2019
DOI: 10.1073/pnas.1909550116
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Transient enhancement of p53 activity protects from radiation-induced gastrointestinal toxicity

Abstract: Gastrointestinal (GI) syndrome is a serious side effect and dose-limiting toxicity observed in patients undergoing lower-abdominal radiotherapy. Previous mouse studies show that p53 gene dosage determines susceptibility to GI syndrome development. However, the translational relevance of p53 activity has not been addressed. Here, we used a knock-in mouse in which the p53–Mdm2 negative feedback loop is genetically disrupted. These mice retain biallelic p53 and thus, normal basal p53 levels and activity. However,… Show more

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Cited by 22 publications
(25 citation statements)
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“…In summary, our results provide novel insight into a long-standing question in radiation biology: how does the tumor suppressor p53 suppress the development of the radiation-induced GI syndrome? 8,[20][21][22] Our results indicate that transient activation of p53 after irradiation is necessary to promote the emergence of revSCs. We demonstrate that Clu+ revSCs contribute to a significant fraction of regenerating epithelial crypts during the radiation-induced GI syndrome and the revSCs have also been previously shown to increase animal survival following gut damage 5 .…”
Section: Main Textmentioning
confidence: 62%
“…In summary, our results provide novel insight into a long-standing question in radiation biology: how does the tumor suppressor p53 suppress the development of the radiation-induced GI syndrome? 8,[20][21][22] Our results indicate that transient activation of p53 after irradiation is necessary to promote the emergence of revSCs. We demonstrate that Clu+ revSCs contribute to a significant fraction of regenerating epithelial crypts during the radiation-induced GI syndrome and the revSCs have also been previously shown to increase animal survival following gut damage 5 .…”
Section: Main Textmentioning
confidence: 62%
“…We previously reported 5-chloro-8-quinolinol as a modulator of p53 transactivation that effectively inhibits the GI syndrome through the induction of p21. Others demonstrated similar results by using RG7112, a chemical compound that activates p53-p21 pathway through the inhibition of p53-Mdm2 interaction [26]. Considering the fact that isorhamnetin moderately inhibited p53-p21 pathway in irradiated MOLT-4 cells, it would exert the suppressive effect against GI death independent of p53.…”
Section: Discussionmentioning
confidence: 70%
“…Similarly, previous studies found a significant decrease in p53 expression at 8 Gy radiation dose, supporting the present investigation [ 41 ]. Pretreatment with L-NAT to irradiated Neuro2a cells led to enhanced p53 expression as compared to irradiated cells (1.29 fold; p <0.05; Figures 11(c) , 11(f) and 11(g) ), further justified a prominent role of p53 in DNA repair and cell cycle arrest, which provides crucial time for the activation of various DNA-repair systems [ 46 , 47 ]. Pretreatment with L-NAT to irradiated Neuro2a cells showed a significant reduction in DNA damage compared to irradiated cells in the comet assay and a decrease in γ -H2aX protein expression that may correlate with an increase in p53 activity ( Figure 5(b) and 11(b) – 11(c) ).…”
Section: Discussionmentioning
confidence: 97%