Target intelligence / Profile preview

Cellular tumor antigen p53 (mutant) (mutp53)

Target
mutp53
Molecular classification
Transcription factor
01

Overview

Mutant TP53 refers to the altered forms of the cellular tumor antigen p53, a critical transcription factor often called the guardian of the genome (UniProt P04637). In its wild-type state, p53 regulates the cell cycle, DNA repair, and apoptosis to prevent tumor development (PubMed: 29451101). However, mutations in the TP53 gene—found in over 50% of human cancers—not only result in the loss of these tumor-suppressive functions but often confer gain-of-function (GOF) properties that actively promote tumor progression, metastasis, and drug resistance (Nature Reviews Cancer, 2019). Therapeutic strategies targeting mutant p53 focus on restoring its original tumor-suppressive conformation or selectively eliminating the mutant protein (Cancer Discovery, 2021). Given its prevalence across diverse malignancies, mutant p53 is a high-priority target for precision oncology, with several small-molecule reactivators like Eprenetapopt and Rezatapopt currently in clinical trials (ClinicalTrials.gov).

Other names
Mutant p53Tumor protein p53 (mutant)TP53 mutantp53 mutant
02

Mechanism of action

Therapeutic approaches include the use of small molecules to restore the wild-type conformation and transcriptional activity of the mutant protein, promoting the degradation of the mutant protein through the ubiquitin-proteasome system, or inhibiting its oncogenic gain-of-function interactions with other transcription factors (PubMed: 32814821).

03

Biological functions

Cell cycle regulationApoptosisDNA repairMetabolic reprogrammingGain-of-function oncogenic signaling
04

Disease associations

CancerLi-Fraumeni syndrome
05

Safety considerations

High heterogeneity of TP53 mutations (missense, nonsense, frameshift)Difficulty of targeting a protein that lacks a traditional small-molecule binding pocketPotential for off-target effects when attempting to restore function to a complex transcription factorResistance development (Nature Reviews Drug Discovery, 2022)
06

Interacting drugs

Eprenetapopt (APR-246)

4 more in the full profile.

07

Biomarkers

TP53 mutation status (DNA sequencing)p53 protein accumulation (Immunohistochemistry)Circulating tumor DNA (ctDNA)

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