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Publication : p53-mediated senescence impairs the apoptotic response to chemotherapy and clinical outcome in breast cancer.

First Author  Jackson JG Year  2012
Journal  Cancer Cell Volume  21
Issue  6 Pages  793-806
PubMed ID  22698404 Mgi Jnum  J:189284
Mgi Id  MGI:5445011 Doi  10.1016/j.ccr.2012.04.027
Citation  Jackson JG, et al. (2012) p53-mediated senescence impairs the apoptotic response to chemotherapy and clinical outcome in breast cancer. Cancer Cell 21(6):793-806
abstractText  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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