Gene Overview

  • TP53 is a tumor suppressor gene that encodes the p53 protein, often called the “guardian of the genome.”
  • p53 helps maintain genomic stability by controlling the cell cycle, DNA repair, and apoptosis (programmed cell death).

📊 Prevalence of TP53 Mutations in Cancer

TP53 is the most frequently mutated gene in human cancers:

Cancer TypeTP53 Mutation Frequency
High-grade Serous Ovarian Cancer>95%
Small-cell Lung Cancer~90%
Esophageal Cancer~80%
Colorectal Cancer~50–60%
Breast Cancer (Triple-negative)~80%
All Cancers (overall estimate)~50% of all tumors

⚙️ Mechanism: How TP53 Mutations Could Cause Cancer

🛡️ Normal TP53 Function

  • Activated by cellular stress such as:
    • DNA damage
    • Hypoxia
    • Oncogene activation
  • p53 can:
    • Pause the cell cycle to allow repair
    • Trigger apoptosis if damage is irreparable
    • Promote senescence (cell aging)

🧨 Mutated TP53

  • Mutations often lead to:
    • Loss of function: p53 can’t stop damaged cells from dividing
    • Dominant-negative effect: mutant p53 blocks any remaining normal p53
    • Gain of function (in some cases): mutant p53 can promote invasion and metastasis
  • Result: genomic instability, uncontrolled proliferation, and resistance to apoptosis

💊 Clinical Implications

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