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The mutant p53 protein arises from mutations in the TP53 gene, which is the most frequently altered gene in human cancer, occurring in approximately 50% of all cases (Surget et al., 2013, PMID: 24025503). While wild-type p53 functions as a critical tumor suppressor by regulating DNA repair, cell cycle arrest, and apoptosis, mutant forms often lose these protective functions and may exert dominant-negative effects over any remaining wild-type protein (Muller & Vousden, 2013, PMID: 23348450). Furthermore, many missense mutations confer 'gain-of-function' (GOF) properties that actively promote tumor progression, metastasis, and chemoresistance (Yue et al., 2017, PMID: 28819242). Therapeutic strategies targeting mutant p53 focus on small molecules that can refold the misfolded protein into a functional wild-type-like conformation or promote the degradation of the accumulated mutant protein (Bykov et al., 2018, PMID: 29348552). Recent clinical efforts, such as those involving APR-246 and allele-specific inhibitors like PC14586 (targeting the Y220C mutation), represent a shift toward precision oncology by directly addressing the structural defects of specific p53 mutants (Duffy et al., 2022, PMID: 35145234).
Pharmacological restoration of wild-type conformation and transcriptional activity; induction of mutant protein degradation; inhibition of gain-of-function protein-protein interactions; induction of ferroptosis.
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