Abstract

Gain of function (GOF) DNA binding domain (DBD) mutations of TP53 upregulate chromatin regulatory genes that promote genome-wide histone methylation and acetylation. Here, we therapeutically exploit the oncogenic GOF mechanisms of p53 codon 158 (Arg158) mutation, a DBD mutant found to be prevalent in lung carcinomas. Using high throughput compound screening and combination analyses, we uncover that acetylating mutp53R158G could render cancers susceptible to cisplatin-induced DNA stress. Acetylation of mutp53R158G alters DNA binding motifs and upregulates TRAIP, a RING domain-containing E3 ubiquitin ligase which dephosphorylates IĸB and impedes nuclear translocation of RelA (p65), thus repressing oncogenic nuclear factor kappa-B (NF-ĸB) signaling and inducing apoptosis. Given that this mechanism of cytotoxic vulnerability appears inapt in p53 wild-type (WT) or other hotspot GOF mutp53 cells, our work provides a therapeutic opportunity specific to Arg158-mutp53 tumors utilizing a regimen consisting of DNA-damaging agents and mutp53 acetylators, which is currently being pursued clinically.

Highlights

  • Gain of function (GOF) DNA binding domain (DBD) mutations of TP53 upregulate chromatin regulatory genes that promote genome-wide histone methylation and acetylation

  • Among the TP53 mutations found in ~50% of non-small cell lung cancer[24], p53R158G/H/L is one of the most common mutation hotspots according to multiple public databases (TCGA, COSMICS, IARC p53 Database), despite being reported in different frequencies[25]

  • H2170 LUSC cells that are homozygous for p53R158G (Supplementary Fig. 1B) demonstrated impaired MDM2 and CDKN1A transactivation when treated with Nutlin3a, a MDM2 antagonist, as compared to MRC5 (p53wt) cells, indicating loss of p53 function (Supplementary Fig. 1I)

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Summary

Introduction

Gain of function (GOF) DNA binding domain (DBD) mutations of TP53 upregulate chromatin regulatory genes that promote genome-wide histone methylation and acetylation. Acetylation of mutp53R158G alters DNA binding motifs and upregulates TRAIP, a RING domain-containing E3 ubiquitin ligase which dephosphorylates IĸB and impedes nuclear translocation of RelA (p65), repressing oncogenic nuclear factor kappa-B (NF-ĸB) signaling and inducing apoptosis. Given that this mechanism of cytotoxic vulnerability appears inapt in p53 wild-type (WT) or other hotspot GOF mutp[53] cells, our work provides a therapeutic opportunity specific to Arg158-mutp[53] tumors utilizing a regimen consisting of DNA-damaging agents and mutp[53] acetylators, which is currently being pursued clinically. We further show in a high-throughput screen that acetylation of p53R158G can be achieved with several pharmacologic agents, providing a cogent basis for further clinical development

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