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Rakotopare J, Toledo F. p53 in the Molecular Circuitry of Bone Marrow Failure Syndromes. Int J Mol Sci 2023; 24:14940. [PMID: 37834388 PMCID: PMC10573108 DOI: 10.3390/ijms241914940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 10/15/2023] Open
Abstract
Mice with a constitutive increase in p53 activity exhibited features of dyskeratosis congenita (DC), a bone marrow failure syndrome (BMFS) caused by defective telomere maintenance. Further studies confirmed, in humans and mice, that germline mutations affecting TP53 or its regulator MDM4 may cause short telomeres and alter hematopoiesis, but also revealed features of Diamond-Blackfan anemia (DBA) or Fanconi anemia (FA), two BMFSs, respectively, caused by defects in ribosomal function or DNA repair. p53 downregulates several genes mutated in DC, either by binding to promoter sequences (DKC1) or indirectly via the DREAM repressor complex (RTEL1, DCLRE1B), and the p53-DREAM pathway represses 22 additional telomere-related genes. Interestingly, mutations in any DC-causal gene will cause telomere dysfunction and subsequent p53 activation to further promote the repression of p53-DREAM targets. Similarly, ribosomal dysfunction and DNA lesions cause p53 activation, and p53-DREAM targets include the DBA-causal gene TSR2, at least 9 FA-causal genes, and 38 other genes affecting ribosomes or the FA pathway. Furthermore, patients with BMFSs may exhibit brain abnormalities, and p53-DREAM represses 16 genes mutated in microcephaly or cerebellar hypoplasia. In sum, positive feedback loops and the repertoire of p53-DREAM targets likely contribute to partial phenotypic overlaps between BMFSs of distinct molecular origins.
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Affiliation(s)
- Jeanne Rakotopare
- Genetics of Tumor Suppression, Institut Curie, CEDEX 05, 75248 Paris, France;
- CNRS UMR3244, 75005 Paris, France
- Faculty of Science and Engineering, Sorbonne University, 75005 Paris, France
- Institut Curie, PSL Research University, 75005 Paris, France
| | - Franck Toledo
- Genetics of Tumor Suppression, Institut Curie, CEDEX 05, 75248 Paris, France;
- CNRS UMR3244, 75005 Paris, France
- Faculty of Science and Engineering, Sorbonne University, 75005 Paris, France
- Institut Curie, PSL Research University, 75005 Paris, France
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Toufektchan E, Lejour V, Durand R, Giri N, Draskovic I, Bardot B, Laplante P, Jaber S, Alter BP, Londono-Vallejo JA, Savage SA, Toledo F. Germline mutation of MDM4, a major p53 regulator, in a familial syndrome of defective telomere maintenance. SCIENCE ADVANCES 2020; 6:eaay3511. [PMID: 32300648 PMCID: PMC7148086 DOI: 10.1126/sciadv.aay3511] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 01/16/2020] [Indexed: 05/08/2023]
Abstract
Dyskeratosis congenita is a cancer-prone inherited bone marrow failure syndrome caused by telomere dysfunction. A mouse model recently suggested that p53 regulates telomere metabolism, but the clinical relevance of this finding remained uncertain. Here, a germline missense mutation of MDM4, a negative regulator of p53, was found in a family with features suggestive of dyskeratosis congenita, e.g., bone marrow hypocellularity, short telomeres, tongue squamous cell carcinoma, and acute myeloid leukemia. Using a mouse model, we show that this mutation (p.T454M) leads to increased p53 activity, decreased telomere length, and bone marrow failure. Variations in p53 activity markedly altered the phenotype of Mdm4 mutant mice, suggesting an explanation for the variable expressivity of disease symptoms in the family. Our data indicate that a germline activation of the p53 pathway may cause telomere dysfunction and point to polymorphisms affecting this pathway as potential genetic modifiers of telomere biology and bone marrow function.
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Affiliation(s)
- Eléonore Toufektchan
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Vincent Lejour
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Romane Durand
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Neelam Giri
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA
| | - Irena Draskovic
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
- Telomeres and Cancer, Institut Curie, Paris, France
| | - Boris Bardot
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Pierre Laplante
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Sara Jaber
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
| | - Blanche P. Alter
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA
| | - José-Arturo Londono-Vallejo
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
- Telomeres and Cancer, Institut Curie, Paris, France
| | - Sharon A. Savage
- Clinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA
| | - Franck Toledo
- Genetics of Tumor Suppression, Institut Curie, Paris, France
- CNRS UMR 3244, Paris, France
- Sorbonne Université, Paris, France
- PSL Research University, Paris, France
- Corresponding author.
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