Table 2

Molecular mechanisms of TP53 dysfunction in lymphoid malignancies

LevelsDysregulationEffectOccurrence or examples
DNA CDS mutations Loss of function and gain of function 14.9% occurrence in lymphoid/plasmacytic malignancies 
 Polymorphisms Different function and stability p53Pro72 associated with increased lymphoma risk 
 Promoter mutations Decreased gene expression Rare 
 Promoter and UTR methylations Gene silencing 32% in ALL (8 of 25 patients) 
   19% in CLL (10 of 54 patients) 
   4% in DLBCL (4 of 108 patients) 
 Transcriptional repressors Decreased transcription PAX-5 overexpressed in LPL 
   OM from active T lymphocytes and macrophages 
   LANA in PEL 
 UTR mutations Reduced translation efficiency Single-nucleotide substitution in ALL 
RNA Alternative splicing Selective TA function  
  Loss of TA function  
  May be related to chemotherapy response Δp53 probably p53β in AML 
   Truncated p53 (50 kDa) in PW B-cell lymphoma cells with BSO treatment 
  Selective TA function p53β, p53γ 
  Loss of function; stabilizes p53 Δ40p53 
  Inhibit p53 function Δ133p53α, Δ133p53γ 
 Alternative internal ribosome entry site Δ40p53 in H1299 cells  
 Translation efficiency  MDM2 impacts p53 translation and levels in H1299 cells 
 Suppressed translation by miRNAs miR-15a and miR-16-1 in CLL  
  miR-25 and miR-30d in MM cells  
  miR-125b in H1299 cells  
Protein Stability p53 degradation MTBP, TRIM28, TAF1, YY1, and p300 enhance MDM2-mediated degradation of p53 in H1299 or lymphoma cells 
   INK4/ARF proteolysis in BL cells 
   Gene silencing of p16 in BL cells 
 Functional inhibition of p53 TA  Loss of ASPP1 in ALL 
   Inhibition by MIF in mouse models 
   Inhibition by MDMX, PLK1, YY1, DJ-1, and APAK in H1299 
 Decreased activation  Post-translational modifications 
   ATM inactivation in CLL 
 Localization regulation   
LevelsDysregulationEffectOccurrence or examples
DNA CDS mutations Loss of function and gain of function 14.9% occurrence in lymphoid/plasmacytic malignancies 
 Polymorphisms Different function and stability p53Pro72 associated with increased lymphoma risk 
 Promoter mutations Decreased gene expression Rare 
 Promoter and UTR methylations Gene silencing 32% in ALL (8 of 25 patients) 
   19% in CLL (10 of 54 patients) 
   4% in DLBCL (4 of 108 patients) 
 Transcriptional repressors Decreased transcription PAX-5 overexpressed in LPL 
   OM from active T lymphocytes and macrophages 
   LANA in PEL 
 UTR mutations Reduced translation efficiency Single-nucleotide substitution in ALL 
RNA Alternative splicing Selective TA function  
  Loss of TA function  
  May be related to chemotherapy response Δp53 probably p53β in AML 
   Truncated p53 (50 kDa) in PW B-cell lymphoma cells with BSO treatment 
  Selective TA function p53β, p53γ 
  Loss of function; stabilizes p53 Δ40p53 
  Inhibit p53 function Δ133p53α, Δ133p53γ 
 Alternative internal ribosome entry site Δ40p53 in H1299 cells  
 Translation efficiency  MDM2 impacts p53 translation and levels in H1299 cells 
 Suppressed translation by miRNAs miR-15a and miR-16-1 in CLL  
  miR-25 and miR-30d in MM cells  
  miR-125b in H1299 cells  
Protein Stability p53 degradation MTBP, TRIM28, TAF1, YY1, and p300 enhance MDM2-mediated degradation of p53 in H1299 or lymphoma cells 
   INK4/ARF proteolysis in BL cells 
   Gene silencing of p16 in BL cells 
 Functional inhibition of p53 TA  Loss of ASPP1 in ALL 
   Inhibition by MIF in mouse models 
   Inhibition by MDMX, PLK1, YY1, DJ-1, and APAK in H1299 
 Decreased activation  Post-translational modifications 
   ATM inactivation in CLL 
 Localization regulation   

LPL indicates lymphoplasmacytic lymphoma; OM, oncostatin M; LANA, latency-associated nuclear antigen; PEL, primary effusion lymphoma; and BSO, L-buthionine sulfoximine.

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