Target intelligence / Profile preview

p53-responsive DNA element (p53RE)

Target
p53RE
Molecular classification
DNA sequence, Regulatory element, Transcription factor binding site
01

Overview

p53-responsive DNA elements (p53REs) are specific genomic sequences that serve as the primary binding sites for the p53 tumor suppressor protein, a master regulator of the cellular stress response. These elements typically consist of two decameric half-sites with the consensus sequence RRRCWWGYYY (where R is a purine, Y is a pyrimidine, and W is A or T), separated by a short spacer of 0 to 13 base pairs (Riley et al., 2008, Nature Reviews Molecular Cell Biology). Upon activation by DNA damage, hypoxia, or oncogenic stress, p53 binds to these elements to transcriptionally activate or repress a vast network of genes involved in cell cycle arrest, DNA repair, and programmed cell death (Kastenhuber & Lowe, 2017, Cell). In many human cancers, the interaction between p53 and its response elements is disrupted by mutations in the p53 DNA-binding domain or by the overexpression of negative regulators like MDM2 (Donehower et al., 2019, Cell Reports). Therapeutic strategies targeting this axis focus on restoring the sequence-specific binding of p53 to its response elements, thereby reactivating the endogenous tumor-suppressive program. Small molecules such as MDM2 inhibitors (e.g., Nutlins) prevent p53 degradation, while compounds like APR-246 aim to refold mutant p53 into a conformation capable of recognizing these DNA sequences (Bykov et al., 2018, Nature Reviews Cancer). Consequently, p53REs are central to the efficacy of a wide range of oncology treatments that rely on the induction of p53-dependent gene expression.

Other names
p53 response elementp53 binding sitep53-binding DNA sequencep53-responsive element
02

Mechanism of action

Restoration or enhancement of p53 protein binding to genomic response elements to trigger the transcription of tumor-suppressive genes.

03

Biological functions

Regulation of gene expressionCell cycle arrestApoptosisDNA repairSenescenceMetabolism regulationAngiogenesis inhibition
04

Disease associations

CancerLi-Fraumeni syndromeInflammation
05

Safety considerations

Systemic toxicity due to p53-mediated apoptosis in healthy tissuesHematological toxicities (e.g., thrombocytopenia, neutropenia)Gastrointestinal distressPotential for selecting p53-mutant clones under therapeutic pressure
06

Interacting drugs

Nutlin-3a

5 more in the full profile.

07

Biomarkers

p53 mutation statusp21 (CDKN1A) mRNA/protein levelsPUMA (BBC3) expressionMDM2 expression levelsGADD45A expression

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