Target intelligence / Profile preview

Tumor protein p53 R175H mutant (TP53 R175H)

Target
TP53 R175H
Molecular classification
Transcription factor, DNA-binding protein, Tumor suppressor (mutant/oncoprotein form)
01

Overview

The TP53 R175H mutation is a missense mutation within the tumor protein p53 (TP53) gene, resulting in the substitution of arginine with histidine at position 175. This residue sits in the DNA-binding domain, specifically at a critical zinc-binding site, and mutations here destabilize p53’s conformation, leading to loss of DNA-binding and canonical tumor suppressor function[1][2][7]. Unlike wild-type p53, which acts as a transcription factor regulating cell cycle arrest, apoptosis, DNA repair, and senescence, the R175H mutant is classified as a structural or conformational mutant: it not only loses its suppressive functions but can also exert dominant-negative and gain-of-function (GOF) oncogenic effects, promoting drug resistance, tumor progression, and aggregation that interferes with wild-type p53, p63, and p73[1][4]. The R175H mutation is among the most common "hotspot" p53 mutations in human cancer[1][4]. Current therapeutic strategies include small molecules or peptides that stabilize the correct conformation of mutant p53 or restore its wild-type DNA binding and transcriptional activity[6]. The TP53 R175H mutation is frequently used as a biomarker for patient stratification in cancer research and clinical trials.

Other names
p53 R175Hmutant p53 R175HTP53 Arg175HisR175H mutant of p53
02

Mechanism of action

Allosteric reactivation of mutant p53 (conformational stabilization); Promoting refolding to wild-type-like conformation; Induction of apoptosis by restoring transcriptional activation of target genes (e.g., p21, PUMA, NOXA); Inhibition of protein aggregation; Degradation targeting (proteolysis-inducing agents in development)

03

Biological functions

Cell cycle regulationDNA repairApoptosisCell senescenceMetabolic regulationTranscription regulationProtein aggregation (gain-of-function, oncogenic aggregation)
04

Disease associations

Cancer (many types, including but not limited to acute myeloid leukemia, breast, colorectal, ovarian, and lung cancer)
05

Safety considerations

Allele-specific therapies may not be effective in all TP53 mutants or patient tumorsRisk of selecting for resistant cancer cell clonesOff-target effects, as p53 pathway intersects with many essential cellular processesPotential toxicity from mis-activation of p53 target genes in normal tissue
06

Interacting drugs

COTI-2 (restores mutant p53 function)

2 more in the full profile.

07

Biomarkers

Presence of TP53 R175H allele (by sequencing or allele-specific PCR)Loss of canonical p53 target gene activation (e.g., loss of p21, MDM2, PUMA induction)Protein-specific immunohistochemistry (IHC) for mutant p53 (conformational-specific antibodies)

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