p53 The Master Guardian of the Genome p53 gene mutations in human tumors Tumor type (n) Lung (897) Colon (960) Esophagus (279) Ovary (386) Pancreas (170) Skin (220) Gastric (314) He ad & neck (524) Bladder (308) Sarc oma (339) Prostate (87) He patoce llular (716) Brain (456) p 53 mu tation 56% 50% 45% 44% 44% 44% 41% 37% 34% 31% 30% 29% 25% Tu mor ty pe ( n) p 53 mu tation Adrenal (31) Breast (1536) Endometrium (224) Mesothelioma (23) Renal (102) Thyroid (299) He matological (1916) Carcinoid (13) Melanoma (70) Parathyroid (13) Cevix (350) Neuroblastoma (212) others (155) 23% 22% 22% 22% 19% 13% 12% 11% 9% 8% 7% 1% 0% All tu mors: 37% 50% Greenblatt et al. (1995) Cancer Res. 54:4855 The Basic Paradigm of p53 Function Genotoxic Stress (e.g. DNA damage) p53 (low) Proliferative Stress (e.g. oncogenes) INPUTS p53 (high) Cell cycle arrest Apoptosis OUTPUTS The Discovery of p53 SV40 large T protein binds to p53 NRS 1 2 anti-T 3 4 IP 5 6 T 53 K Hypothesis Large T antigen and p53 are oncogenes - p53, a proto-oncogene, is expressed in low concentrations in normal cells - T antigen oncogenic activity leads to overexpression of p53 and the latter acts as an oncogene WRONG!! Moshe Oren Arnold Levine Cloning of the p53 gene, followed by successive experiments showed that it is actually a tumor suppressor gene Autosomal Dominant Li-Fraumeni syndrome Inherited germ-line mutations in p53 cause predisposition for distinct cancers in variable ages p53 Mutant Mice Develop Cancer p53 is a transcription factor, active only as a homotetramer p53 acts only as a tetramer Imagine a scenario: - One normal copy - One lof copy, encoding a mutated protein that can still bind to its partners Does this mean that +/- heterozygotes do not need a second mutation for tumor progression? Not quite, even 1/16 of p53 molecules have some activity Missense mutations and not nonsense/frameshift are the common p53 mutations in cancer patients p53 Mutations in Human Tumors are Found with High Frequency In the DNA Binding Domain In 143 families reported: point mutations (85%) deletions (9%) splice mutations (3.5%) insertions (2%) p53 Binds DNA Ribbon Model Space Filling Model The most common mutation changes arginine 248, colored red here. Notice how it snakes into the minor groove of the DNA (shown in blue and green), forming a strong stabilizing interaction. When mutated to another amino acid, this interaction is lost. Other key sites of mutation are shown in pink, including arginine residues 175, 249, 273 and 282, and glycine 245. The Basic Paradigm of p53 Function Genotoxic Stress (e.g. DNA damage) p53 (low) Proliferative Stress (e.g. oncogenes) INPUTS p53 (high) Cell cycle arrest Apoptosis OUTPUTS Low levels of p53 expression in normal cells Campbell et al. Biochemical Society Transactions (2001) p53 protein levels increase upon exposure to UV (and many other agents) Summary - p53 is a transcription factor, acting as a homotetramer - Expressed when cells gone awry - Two mutated copies in tumors, first is usually a dominant-negative mutation - Acts as a tumor suppressor gene In normal cells we find only low concentrations of the p53 protein - p53 protein is actually synthesized all the time, but is degraded very fast via ubiquitin mediated proteolysis p53 protein is ubiquitinated by the E3 ligase MDM2 Genetic Evidence that Mdm2 Inhibits p53 mdm2-/- p53-/- p53-/- mdm2-/- Mdm2 is a p53 Target Gene p53 control of Mdm2 transcription is a negative feedback loop Some p53 mutants show over expression of inert p53 protein p53 control of Mdm2 transcription is a negative feedback loop Many agents induce p53 activity Grouped into two classes DNA damage Hyperproliferative stress p53 Extensive DNA damage recruits the DNA damage response machinery Two key players: The protein kinases ATM and ATR ATM and ATR are recruited to distinct sites and phosphorylate downstream effectors ATR is recruited to single - stranded DNA ATR Chk1 (inactive) Rad9 - ATR-dependent phosphorylation of the Rad9 adaptor protein is needed for activating Chk1 Chk1 (active) - Activated Chk1 is released to phosphorylate its effectors Phosphorylation of p53 (by ATM/ATR and/or Chk2) makes it unable to bind MDM2 Phosphorylated p53 acts as a transcription factor DNA damage response activates p53 by stabilizing the protein via phosphorylation (and additional mechanisms) Additional inhibitory phosphorylation of MDM2 DNA damage Hyperproliferative stress p53 e.g. high activity of E2Fs E2Fs Hyperproliferative stress response is mediated through the ARF protein - E2Fs induce transcription of the ARF gene - ARF binds to and sequesters MDM2 - p53 is stabilized Over activity of oncogenes stimulates apoptosis through ARF ARF stands for Alternative Reading Frame - Found in the same locus of the p16 gene - Uses an alternative promoter p53 and Ink4a are the two most frequently mutated genes in human tumors est ima ted f requency of alte rat ions Chromosome locat ion ty pe of alte rat ions p53 17p13 nuc leotide substitution ~ 50% INK4a 9p2 1 homoz ygous dele tion nuc leotide substitution small deletion/insertion promote r methyla tion ~ 40% Loc us Summary - p53 is a transcription factor, acting as a homotetramer - Transcribed constitutively, but has a very short half life - Ubiquitinated by the E3 ligase MDM2 - DNA damage and a stalled replication fork induce p53 phosphorylation and activation - Hyperproliferative stress (e.g. oncogenic signaling, hypoxia) activates p53 via ARF What about outputs? DNA damage Hyperproliferative stress p53 Cell cycle arrest Apoptosis p53 activates transcription of the CKI p21 (p16) (p21) What about outputs? DNA damage Hyperproliferative stress p53 Cell cycle arrest Apoptosis Programmed cell death: aka Apoptosis Specific cells are dying in a programmed manner C. elegans Worms are transparent One can follow the individual lineage of each of the cells <1000 cells http://mathematica.edublogs.org/files/2011/03/C-elegans-2kbu264.JPG http://www.imsc.res.in/~sitabhra/research/neural/celegans/ Deciphering the cell lineage of C. elegans Cell death is also a “cell fate” Use genetics to identify mutants Epistasis analysis and biochemical studies allow the scientists to build a pathway Genetic control of programmed cell death ced-9 ced-4 CED-4 No death signal Death signal CED-9 CED-9 ced-3 Cell death CED-4 is inactive CED-4 Activates CED-3 caspase for the killing Gain of function mutations in bcl-2 were associated with human cancers (bcl= b cell lymphoma resulting from a translocation event) Our body uses the same apoptotic mechanisms used in PCD, for killing “bad” or unwanted cells http://herkules.oulu.fi/isbn9514266676/html/i267425.html Nobel Prize Lineage and programmed cell death Physiology and Medicine 2002 Bob Horvitz John Sulston Sydney Brenner - Pro-apoptotic signals open up the channels, allowing cyt C to be released to the cytoplasm A simplified representation of apoptosis Proapoptotic (BH3-only) Noxa Antiapoptotic Bcl-2 Procaspase Apaf Proapoptotic (multidomain) Bax Caspase Cytochrome C Mitochondria All the regulators are from the same protein family (containing BH domains) p53 triggers apoptosis http://www.weizmann.ac.il/home/ligivol/apoptosis_project/apoptotic_pathways.html