Anyone else heard of p53 gene?

hi guys,

Right, in a nutshell- my mum had BC @ 48, left breast grade 3 with a WLE and non- hormone related. Two years later ME aged 27 gets BC, left breast, grade 3 with a WLE. we both hade the same chemo (6x FEC) followed by 33 sessions of rads. I finished in Nov 2007.
No family history of BC from grandmas or auntie this was very suprising. I got diagnosed at 27, so soon after my mum two years before. We went for genetic testing in October last year. I received a letter from genetics the other day and GREAT they could not find an alteration in my genes, which means it may not be passed on through my mum to me or to my children. Great you would think but it seems such a very strange coinsidence or VERY bad luck???
Anyway the letter explained they can test for further alteration gene called p53. i have agreat aunti who had a type of cancer and unfortunately had to have her leg amputated (this was about 15 years age). She lives abroad. they would like her to consent too giving access to medical details. So will be looking into that.
Was just wondering if anyone else had heard of p53 gene or has any help/ advice.
feedback appreciated in advance.

Kind Regards

N xxx

Hi Nadia

The specialist nurses on our helpline would be happy to help with your query about the p53 gene, the helpine is open Mon-Fri 9am-5pm and Sat 9am-2pm on 0808 800 6000. Alternatively you can use our ‘Ask the Nurse’ service whereby you can email your query in to the team, you will find this service under the ‘Support for you’ tab at the top of this page.

Best wishes
Katie

Hi Nadia

I am so sorry about your mum and yourself and hope you are keeping well.

I have never heard of p53 but just looked on the internet and found this:

The p53 gene like the Rb gene, is a tumor suppressor gene, i.e., its activity stops the formation of tumors. If a person inherits only one functional copy of the p53 gene from their parents, they are predisposed to cancer and usually develop several independent tumors in a variety of tissues in early adulthood. This condition is rare, and is known as Li-Fraumeni syndrome. However, mutations in p53 are found in most tumor types, and so contribute to the complex network of molecular events leading to tumor formation.

Hope this helps a bit.

katie xx

Hi guys, thank you for your replies, i know its a complicated one.

katie (facilitator) Thank you for your reply, i may try to cal the recommended number.

Katie- thank you for your reply and doing a little research on my behalf. I will just send of the forms and pray all is ok.

Thanks again

Nadia xx

You’re welcome just wish I could help more.

Good luck with that and let us know how you get on.

Katie xx

Hi Nadia

I am a carrier of the deformed p53 gene - it’s a condition called Li-Fraumeni Syndrome.

It’s very rare so I wouldn’t stress too much about it all - I presume you’ve been tested for the main gene issue (BRCA1 &2) and have got no problems there.

Give me a shout if you want any further info

xxxx

hi nadia

i think i am being tested for the p53 gene and also a t somethin gene? still waitin to hear its been nearly a year now since they asked me if they could test for this. I have been tested for braca1 and 2 and dont have either.

i have a strong family link, my mum dx aged 34, my mums sis dx 43, my dads twin sis aged 44ish, my dads other sis aged 45ish, and me at 29. im now 34 nearly 35 next month and have had cancer so many times since! it bores me now! lol! (initial dx 03, with a recurrence in 05, and twice in 07! currently stable which is fab and no growth in my last scan. fit and healthy tho and work 4 days a week - but it would be nice to know about what causes it!!! if its not brac1 or 2! anyway i will email the gene lady and ask if any news you have me intrigued now about my own test results…

sorry not much help!

:slight_smile: xx

ps. all relatives alive and well - except my aunt (dads twin), and my mum is now 58! so she has done great! :slight_smile: but it is intriguin to know what happens and which side i have the bad gene from!!!

Hi guys,
I have not been here for a while,
Poannie, thankyou for your reply, every little helps

zippy, On my God1 you really have been through the works, no wonder you want to get to the bottom of this! You sound well. Glad to hear you family are all well.
i to am still waiting for p%£ results, there is some history od C on my mums side,but they all seem older when they get it??
It is sooo odd. I was dx just 2 years after my mum, same symptoms, same grade, same chemo treatment. WEIRD!!!

keep posted about any news.
Godbless you and I pray for only good news for ya

Nadia xx

nadia -
I looked up my trusty friend, the Artemis database of John Hopkins in the US. There was a scholarly article in March 2003 (old I know, but there you are), that states:

New Insights Regarding the Tumor-Suppressor Gene P53

Cancer researchers have known that the tumor-suppressor gene p53 is critical in preventing cells from dividing inappropriately and becoming tumors. But now, researchers at Fox Chase Cancer Center in Philadelphia, Pa. have established that the ability of the p53 gene to perform its job depends on the type of p53 within each cell.

This and another new finding about p53, published in the journal Nature Genetics, have implications for tailoring chemotherapy, designing new cancer treatments, and understanding how to treat cancer in certain populations.

“The existence of two variants, or polymorphisms, of p53 isn’t new, but we’ve discovered that the variant type in each cell can influence its tumor-suppressor ability,” explains senior author Maureen Murphy, Ph.D., a molecular biologist in the pharmacology department of Fox Chase.

When functioning properly, p53 polices cells for problems such as errant cellular growth, the hallmark of human cancer. If such harmful factors are present, p53 triggers the process of programmed cell death (known as apoptosis)-in effect, causing the “bad” cells to self-destruct. Alterations, or mutations, in this gene have been found in more than 60 percent of human cancers.

Murphy and her colleagues have known about the two p53 variants, but how the differences affect p53’s ability to suppress tumor development was not previously understood until now.

“People have one form or another of p53,” says Murphy. "The p53 variant containing the amino acid called arginine is better at killing out-of-control cells. The other p53 variant with the amino acid proline is less capable of stopping errant cells. When we asked if the two forms might function differently, the answer was a resounding yes.

“In terms of treating cancer, patients could potentially be typed for the kind of p53 they have, some day allowing physicians to tailor their therapy. If a patient has the arginine p53, which kills cells better, relatively less drugs might be needed for that person’s body to kill tumor cells. If another patient has the proline form, which is less active, relatively more drugs may be needed to fight the tumor.”

Although p53 variants have not received much attention from the biomedical community until now, epidemiologists have known that the proline form has an enhanced frequency in African Americans. This variant, which is less likely to set off programmed cell death, is more frequent in populations who live closer to the equator and have darker skin color. As a result, “p53 variants seem to differ according to ethnicity, and that might have implications for cancer treatment in different populations,” says Murphy.

The published research also redefines the function of p53. The p53 protein normally resides in the nucleus, and the way scientists have hypothesized its control of cell death is that it “turns on” the proteins that tell a cell to die or “turns off” the proteins that tell a cell to live. When the researchers couldn’t find a difference between the two forms with regard to activity inside the nucleus, they turned their attention to a little-studied area of p53 activity outside the nucleus-in the mitochondria, the energy storehouse of the cell.

“We looked at this and found a dramatic difference between the two forms,” recalls Murphy. They found that the arginine form, which is more efficient at killing cells, travels out of the nucleus better and into the mitochondria, where p53 functions to kill the cell.

Murphy adds, “Not only did we find a common polymorphism that influences tumor suppression, we also found that this seemingly obscure activity is at the center of how this protein kills cells.”

By bringing the mitochondrial pathway of cell death to the forefront of research, the investigators suggest that drugs could be designed to put p53 directly into the mitochondria or enable the cell to put it there. In the paper, they begin to test this hypothesis. They showed that if a drug is administered that prevents p53 from going to the mitochondria, then it inhibits the ability of p53 to kill a cell. Future efforts will focus on identifying drugs that enhance the ability of p53 to go to the mitochondria.

SOURCES:
Nature Genetics, February 3, 2003 (online), March 2003 (print)
Fox Chase Cancer Center (fccc.edu)

hope this helps and doesn’t muddle things. I hope all of this is turning out better for you and your mum. You are in my thoughts, as are all of the wonderful women on this site.

hugs
Emily
xxx