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Publication : Suppression of p53 by Notch in lymphomagenesis: implications for initiation and regression.

First Author  Beverly LJ Year  2005
Journal  Cancer Res Volume  65
Issue  16 Pages  7159-68
PubMed ID  16103066 Mgi Jnum  J:100770
Mgi Id  MGI:3589518 Doi  10.1158/0008-5472.CAN-05-1664
Citation  Beverly LJ, et al. (2005) Suppression of p53 by Notch in lymphomagenesis: implications for initiation and regression. Cancer Res 65(16):7159-68
abstractText  Aberrant Notch signaling contributes to more than half of all human T-cell leukemias, and accumulating evidence indicates Notch involvement in other human neoplasms. We developed a tetracycline-inducible mouse model (Top-Notch(ic)) to examine the genetic interactions underlying the development of Notch-induced neoplastic disease. Using this model, we show that Notch suppresses p53 in lymphomagenesis through repression of the ARF-mdm2-p53 tumor surveillance network. Attenuation of Notch expression resulted in a dramatic increase in p53 levels that led to tumor regression by an apoptotic program. This shows that continued Notch activity is required to maintain the disease state. However, all tumors relapsed with rapid kinetics, most of which, by reactivation of Notch expression. Furthermore, by directly inhibiting the mdm2-p53 interaction by using either ionizing radiation or the novel small molecule therapeutic Nutlin, p53 can be activated and cause tumor cell death, even in the presence of sustained Notch activity. Therefore, it is the suppression of p53 that provides the Achilles heel for Notch-induced tumors, as activation of p53 in the presence of Notch signaling drives tumor regression. Our study provides proof-of-principle for the rational targeting of therapeutics against the mdm2-p53 pathway in Notch-induced neoplasms. Furthermore, we propose that suppression of p53 by Notch is a key mechanism underlying the initiation of T-cell lymphoma.
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