PMID- 31052524 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 11 IP - 5 DP - 2019 May 2 TI - Mutant p53 and Cellular Stress Pathways: A Criminal Alliance That Promotes Cancer Progression. LID - 10.3390/cancers11050614 [doi] LID - 614 AB - The capability of cancer cells to manage stress induced by hypoxia, nutrient shortage, acidosis, redox imbalance, loss of calcium homeostasis and exposure to drugs is a key factor to ensure cancer survival and chemoresistance. Among the protective mechanisms utilized by cancer cells to cope with stress a pivotal role is played by the activation of heat shock proteins (HSP) response, anti-oxidant response induced by nuclear factor erythroid 2-related factor 2 (NRF2), the hypoxia-inducible factor-1 (HIF-1), the unfolded protein response (UPR) and autophagy, cellular processes strictly interconnected. However, depending on the type, intensity or duration of cellular stress, the balance between pro-survival and pro-death pathways may change, and cell survival may be shifted into cell death. Mutations of p53 (mutp53), occurring in more than 50% of human cancers, may confer oncogenic gain-of-function (GOF) to the protein, mainly due to its stabilization and interaction with the above reported cellular pathways that help cancer cells to adapt to stress. This review will focus on the interplay of mutp53 with HSPs, NRF2, UPR, and autophagy and discuss how the manipulation of these interconnected processes may tip the balance towards cell death or survival, particularly in response to therapies. FAU - D'Orazi, Gabriella AU - D'Orazi G AUID- ORCID: 0000-0001-6876-9105 AD - Department of Medical Sciences, University 'G. d'Annunzio', 66013 Chieti, Italy. gdorazi@unich.it. AD - Department of Research, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy. gdorazi@unich.it. FAU - Cirone, Mara AU - Cirone M AUID- ORCID: 0000-0002-2207-9624 AD - Department of Experimental Medicine, "Sapienza" University of Rome, 00185 Rome, Italy. mara.cirone@uniroma1.it. AD - Laboratory Affiliated to Pasteur Institute, Italy-Foundation Cenci Bolognetti, 00161 Rome, Italy. mara.cirone@uniroma1.it. LA - eng GR - IG11377, IG16742/Associazione Italiana per la Ricerca sul Cancro/ GR - 2018/Fondi Ateneo ex 60%,University "G. d'Annunzio"/ GR - 2014-033-R.O./ASI (Agenzia Spaziale Italiana)/ GR - 2018/Pasteur Insitute-Italia Fondazione Cenci-Bolognett/ GR - N degrees C26A15CX3M/Fondi Ateneo, University Sapienza, Ricerche Universitarie/ PT - Journal Article PT - Review DEP - 20190502 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC6563084 OTO - NOTNLM OT - anticancer therapy OT - antioxidant response OT - autophagy OT - endoplasmic reticulum (ER) stress OT - gain-of-function (GOF) OT - heat shock protein (HSP) OT - hypoxia-inducible factor 1 (HIF-1) OT - mutant p53 (mutp53) OT - nuclear factor erythroid 2-related factor 2 (NRF2) OT - unfolded protein response (UPR) COIS- The authors declare no conflict of interest. EDAT- 2019/05/06 06:00 MHDA- 2019/05/06 06:01 PMCR- 2019/05/02 CRDT- 2019/05/05 06:00 PHST- 2019/04/16 00:00 [received] PHST- 2019/04/27 00:00 [revised] PHST- 2019/05/01 00:00 [accepted] PHST- 2019/05/05 06:00 [entrez] PHST- 2019/05/06 06:00 [pubmed] PHST- 2019/05/06 06:01 [medline] PHST- 2019/05/02 00:00 [pmc-release] AID - cancers11050614 [pii] AID - cancers-11-00614 [pii] AID - 10.3390/cancers11050614 [doi] PST - epublish SO - Cancers (Basel). 2019 May 2;11(5):614. doi: 10.3390/cancers11050614.