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BIOMARKER:

TP53 wild-type

i
Other names: TP53, Tumor Protein P53, Cellular Tumor Antigen P53, Phosphoprotein P53, Tumor Protein P53, Antigen NY-CO-13, Transformation-Related Protein 53, Mutant Tumor Protein 53, P53 Tumor Suppressor, Tumor Suppressor P53, Tumor Protein 53, BMFS5, TRP53, BCC7, LFS1
Entrez ID:
2d
Eprenetapopt in combination with carboplatin in high-grade ovarian and triple negative breast cancer cell lines with acquired resistance to olaparib. (PubMed, Front Oncol)
Combining eprenetapopt with carboplatin shows promising preclinical efficacy by enhancing cytotoxicity in olaparib-resistant models and demonstrating synergistic interaction; these data support the combination as a potential strategy to mitigate PARPi resistance and carboplatin cross-resistance in TP53 mutant HGSOC and TNBC cell lines. Although further studies are needed to elucidate the molecular mechanisms underlying the synergistic effect, here we point out the combination of eprenetapopt and carboplatin as a potential therapeutic strategy to address olaparib resistance in HGSOC and TNBC patients.
Preclinical • Journal • BRCA Biomarker • PARP Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • ANXA5 (Annexin A5)
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TP53 mutation • BRCA2 mutation • BRCA1 mutation • HRD • TP53 wild-type
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Lynparza (olaparib) • carboplatin • eprenetapopt (APR-246)
4d
Quizartinib-induced resistance drives clonal emergence of MV4-11 cells with molecular alterations enabling multidrug antileukemic escape. (PubMed, Eur J Pharmacol)
Functionally, MV4-11QR cells showed broad cross-resistance to clinically relevant agents, including midostaurin, venetoclax, and cytarabine. Importantly, pharmacological targeting of mutant p53 with eprenetapopt or MAPK signaling with trametinib restored sensitivity to quizartinib, inducing synergistic or additive cytotoxic effects and increased apoptosis. Together, these findings define a multilayered resistance program involving genetic, signaling, and metabolic adaptations and support rational combination strategies to overcome FLT3 inhibitor resistance in AML.
Journal
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TP53 (Tumor protein P53) • FLT3 (Fms-related tyrosine kinase 3)
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TP53 mutation • FLT3 mutation • TP53 wild-type
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Venclexta (venetoclax) • Mekinist (trametinib) • cytarabine • midostaurin • Vanflyta (quizartinib) • eprenetapopt (APR-246)
7d
Activity of PROTAC MDM2 degrader in primary leukemia cells and PDX models. (PubMed, Leukemia)
In PDX models, MD-265 was not toxic and prolonged survival. MD-265 is a potent and specific MDM2 degrader with broad pre-clinical activity and a promising drug candidate for the treatment of leukemias.
Journal
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MDM2 (E3 ubiquitin protein ligase) • CRBN (Cereblon)
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TP53 mutation • TP53 wild-type
9d
Extracranial Metastases in Glioblastoma, IDH-Wildtype: A Case Series. (PubMed, Diagnostics (Basel))
All patients underwent surgical resection followed by temozolomide-based chemoradiation; two received fotemustine and bevacizumab, and one underwent re-irradiation. EM can arise despite MGMT-promoter methylation in IDH-wildtype GBM. Imaging red flags (high perfusion, surface contact, necrotic/FDG-avid cervical nodes) and clinical cues (axial pain, cytopenias, neck masses) should prompt early systemic staging (CT/PET-CT) and targeted tissue confirmation to advance management.
Journal
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TP53 (Tumor protein P53) • MGMT (6-O-methylguanine-DNA methyltransferase) • TERT (Telomerase Reverse Transcriptase) • ATRX (ATRX Chromatin Remodeler) • GFAP (Glial Fibrillary Acidic Protein) • OLIG2 (Oligodendrocyte Transcription Factor 2)
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TP53 mutation • TP53 wild-type • MGMT promoter methylation • IDH wild-type
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Avastin (bevacizumab) • temozolomide • Muphoran (fotemustine)
10d
CLL1 polymeric nanoparticles loaded with PI3K/BRD4 dual inhibitor MDP5 and azacitidine as a novel treatment for TP53 mutated acute myeloid leukemia. (PubMed, Int J Pharm)
The CLL-1 targeted NPs loaded with MDP5 and AZA demonstrated superior AML control and targeting of LSCs in TP53-mutant mice models, while sparing normal hematopoiesis in healthy NSG mice. These promising results highlight a potential efficacy of our novel CLL-1 targeted NP combination approach to treat AML, particularly those harboring TP53 mutation.
Journal • IO biomarker
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TP53 (Tumor protein P53) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CDK6 (Cyclin-dependent kinase 6) • BRD4 (Bromodomain Containing 4)
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TP53 mutation • TP53 wild-type
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azacitidine
12d
Synthesis and evaluation of RG7388-based fluorinated MDM2 inhibitors for developing 18F-labeled probes for PET imaging. (PubMed, Eur J Med Chem)
[18F]1 showed favorable biodistribution characteristics in healthy mice, and preliminary PET/CT imaging studies revealed a higher uptake of [18F]1 in SJSA-1 xenografts compared to muscle at 1 h post-injection. Western blot analysis of SJSA-1 cells and immunohistochemical staining of SJSA-1 tumor sections confirmed high MDM2 expression and its localization in the nuclei of tumor cells, corroborating the PET imaging data.
Journal
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MDM2 (E3 ubiquitin protein ligase)
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TP53 wild-type
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idasanutlin (RG7388)
13d
ITGB4 up-regulated by STAT3 reduces the sensitivity of bladder cancer to cisplatin by suppressing p53. (PubMed, Br J Cancer)
ITGB4 is a key molecule influencing cisplatin sensitivity in p53 WT BC, and the combination of STAT3 inhibitors can enhance the antitumor effect of cisplatin.
Journal
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STAT3 (Signal Transducer And Activator Of Transcription 3) • ITGB4 (Integrin Subunit Beta 4)
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TP53 wild-type
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cisplatin
13d
SHAPE-ENDO: Multimodal Pre-Surgical Optimization in Patients With Obesity and Early-Stage Endometrial Cancer (clinicaltrials.gov)
P=N/A, N=82, Not yet recruiting, Hospital Universitari de Bellvitge | Trial completion date: Dec 2026 --> Sep 2028 | Initiation date: May 2026 --> Sep 2026 | Trial primary completion date: Jun 2026 --> May 2027
Trial completion date • Trial initiation date • Trial primary completion date
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TP53 wild-type
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megestrol
14d
Immunohistochemistry-based risk stratification of upper tract urothelial carcinoma. (PubMed, Front Oncol)
This IHC-based, biologically informed stratification identifies an occult aggressive subset within luminal tumors and complements routine pathology. The internally validated nomogram is exploratory given cohort composition and lack of external validation; multicenter validation is warranted.
Journal
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TP53 (Tumor protein P53) • FGFR3 (Fibroblast growth factor receptor 3) • GATA3 (GATA binding protein 3)
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TP53 wild-type
14d
Squamous Precursor Lesions of the Vulva: A Practical Approach. (PubMed, Dermatol Clin)
Accurate classification is essential, as prognosis, progression risk, and recurrence rates differ among subgroups. Diagnosis relies on integrated assessment of clinical presentation, histopathology, and immunophenotype, particularly p16 and p53 expression.
Review • Journal
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TP53 (Tumor protein P53)
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TP53 mutation • TP53 wild-type
17d
Tamoxifen differentially modulates endometrial hyperplasia via wild-type and mutant p53 regulation of the ALKBH5-REG1A axis. (PubMed, Front Oncol)
These findings establish a mechanistic link between hormonal signaling, p53 allelic status, and m6A-dependent post-transcriptional regulation. Although further in vivo validation is required, disruption of the ALKBH5-REG1A axis may contribute to heterogeneous endometrial responses to tamoxifen, thereby providing a conceptual framework for biomarker-oriented investigation.
Journal
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ER (Estrogen receptor) • TP53 (Tumor protein P53) • ALKBH5 (AlkB Homolog 5, RNA Demethylase) • REG1A (Lithostathine-1-alpha) • YTHDF2 (YTH N6-Methyladenosine RNA Binding Protein 2)
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TP53 mutation • ER positive • TP53 wild-type
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tamoxifen
17d
New P1/2 trial
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MUC16 (Mucin 16, Cell Surface Associated)
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TP53 wild-type