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The consequence of oncomorphic TP53 mutations in ovarian cancer
Journal article   Open access   Peer reviewed

The consequence of oncomorphic TP53 mutations in ovarian cancer

Pavla Brachova, Kristina W Thiel and Kimberly K Leslie
International journal of molecular sciences, Vol.14(9), pp.19257-19275
09/23/2013
DOI: 10.3390/ijms140919257
PMCID: PMC3794832
PMID: 24065105
url
https://doi.org/10.3390/ijms140919257View
Published (Version of record) Open Access

Abstract

Ovarian cancer is the most lethal gynecological malignancy, with an alarmingly poor prognosis attributed to late detection and chemoresistance. Initially, most tumors respond to chemotherapy but eventually relapse due to the development of drug resistance. Currently, there are no biological markers that can be used to predict patient response to chemotherapy. However, it is clear that mutations in the tumor suppressor gene TP53, which occur in 96% of serous ovarian tumors, alter the core molecular pathways involved in drug response. One subtype of TP53 mutations, widely termed gain-of-function (GOF) mutations, surprisingly converts this protein from a tumor suppressor to an oncogene. We term the resulting change an oncomorphism. In this review, we discuss particular TP53 mutations, including known oncomorphic properties of the resulting mutant p53 proteins. For example, several different oncomorphic mutations have been reported, but each mutation acts in a distinct manner and has a different effect on tumor progression and chemoresistance. An understanding of the pathological pathways altered by each mutation is necessary in order to design appropriate drug interventions for patients suffering from this deadly disease.
Ovarian Neoplasms - genetics Animals Humans Ovarian Neoplasms - pathology Transcriptome Tumor Suppressor Protein p53 - metabolism Female Mutation Gene Knockout Techniques Tumor Suppressor Protein p53 - genetics

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