[PDF][PDF] p53-mediated senescence impairs the apoptotic response to chemotherapy and clinical outcome in breast cancer

JG Jackson, V Pant, Q Li, LL Chang… - Cancer cell, 2012 - cell.com
JG Jackson, V Pant, Q Li, LL Chang, A Quintás-Cardama, D Garza, O Tavana, P Yang…
Cancer cell, 2012cell.com
Studies on the role of TP53 mutation in breast cancer response to chemotherapy are
conflicting. Here, we show that, contrary to dogma, MMTV-Wnt1 mammary tumors with
mutant p53 exhibited a superior clinical response compared to tumors with wild-type p53.
Doxorubicin-treated p53 mutant tumors failed to arrest proliferation, leading to abnormal
mitoses and cell death, whereas p53 wild-type tumors arrested, avoiding mitotic catastrophe.
Senescent tumor cells persisted, secreting senescence-associated cytokines exhibiting …
Summary
Studies on the role of TP53 mutation in breast cancer response to chemotherapy are conflicting. Here, we show that, contrary to dogma, MMTV-Wnt1 mammary tumors with mutant p53 exhibited a superior clinical response compared to tumors with wild-type p53. Doxorubicin-treated p53 mutant tumors failed to arrest proliferation, leading to abnormal mitoses and cell death, whereas p53 wild-type tumors arrested, avoiding mitotic catastrophe. Senescent tumor cells persisted, secreting senescence-associated cytokines exhibiting autocrine/paracrine activity and mitogenic potential. Wild-type p53 still mediated arrest and inhibited drug response even in the context of heterozygous p53 point mutations or absence of p21. Thus, we show that wild-type p53 activity hinders chemotherapy response and demonstrate the need to reassess the paradigm for p53 in cancer therapy.
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