MRCEM Notes

p53

p53 is a tumour suppressor gene located on chromosome 17p. It is the most commonly mutated gene in breast, colon and lung cancer

p53 is thought to play a crucial role in the cell cycle, preventing entry into the S phase until DNA has been checked and repaired. It may also be a key regulator of apoptosis

Li-Fraumeni syndrome is a rare autosomal dominant disorder characterised by the early onset of a variety of cancers such as sarcomas and breast cancer. It is caused by mutation in the p53 gene


Key points

p53 is a tumour suppressor gene
  • Location: Chromosome 17p13.1
  • Protein product: p53, a transcription factor
Function:
  • Monitors DNA integrity
  • Induces cell cycle arrest (usually at G1/S checkpoint) to allow DNA repair
  • Triggers apoptosis if DNA damage is irreparable
  • Helps maintain genomic stability and prevent tumorigenesis
Clinical relevance:
  • Mutations in p53 are found in ~50% of human cancers
  • Loss of p53 function → uncontrolled cell proliferation, resistance to apoptosis, increased genomic instability
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