Abstract
The p53 protein is a pleiotropic regulator working as a tumor suppressor and as an oncogene. Depending on the cellular insult and the mutational status, p53 may trigger opposing activities such as cell death or survival, senescence and cell cycle arrest or proliferative signals, antioxidant or prooxidant activation, glycolysis, or oxidative phosphorylation, among others. By augmenting or repressing specific target genes or directly interacting with cellular partners, p53 accomplishes a particular set of activities. The mechanism in which p53 is activated depends on increased stability through post-translational modifications (PTMs) and the formation of higher-order structures (HOS). The intricate cell death and metabolic p53 response are reviewed in light of gaining stability via PTM and HOS formation in health and disease.
Introduction
Since the discovery of the tumor suppressor p53 back in the 80s (; ; ; ), the biology of p53 has evolved dramatically (Figure 1). Initially recognized as the protector of the genome (; ), p53 gained attention when wide-genome studies revealed the higher frequency of mutations within the TP53 gene (; ). The follow-up of cancer cells and tumor tissues carrying TP53 mutations raised novel functionalities to p53 and the title of a pleiotropic regulator with oncogenic activity (; ; ; Wolf et al., 1984; ; ; ; Srivastava et al., 1990). While some mutations affect the ability of p53 to bind DNA responsive elements (loss-of-function, LoF), others have a dominant-negative phenotype (; ). The third group (gain-of-function, GoF) transforms the p53 into an oncogene (). GoF p53 pursues cancer-promoting phenotypes through several mechanisms allowing tumor perpetration (; ; ).
FIGURE 1
The efforts to decipher the p53 network happen at the physiological and pathological levels (Figure 2A) (
FIGURE 2

Schematics showing (A) the p53 balancing in heath and disease and (B) two mechanisms in which p53 is stabilized to execute transcriptional programs or gain-of-function activities. Residues that undergo post-translational modifications at the NTD and CTD are highlighted with their respective possible modification indicated as: P, Phosphorylation; C, Crotonylation; U, Ubiquitination; UF, UFMylation; H, Hydroxylation; A, Acetylation; M, Methylation; N, NEDDylation; B, β-hydroxybutyrylation; S, SUMOylation. PTMs, post-translational modifications; LoF, loss-of-function; DN, dominant negative; GoF, gain-of-function; HOS, higher-order structure; TA, transactivation domain; PPR, proline-rich motif; OD, oligomerization domain; CTD, C-terminal domain.
In addition, the tendency of wild-type and mutant p53 to form functional higher-order structures (HOS) (
The p53 molecular antennas
Over 50 PTMs mediate p53 stability, activation, and gene selection, determining the cellular fate (
TABLE 1
| Residue | PTM | Enzyme(s) responsible | Physiological effect | In vivo | In vitro | References | |
|---|---|---|---|---|---|---|---|
| NTD | S6 | P | CK1 | p53 interaction with Smad2 | Yes | Yes | |
| S9 | P | CK1 | P53 interaction with Smad2 | Yes | Yes | ||
| S15 | P | ATM | Inhibit MDM2 binding | Yes | Yes | ||
| ATR | Cell apoptosis | ||||||
| DNAPK | Increased p53 transactivation activity | ||||||
| P38 kinase | Binding to p300 | ||||||
| ERK | |||||||
| T18 | P | CK1 | Inhibit MDM2 binding | Yes | Yes | ||
| Increased p53 binding to p300 | |||||||
| Binding to Pellino1 and recruitment to DNA damage sites | |||||||
| S20 | P | Chk2 | Inhibit MDM2 binding | Yes | Yes | ||
| JNK1/2 | Increased p53 stability | ||||||
| MAPKAPK2 | Apoptosis | ||||||
| PLK-3 | |||||||
| S33 | P | P38 kinase | Apoptosis | Yes | Yes | ||
| GSK3β | Increased p53 transcriptional activity | ||||||
| S37 | P | ATR | Inhibit MDM2 binding | Yes | Yes | ||
| DNAPK | Increased p53 transcriptional activity | ||||||
| S46 | P | P38 kinase | Apoptosis | Yes | Yes | ||
| HIPK2 | |||||||
| PKCδ | |||||||
| DYRK2 | |||||||
| C | Not identified yet | Inhibity p53 activity | Not reported | Yes | |||
| T55 | P | ERK2 | p53 activation; Stabilization/degradation | Yes | Yes | Yeh et al. (2001); | |
| TAF1 | Nuclear localization | ||||||
| CTD | K357 | U | Pirh2 | P53 degradation | Yes | Yes | |
| Decreased activity | |||||||
| UF | UBA5 | Maintains p53 stability and tumor-suppressive activity | Yes | Yes | |||
| UFC1 | |||||||
| UFL1 | |||||||
| P359 | H | PHD3 | Decreased p53 ubiquitination | Yes | Yes | ||
| Increased p53 stability | |||||||
| S362 | P | IKK2 | p53 destabilization | Yes | Xia et al. (2009a) | ||
| S366 | P | Chk2 | Modulates p53 CTD acetylation | Yes | Yes | ||
| IKK2 | p53 destabilization | ||||||
| K370 | A | P300/CBP | Increased p53 stability | Yes | Yes | ||
| Increased p53transcriptional activity | |||||||
| U | MDM2 | Degradation | Yes | Yes | |||
| Nuclear export | |||||||
| M | Smyd2 | Decreased p53 transcriptional activity | Yes | Yes | |||
| N | NEDD8 | Inhibit p53 transcriptional activity | Yes | Yes | Xirodimas et al. (2004) | ||
| MDM2-NEDD8 (in vivo) | |||||||
| B | CBP/p300 | Decreases p53 acetylation and transcriptional activity | Yes | Yes | |||
| UF | UBA5 | Maintains p53 stability and tumor-suppressive activity | Yes | Yes | |||
| UFC1 | |||||||
| UFL1 | |||||||
| K372 | A | P300/CBP | Increased p53 stability | Yes | Yes | ||
| Increased p53 transcriptional activity | |||||||
| U | MDM2 | Degradation | Yes | Yes | |||
| Nuclear export | |||||||
| M | Set9 | Restricts p53 to the nucleus | Yes | Yes | |||
| Increased stability | |||||||
| N | NEDD8 | Inhibit transcriptional activity | Yes | Yes | Xirodimas et al. (2004) | ||
| MDM2-NEDD8 (in vivo) | |||||||
| K373 | A | P300/CBP | Increased p53 stability | Yes | Yes | ||
| Increased p53 transcriptional activity | |||||||
| U | MDM2 | Degradation | Not reported | Yes | |||
| Nuclear export | |||||||
| N | NEDD8 | Inhibit transcriptional activity | Yes | Yes | Xirodimas et al. (2004) | ||
| MDM2-NEDD8 (in vivo) | |||||||
| UF | UBA5 | Maintains p53 stability and tumor-suppressive activity | Yes | Yes | |||
| UFC1 | |||||||
| UFL1 | |||||||
| S376 | Pa | PKC | Dephosphorylation promotes p53 binding to 14-3-3 proteins; Increased specific-DNA affinity | Yes | Yes | Waterman et al. (1998); | |
| T377 | P | LRRK2 | Induces p21 expression | Not reported | Yes | ||
| Apoptosis | |||||||
| S378 | Pa | PKC | Dephosphorylation promotes p53 binding to 14-3-3 proteins; Increased specific-DNA affinity | Yes | Yes | Waterman et al. (1998); | |
| K381 | A | P300/CBP | Increased p53 stability | Yes | Yes | ||
| Increased p53 transcriptional activity | |||||||
| U | MDM2 | Degradation | Yes | Yes | |||
| Nuclear export | |||||||
| K382 | A | P300/CBP | Increased stability | Yes | Yes | ||
| MOZ | Increased p53 stability | ||||||
| Increased p53 transcriptional activity | |||||||
| U | MDM2 | Degradation | Not reported | Yes | |||
| Nuclear export | |||||||
| M | SET8/PR-Set7 | Decreased transcriptional activity | Yes | Yes | |||
| H | JMJD6 | Decreases p53 acetylation and transcriptional activity | Yes | Yes | Wang et al. (2014) | ||
| K386 | A | P300/CBP | Increased p53 stability | Yes | Yes | ||
| Increased p53 transcriptional activity | |||||||
| U | MDM2 | Degradation | Yes | Yes | |||
| Nuclear export | |||||||
| S | PIAS1 | Nuclear export | Yes | Yes | |||
| Transcriptional activity inhibited | |||||||
| S392 | P | PKR | Increased DNA-specific binding | Yes | Yes | ||
| FACT-CK2 | Tetramerization | ||||||
| P38 kinase | Apoptosis | ||||||
| DBD | K120 | B | CBP/p300 | Decreases p53 acetylation and transcriptional activity | Yes | Yes | |
| E255 | AR | PARP-1 | p53 nuclear accumulation | Yes | Yes | ||
| D256 | |||||||
| E268 | |||||||
| PPR | S315 | P | STK15 | Increased p53 degradation | Yes | Yes | |
| K319 | B | CBP/p300 | Decreases p53 acetylation and transcriptional activity | Yes | Yes | ||
| K320 | A | PCAF | Modulates p53 affinity to DNA | Yes | Yes | ||
| K320 | N | FBXO-11 | Inhibit p53 transcriptional activity | Yes | Yes | ||
| K321 | |||||||
| OD | R333 | M | PRMT5 | Oligomerization | Not reported | Yes | |
| R335 | Translocation to the nucleus | ||||||
| R337 | G1 arrest |
The molecular antennas: NTD and CTD p53 residues with PTM.
Constitutively phosphorylated in unstressed cells.
P, Phosphorylation; C, Crotonylation; U, Ubiquitination; UF, UFMylation; H, Hydroxilation; A, Acetylation; AR, ADP-Rybosilation; M, Methylation; N, NEDDylation; B, β-hydroxybutyrylation; S, SUMOylation; ATM, ataxia telangiectasia mutated; ATR, ataxia telangiectasia and Rad3 related; CBP, CREB binding protein; CK1, casein 1 kinase; Chk2, checkpoint kinase 2; DNAPK, DNA-dependent protein kinase; DYRK2, dual-specificity tyrosine-phosphorylation-regulated kinase 2; ERK, extracellular signal-regulated kinase; ERK2, Extracellular Signal Regulated Kinase 2; FACT-CK2, casein kinase 2 (CK2) and the chromatin transcriptional elongation fator FACT (a heterodimer of hSpt16 and SSRP1); GSK3β, Glycogen Synthase Kinase (GSK3) Beta; HIPK2, Homeodomain-interacting protein kinase-2; IKK2, IB kinase 2; JMJD6, Jumonji domain-containing 6; JNKs, c-Jun NH2-terminal kinases; LRRK2, Leucine-rich repeat kinase 2; MAPKAPK-2, MAPK Activated Protein Kinase 2mitogen-activated protein (MAP) kinases; MDM2, oncoprotein murine double minute-2; MOZ, monocytic leukemic zinc finger (MOZ) histone acetyltransferase; NEDD8, NEDD8 Ubiquitin Like Modifier; PARP-1, Poly(ADP-ribose) polymerase 1; PCAF, P300/CBP-associated fator; PHD3, Prolyl-4-hydroxylase domain 3; PIAS1, Protein inhibitor of activated STAT-1; Pirh2, Ubiquitin ligase with RING-H2 domain; PKCδ, Protein kinase C delta; PKR, double-stranded RNA activated protein kinase; PLK-3, Polo-like kinase 3; PRMT5, Protein arginine methyltransferase 5; SET8/PR-Set7, SET-domain containing protein 8; Set9, Histone-lysine N-methyltransferase set9; Smyd2, SET And MYND Domain Containing 2; STK15, serine/threonine kinase-15 TAF1, Transcription initiation factor TFIID subunit 1; UBA5, E1- and E2-like enzymes ubiquitin-like modifier activating enzyme 5; UFC1, ubiquitin-fold modifier-conjugating enzyme 1; UFL1, E3-like ligase UFM1-specific ligase 1.
At least 13 serines (Ser) and three threonines (Thr) outside the DBD and the TET are phosphorylated (
Phosphorylation at Ser392 was reported to increase DNA-specific binding, inducing tetramer formation and p53 mitochondrial translocation leading to transcription-independent apoptosis (
p53 was the first non-histone and transcription factor regulated by acetylation of histone acetyltransferases (HAT). Lys370, Lys372, Lys373, Lys381, Lys382, and Lys386 are modified by receiving an acetyl group caused by p300/CBP, which influences p53 activity and DNA binding (
Methylation at Lys372 by Set9 methyltransferase restricts p53 to the nuclear localization and increases its stability (
Ubiquitination is part of the p53 regulatory axis: in unstressed cells, p53 levels are tightly regulated by ubiquitin-binding, triggering proteolysis. MDM2 ubiquitinates Lys370, Lys372, Lys373, Lys381, Lys382, and Lys386, which leads to proteasome-dependent degradation. Although ubiquitin is bound to the CTD, the NTD is required for p53-MDM2 interaction (
Ubiquitination-like modifications are reported in p53 regulation as well. MDM2 mediates anchoring of NEDD8 to p53 at Lys370, Lys372, and Lys373. The conjugation with NEDD8 leads p53 to decreased transcriptional activity. FBXO-11 also promotes this type of modification, specifically at Lys320 and Lys321 in vitro and in vivo (Xirodimas et al., 2004;
Moreover, Poly(ADP-ribose) polymerase 1 (PARP-1) promotes ADP-ribosylation at Glu255, Asp256, and Glu268 in vivo, causing p53 nuclear accumulation by blocking the p53-Crm1 interaction, a nuclear export receptor (
Besides playing different regulatory roles, PTMs may also induce p53 conformational changes. For instance, phosphorylation at Thr18 alters the MDM2 interacting α-helix structure within the p53 NTD. Phosphorylation of threonine-proline motifs within the proline-rich region allows PN1 prolyl-isomerase binding and peptidyl-prolyl isomerization leading to reduced p53 affinity to MDM2 and increased p300/CBP affinity (Toledo and Wahl, 2006). Kar et al. proposed that p53 phosphorylation at the NTD induces open conformations, allowing p53 interaction with p300/CBP transcription factors (Kar et al., 2002). Phosphorylation at Thr55 leads to structure modifications at the NTD, stabilizing NTD-DBD interactions to form tetramers and reducing DNA affinity (Sun et al., 2020). Acetylation also triggers p53 conformational changes to more open states (Reed and Quelle, 2015). For example, acetylation of K120 leads to L1 loop expansion, stimulating sequence-specific DNA binding (Vainer et al., 2016)
The p53 NTD and CTD help p53 transmit and receive signals through PTMs. Even if different modifications act with opposite responses, the complete inhibition or activation of p53 transcriptional activity may require multiple PTMs. P53 PTMs provide complex and combinatorial regulation, enabling the protein to recruit many partners. Of note, the PTMs’ role in protein oligomerization is somewhat puzzling. Likely, PTMs alone are not responsible for shifting populations towards higher-order states, though PTMs appear to recruit accessory proteins that induce or prevent multimeric assembly. For instance, acetylation within the C-terminal lysine-rich domain has been implicated in tetrameric packing by recruiting the 14-3-3 protein family (
The p53-higher-order structures
Protein hubs like p53 comprise intrinsically disordered regions (IDRs) that are common targets for PTMs. Additionally, the IDR plasticity enables conformational diversity, leading to a multiplicity of functions pertinent to cell survival (
P53 exists as a mixture of monomers, dimers, and tetramers (
The DBD of p53 is highly conserved among other species revealing that DNA-binding is vital for p53 physiology (
The rearrangement of p53 due to the loss of inter and intramolecular regulatory contacts illustrates Dr. Jekyll and Mr. Hyde (Silva and Cordeiro, 2016). In this scenario, one p53-HOS found by our group is p53 amyloid fibrils (
It is notorious that protein function and interaction specificity are conserved throughout evolution, impacting the distribution of protein conformations. Therefore, p53 requires marginally stable conformations to exert its function (
A clear relationship between protein misfolding, aggregation, and clinical reports has been established in human disorders (Soto and Pritzkow, 2018). In cancer, such mechanisms are largely unknown. Our results reveal that p53-DBD and p53-DBD-R248Q are prone to aggregate in vitro as amyloid fibrils (
The three-dimensional structure of a functional p53-HOS is still unknown. A functional HOS assumed by p53 occurs when the p53 C-terminus interacts with the tyrosine kinase c-Abl (
Additionally, recent evidence suggests the participation of p53 in liquid-liquid phase separation (LLPS) (
An atomic-level investigation is needed to reveal the high-resolution structure of the full-length wild-type or mutant p53 bound to DNA or other cellular partners. There is still an even more significant structural gap regarding oligomeric or fibrillar assemblies, besides the new molecular arrangement of p53 condensates in liquid droplets. High-resolution structures of this essential multifunctional protein and its partners are required to understand the physiological and pathological mechanisms of p53.
How to visualize the p53 structure
Elucidating the conformational ensemble of full-length p53 at near-atomic resolution remains a challenge. The first report of a p53 structure unraveled how the p53 DBD binds to the DNA (
A Pubmed search of full-length p53 and cryo-electron microscopy (or Cryo-EM) renders few results (
In addition, cryo-EM brought to light structures of large complexes, previously unimaginable if based only on X-ray diffraction. Thus, supramolecular complexes like viruses, amyloid filaments (
The goal to achieve the highest p53 resolution possible has the challenge of p53 presenting labile segments. Therefore, elucidating the full-length p53 structure at near-atomic resolution will demand combined techniques and a solid biochemistry design. One strategy would be trapping the p53 labile NTD and CTD by complexing p53 with cellular partners (
Molecular dynamics revealed that the CTDs in p53 tetramers directly interact with DNA via nonspecific electrostatic interactions (
Mapping p53 intramolecular interactions are indispensable for therapeutic strategies (Wang and Fersht, 2017;
NMR is pivotal for unraveling the dynamic behavior between p53 and cellular partners, the high-energy intermediates (Wells et al., 2008), and molten globule amyloidogenic states (
The description of p53-DBD ensembles is scarce given the instability of the DBD, which often leads to aggregation during NMR data acquisition. However, other regions such as the TET, CTD, and NTD confers stability to the tetrameric protein. The rational design of p53 mutations stabilizing the DBD is an alternative for dealing with such a level of domain instability (
The pro-death and pro-survival p53 tumor-suppressive response
Unraveling the p53 structural ensemble in a test tube is far from what is happening inside stressed cells. Therefore, a comprehensive idea of how p53 works from the structural and cellular viewpoint would help clarify the role wild-type and mutant p53 assume in health and disease (Vousden and Lane, 2007). The p53 transcriptional program is context-dependent to safeguard the genome and does not require full p53 activation (
FIGURE 3

An overview of the insults and responses triggered by the protein of a thousand faces under physiological circumstances. ROS, reactive oxygen species; PPP, pentose phosphate pathway; G-6-P, glucose-6-phosphate; R-5-P, ribose-5-phosphate.
When cells are not experiencing stress, p53 production occurs at low levels and is continuously inactivated by the E3 ubiquitin ligase MDM-2 (
On the other side, when low levels of stress impact cells that tolerate reparable damage, p53 drives a temporary pro-survival program to aid recovery from the insult. Traditional pro-survival programs include DNA repair, cell-cycle arrest, and antioxidant protein production (Figure 3). In the backstage of these canonical pro-survival programs, p53 works in non-canonical tumor-suppressive programs that include genome stability avoiding aneuploid cells, inhibiting glycolysis and gluconeogenesis, and promoting oxidative phosphorylation to protect cells from metabolic reprogramming (
P53-mediated cell death
The first reports linking p53 to apoptosis came from radiation-induced thymocytes (
The cooperativity in which all four DNA-binding domains (DBD) stick into the DNA is an additional aspect of tuning the p53 cell death response (
Besides apoptosis, p53 is involved in other cell death mechanisms such as necrosis and ferroptosis. In ischemia-associated oxidative stress, p53 accumulates in the mitochondrial matrix and interacts with cyclophilin D, leading to the permeability transition pore opening that culminates in necrosis (Vaseva et al., 2012). In the case of ferroptosis, acetylation-defective p53 mutants inhibit the cystine uptake by repressing the cystine/glutamate antiporter SLC7A11, a regulatory axis engaged when cell-cycle arrest, senescence, and apoptosis fails after stress triggered by reactive oxygen species (
Autophagy is a self-eating process regulated by p53 that culminates either in pro-survival or pro-death cascades (
In Drosophila, cell competition helps the growth of healthy tissue and regulates tissue size. Confrontation of wild-type cells and cells overexpressing Myc activity is p53-dependent in which p53 senses conflict and endows a genetic program to support a supercompetitor status and transmission of killing signals for weaker cells (
Metabolic roles of p53
Cells under physiological conditions prefer efficient rather than fast energy production, which means 36 molecules of ATP per glucose molecule during oxidative phosphorylation instead of two during glycolysis. In contrast, cancer cells adopt aerobic glycolysis (Warburg effect), a fast but inefficient strategy for energy production. P53 regulates several aspects avoiding the metabolic reprogramming of cancer cells. Nonetheless, cancer-related p53 gain-of-function mutations have been shown to promote the Warburg effect by inducing the translocation of GLUT1 receptors to the plasma membrane (Zhang et al., 2013). Also, cancer-related p53 mutations increase the pentose phosphate flux by avoiding p53 binding to glucose-6-phosphate dehydrogenase (G6PD), the rate-limiting enzyme of the pentose phosphate pathway (PPP) (
Several studies show wild-type p53 modulating glycolytic enzymes to decrease the glycolytic flux. Other proteins indirectly repress glycolysis through intermediate metabolites or glucose uptake (
FIGURE 4

Schematics showing the participative role of p53 in metabolic pathways such as the glycolysis (glucose to pyruvate), the oxidative phosphorylation (left mitochondrion), the pentose phosphate (pink rectangle), the Warburg effect (orange rectangle), the serine synthesis (gray rectangle), proline and glutamine degradation (right mitochondrion), the antioxidant defense (green box), the fatty acid (FA) oxidation (right mitochondrion), and triglycerides (TGs) synthesis (cytosol). Proteins upregulated by p53 are shown in green and downregulated in dark red. G-6-P, glucose-6-phosphate; F-6-P, fructose-6-phosphate; F-1,6-BP, fructose-1,6-biphosphate; F-2,6-BP, fructose-2,6-biphosphate; 3-PG, 3-phosphoglycerate; 2-PG, 2-phosphoglycerate; PEP, phosphoenolpyruvate; R-5-P, ribose-5-phosphate; P-5-C, pyrroline-5-carboxylate; TCA, tricarboxylic acid; PRX, peroxiredoxins; TRX, thioredoxin; GSH, glutathione; GSSG, oxidized glutathione; -SH, sulfhydryl group; S-S, oxidized sulfhydryl (disulfides); NO, nitric oxide; -SOH, sulfenic acid; -SO2H, sulfinyl group; O2−, superoxide radical; H2O2, hydrogen peroxide; NADP+, nicotinamide adenine dinucleotide phosphate; NADPH, reduced form of nicotinamide adenine dinucleotide phosphate. For protein names controlled by p53, please check in-text citations.
On a sidearm of glycolysis, fructose-6-phosphate (F-6-P) is phosphorylated by phosphofructokinase 2 (PFK2) to generate fructose-2,6-biphosphate (F-2,6-BP), a metabolite that allosterically activates PFK1 to stimulate glucose breakdown. P53 binding to the PFK2 promoter induces transcriptional repression and diminishes PFK2 protein levels (
While controlling the glycolytic rate, p53 also drives oxidative phosphorylation (Figure 4). P53 balances the oxidative and glycolytic routes by upregulating the cytochrome c oxidase 2 (SCO2) transcription, the critical regulator of the cytochrome c oxidase (COX) complex IV. Disruption of the SCO2 gene in cancer cells expressing wild-type p53 rescued the metabolic program toward glycolysis (
Besides downregulating the glycolytic flux and promoting oxidative phosphorylation, p53 also impacts gluconeogenesis, a metabolic pathway generating glucose from non-carbohydrate precursors (Figure 4). P53 represses two rate-limiting enzymes of gluconeogenesis, the phosphoenolpyruvate carboxy-kinase (PCK1) and glucose-6-phosphatase (G6PC) (Zhang P. et al., 2014). The mechanism under which p53 tunes down PCK1 and G6PC is by activating SIRT6, a histone deacetylase acting on the nuclear extrusion of the forkhead box protein O1 (FoxO1), the critical transcription factor mediating PCK1 and G6PC expression.
Another p53 tumor-suppressive function linked to the metabolic response is the antioxidant program to avoid genome oxidation by ROS (
The p53 is also participative in proline degradation by regulating ALDH4 expression, a glutamate-γ-semialdehyde dehydrogenase that protects intracellular ROS generation (Yoon et al., 2004) (Figure 4). ALDH4 irreversibly converts the intermediate of proline degradation, pyrroline-5-carboxylate (P-5-C), into L-glutamic acid, exhausting the proline pool. The first enzyme of the proline cycle is proline oxidase which catalyzes the conversion of proline to P-5-C with the donation of electrons to cytochrome c. This reaction supports ROS formation by creating reducing potential. P-5-C is either recycled to proline by P5C reductase or transformed into L-glutamic acid by ALDH4, ending the reducing cycle (Yoon et al., 2004). It is worth mentioning that p53 upregulates either antioxidant proteins, such as ALDH4, or pro-oxidant proteins, such as the proline oxidase PIG 6 (
An additional p53 regulatory axis occurs through glutaminase 2 (GLS2), supporting the flux of mitochondrial respiration and the antioxidant defense program (Figure 4). GLS2 hydrolyzes glutamine to glutamate and is a p53 target gene during stress and non-stress circumstances (
Another reactive molecule is the superoxide anion. The generation of superoxide anion (O2−) inside the mitochondrion occurs when electrons leak from oxidative phosphorylation and reduce diatomic oxygen (O2). Manganese superoxide dismutase (SOD2) converts two molecules of superoxide anion into atomic oxygen and H2O2. SOD2 is commonly deregulated in human cancer, and several reports provide evidence of p53 downregulating SOD2 to induce cell death (
P53 also participates in lipid metabolism, regulating critical transcription factors and enzymes to promote fatty acid oxidation and suppress lipid biosynthesis (Figure 4), commonly observed in cancer cells (
Finally, p53 has shown regulatory involvement in a glycolysis-diverting pathway that generates serine, a necessary amino acid for anabolic pathways such as nucleotide, glutathione, phospholipids, and other amino acids (
In conclusion, p53 tunes metabolism by multiple strategies: 1) direct protein binding to control glucose uptake (e.g., GLUT receptors) or the rate-limiting enzyme of the pentose phosphate pathway (e.g., G6PDH), 2) augmenting transcriptional activity modulating gluconeogenesis (e.g., SIRT6), glycolysis (e.g., TIGAR), and oxidative phosphorylation (e.g., PDH, SCO2, and AIF) or 3) repressing transcriptional activity and allosteric activators such as F-2,6-BP or glycolytic enzymes (e.g., HK2, PFK1, PFK2, and PGM). Further, the mammalian target of rapamycin (mTOR), a conserved serine/threonine kinase integrating multiple cellular signals for anabolic and catabolic processes, has been linked to the p53 regulatory axis (
The p53 gain-of-function activity
Cell lines lacking endogenous p53, when transformed with p53 tumor-associated mutations, revealed growth advantage and higher expression of multidrug resistance genes compared with the parental line (
Hotspot mutations (including R175, G245, R248, R249, R273, and R282) lie within the DBD—denoting that DNA interaction and its intrinsic metastability constitutes one aspect of understanding GoF and LoF effects. Although clustered in the same domain, hotspot mutations impair DNA interaction or disrupt critical contacts responsible for correct protein folding (
Further, the p53 mutations R248W and R273H disrupt the response of double-stranded DNA breaks by affecting the recruitment of the Mre11–Rad50–NBS1 (MRN) complex to the site of DNA damage, leading to genetic instability (Song et al., 2007). Further, exploring the p53 network, a correlation between mutant p53 and prolyl isomerase (Pin1) was proposed (
The steroids biosynthesis pathway was downregulated in 3D cell cultures expressing mutant p53 (
It is essential to emphasize that the p53 transactivation domain remains intact in hotspot mutations. However, the binding of wild-type p53 to gene-proximal regions (less than 10 kb) of transcription start sites (TSS) strongly differs from the mutant p53 binding (Zhu et al., 2015). This event could be explained by association with distinct protein partners as p53 mutants target specific chromatin regulators not observed in the wild-type protein (Zhu et al., 2015).
Further, the knockdown of chromatin regulators in cancer cells expressing mutant p53 led to a dramatic loss of cell growth (Zhu et al., 2015). Wiech et al. have shown that HSP70, a molecular chaperone, stabilizes mutant p53 and inhibits p53 degradation (Wiech et al., 2012). Recently, mutant p53 but not the wild-type p53 constituted extracellular vesicles (EVs) (
Conclusion
Back in the drama “Man of a Thousand Faces,” a silent movie exploring the life of Lon Chaney and his abilities to transform himself using makeup techniques, the mutant p53 GoF phenotype is wide enough to interpret p53 as a protein of a thousand faces analogously. Part of the makeup techniques p53 uses to enter the stage include a plethora of PTMs at the NTD and CTD. Once affected by some mutations, p53 undergoes a higher tendency to form HOS, another makeup style allowing p53 malignant transformation in cancer. The diversity of p53 characters earned p53 multiple interpretations as in an apoptotic show or during a metabolic adaptation rehearsal. The use of cryo-EM, nuclear magnetic resonance, and X-ray diffraction are shining light to visualize and unravel the whole p53 makeup repertoire. The correlation between GoF and pro-tumorigenic action is clear. However, it is essential to emphasize that p53 is a key actor of several cellular pathways and that distinct mutations would generate particular outcomes that deserve to be visited. Let’s continue unraveling the p53 show!
Statements
Author contributions
All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.
Funding
Our laboratory is supported by grants from the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq awards and the INCT program, grant no. 465395/2014-7) and Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro grant no. 210.008/2018 to JS, grants E-26/201.296/2021 and E-26/210.294/2022 to GO. and E-26/200.582/2022 and E-26/210.346/2022 to MM.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Glossary
- Cryo-EM
cryo-electron microscopy
- CTD
C-terminal domain
- DBD
DNA-binding domain
- ERKs
extracellular signal-regulated protein kinases
- F-2,6-BP
fructose-2,6-biphosphate
- F-6-P
fructose-6-phosphate
- FA
fatty acid
- G6PC
glucose-6-phosphatase
- G6PD
glucose-6-phosphate dehydrogenase
- GLS2
glutaminase 2
- GoF
gain-of-function
- GPx1
glutathione peroxidase
- GSH
glutathione
- GSSG
oxidated glutathione
- HHP
high hydrostatic pressure
- HK2
hexokinase 2
- HOS
higher-order structures
- LLPS
liquid-liquid phase separation
- LoF
loss-of-function
- MCD
malonyl-CoA decarboxylase
- MCT1
monocarboxylate transporter 1
- NF-kB
nuclear factor-kB
- NMR
nuclear magnetic resonance
- NO
nitric oxide
- NOS2
NO synthase 2
- NTD or TAD
N-terminal transactivation domain
- OD or TET
oligomerization domain
- p53-DBD
p53 DNA-binding domain
- p53-HOS
p53 higher-order structures
- P-5-C
pyrroline-5-carboxylate
- PANK1
pantothenate kinase-1
- PARK2
Parkin
- PCK1
phosphoenolpyruvate carboxy-kinase
- PDH
pyruvate dehydrogenase complex
- PDK2
pyruvate dehydrogenase kinase 2
- PGM
phosphoglycerate mutase
- PHGDH
phosphoglycerate dehydrogenase
- Prxs
peroxiredoxins
- PTMs
post-translational modifications
- RE
responsive elements
- RNS
reactive nitrogen species
- ROS
reactive oxygen species
- SCO2
cytochrome c oxidase 2
- SOD2
superoxide dismutase
- SREBP1
regulatory element-binding protein 1
- TG
triglyceride
- UPR
unfolded protein response
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Summary
Keywords
tumor suppressor, oncogene, p53, aggregates, amyloid, structural biology
Citation
Marques MA, Andrade GC, Silva JL and de Oliveira GAP (2022) Protein of a thousand faces: The tumor-suppressive and oncogenic responses of p53. Front. Mol. Biosci. 9:944955. doi: 10.3389/fmolb.2022.944955
Received
16 May 2022
Accepted
18 July 2022
Published
25 August 2022
Volume
9 - 2022
Edited by
José Díaz-Chávez, Instituto Nacional de Cancerología (INCAN), Mexico
Reviewed by
Irene Diaz-Moreno, Sevilla University, Spain
Flaviana Marzano, Institute of Biomembranes and Bioenergetics, Italy
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© 2022 Marques, Andrade, Silva and de Oliveira.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Mayra A. Marques, mayramarques@bioqmed.ufrj.br; Guilherme A. P. de Oliveira, gaugusto@bioqmed.ufrj.br
This article was submitted to Cellular Biochemistry, a section of the journal Frontiers in Molecular Biosciences
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