CDKN1A

gene
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Also known as P21CIP1WAF1SDI1CAP20p21CIP1p21Cip1/Waf1

Summary

CDKN1A (cyclin dependent kinase inhibitor 1A, HGNC:1784) is a protein-coding gene on chromosome 6p21.2, encoding Cyclin-dependent kinase inhibitor 1 (P38936). Plays an important role in controlling cell cycle progression and DNA damage-induced G2 arrest. In precision oncology, CDKN1A EXPRESSION is associated with resistance to Fluorouracil in Colorectal Cancer (CIViC Level B).

This gene encodes a potent cyclin-dependent kinase inhibitor. The encoded protein binds to and inhibits the activity of cyclin-cyclin-dependent kinase2 or -cyclin-dependent kinase4 complexes, and thus functions as a regulator of cell cycle progression at G1. The expression of this gene is tightly controlled by the tumor suppressor protein p53, through which this protein mediates the p53-dependent cell cycle G1 phase arrest in response to a variety of stress stimuli. This protein can interact with proliferating cell nuclear antigen, a DNA polymerase accessory factor, and plays a regulatory role in S phase DNA replication and DNA damage repair. This protein was reported to be specifically cleaved by CASP3-like caspases, which thus leads to a dramatic activation of cyclin-dependent kinase2, and may be instrumental in the execution of apoptosis following caspase activation. Mice that lack this gene have the ability to regenerate damaged or missing tissue. Multiple alternatively spliced variants have been found for this gene.

Source: NCBI Gene 1026 — RefSeq curated summary.

At a glance

  • Clinical variants (ClinVar): 47 total — 1 pathogenic
  • Druggable target: yes
  • Precision-oncology evidence (CIViC): 1 curated variant–drug association
  • Cancer driver (intOGen): loss-of-function (tumor-suppressor-like) across 3 cancer types
  • MANE Select transcript: NM_000389

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:1784
Approved symbolCDKN1A
Namecyclin dependent kinase inhibitor 1A
Location6p21.2
Locus typegene with protein product
StatusApproved
AliasesP21, CIP1, WAF1, SDI1, CAP20, p21CIP1, p21Cip1/Waf1, p21
Ensembl geneENSG00000124762
Ensembl biotypeprotein_coding
OMIM116899
Entrez1026

Gene structure

Transcript identifiers

Ensembl transcripts: 39 — 36 protein_coding, 3 protein_coding_CDS_not_defined

ENST00000244741, ENST00000373711, ENST00000405375, ENST00000448526, ENST00000459970, ENST00000462537, ENST00000478800, ENST00000615513, ENST00000864199, ENST00000864200, ENST00000864201, ENST00000864202, ENST00000864203, ENST00000864204, ENST00000864205, ENST00000864206, ENST00000864207, ENST00000911804, ENST00000911805, ENST00000911806, ENST00000911807, ENST00000911808, ENST00000911809, ENST00000911810, ENST00000911811, ENST00000911812, ENST00000943104, ENST00000943105, ENST00000943106, ENST00000943107, ENST00000943108, ENST00000943109, ENST00000943110, ENST00000943111, ENST00000943112, ENST00000943113, ENST00000943114, ENST00000943115, ENST00000943116

RefSeq mRNA: 10 — MANE Select: NM_000389 NM_000389, NM_001220777, NM_001220778, NM_001291549, NM_001374509, NM_001374510, NM_001374511, NM_001374512, NM_001374513, NM_078467

CCDS: CCDS4824

Canonical transcript exons

ENST00000244741 — 3 exons

ExonStartEnd
ENSE000016476733667871436678798
ENSE000019528533668575136687332
ENSE000037470873668409736684546

Expression profiles

Bgee: expression breadth ubiquitous, 297 present calls, max score 99.16.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 441.6642 / max 5721.9343, expressed in 1821 samples.

FANTOM5 promoters (6 alternative TSS)

Promoter IDTPM avgSamples expressed
67533436.55501819
675343.52401464
675290.8121534
675300.6007322
675280.123949
675310.048512

Top tissues by expression

300 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
stromal cell of endometriumCL:000225599.16gold quality
mucosa of stomachUBERON:000119999.14gold quality
vena cavaUBERON:000408799.11gold quality
left uterine tubeUBERON:000130398.98gold quality
type B pancreatic cellCL:000016998.96gold quality
ascending aortaUBERON:000149698.94gold quality
thoracic aortaUBERON:000151598.90gold quality
aortaUBERON:000094798.82gold quality
saphenous veinUBERON:000731898.81gold quality
popliteal arteryUBERON:000225098.78gold quality
tibial arteryUBERON:000761098.78gold quality
descending thoracic aortaUBERON:000234598.73gold quality
mucosa of urinary bladderUBERON:000125998.71gold quality
skin of abdomenUBERON:000141698.61gold quality
gall bladderUBERON:000211098.58gold quality
lower esophagus mucosaUBERON:003583498.57gold quality
pericardiumUBERON:000240798.45gold quality
nippleUBERON:000203098.44gold quality
omental fat padUBERON:001041498.44gold quality
left ovaryUBERON:000211998.42gold quality
peritoneumUBERON:000235898.41gold quality
right ovaryUBERON:000211898.40gold quality
cervix squamous epitheliumUBERON:000692298.40gold quality
mucosa of transverse colonUBERON:000499198.26gold quality
skin of legUBERON:000151198.23gold quality
islet of LangerhansUBERON:000000698.01gold quality
coronary arteryUBERON:000162197.96gold quality
left coronary arteryUBERON:000162697.96gold quality
ectocervixUBERON:001224997.93gold quality
olfactory bulbUBERON:000226497.81silver quality

Single-cell (SCXA)

Detected in 17 experiment(s), a significant marker in 12.

ExperimentMarker?Max mean expression
E-GEOD-93593yes3702.38
E-GEOD-106540yes2091.71
E-MTAB-8498yes1275.53
E-MTAB-8530yes753.63
E-MTAB-10485yes742.48
E-MTAB-8205yes409.71
E-MTAB-6911yes398.46
E-CURD-46yes17.49
E-HCAD-10yes13.64
E-MTAB-9467yes12.45
E-MTAB-10553yes6.26
E-GEOD-99795no3696.40
E-MTAB-10137no1942.08
E-CURD-10no486.02
E-MTAB-9689no393.73

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

3 targets.

TargetRegulation
CDC25ARepression
DNMT1Repression
MYCRepression

Upstream regulators (CollecTRI, top): AATF, ABL1, AHR, AP1, APEX1, AR, ARID1A, ARID3A, ARNT, ATF2, ATF3, ATM, BCCIP, BCL11B, BCL6, BHLHA15, BMAL1, BRCA1, CBX8, CDX2, CEBPA, CEBPB, CEBPG, CEBPZ, CREB1, CREBBP, CTCF, CTNNB1, CTNNBL1, CUX1, DDIT3, DDX5, DLX2, DMAP1, DMTF1, DNMT1, DNMT3A, DRAM2, E2F1, E2F2

miRNA regulators (miRDB)

99 targeting CDKN1A, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4283100.0066.422097
HSA-MIR-5692A100.0074.406850
HSA-MIR-6758-5P100.0066.211470
HSA-MIR-450099.9972.722367
HSA-MIR-453199.9969.703181
HSA-MIR-513B-5P99.9969.962150
HSA-LET-7A-5P99.9872.291790
HSA-LET-7B-5P99.9872.311790
HSA-LET-7C-5P99.9872.291790
HSA-LET-7E-5P99.9872.291790
HSA-LET-7F-5P99.9872.561784
HSA-LET-7G-5P99.9872.371784
HSA-LET-7I-5P99.9872.371788
HSA-MIR-98-5P99.9872.331787
HSA-MIR-6825-5P99.9669.813431
HSA-MIR-448799.9664.581252
HSA-LET-7D-5P99.9671.761632
HSA-MIR-445899.9671.641650
HSA-MIR-3682-5P99.9367.971163
HSA-MIR-106A-5P99.9073.942683
HSA-MIR-17-5P99.8973.832665
HSA-MIR-106B-5P99.8874.722795
HSA-MIR-20A-5P99.8874.762769
HSA-MIR-526B-3P99.8874.062587
HSA-MIR-20B-5P99.8874.012621
HSA-MIR-519D-3P99.8873.972607
HSA-MIR-93-5P99.8873.982606
HSA-MIR-6780A-5P99.8866.692776
HSA-MIR-4728-5P99.8569.394718
HSA-MIR-3663-3P99.8470.39798

Literature-anchored findings (GeneRIF, showing 40)

  • expression is related to apoptosis in thymus (PMID:11642719)
  • p21CIP1/WAF1 was able to repress the immortal phenotype. CDKIs mediate growth arrest in human osteosarcoma cell lines and provides further evidence of the existence of molecular links between cellular mortality and immortality. (PMID:11695244)
  • tested for inhibition of Plasmodium falciparum cyclin dependent protein kinases (PMID:11700040)
  • In the ovarian cancer cell lines studied, cell growth was inhibited after transfection with p16(INK4a), p21(WAF1/Cip-1), and p53. (PMID:11733969)
  • Cdk4 activity does correlate with changes in the level of the Cdk inhibitor p21(WAF1/Cip1 (PMID:11741909)
  • induced after DNA damage and plays a role in cell survival (PMID:11748297)
  • Overexpression of p21(WAF1/CIP1) is an early event in the development of pancreatic intraepithelial neoplasia. (PMID:11751405)
  • The ability of p21(Cip1) to inhibit cyclin D1 nuclear export correlates with its ability to bind to Thr-286-phosphorylated cyclin D1 and thereby prevents cyclin D1.CRM1 association (PMID:11751903)
  • phosphorylation by AKT/PKB enhances protein stability and promotes cell survival (PMID:11756412)
  • expression inhibited by Hepatitis C virus core protein (PMID:11762751)
  • expression in normal, hyperplastic and carcinomatous human prostate (PMID:11781193)
  • Loss of the p21(Cip1/Waf1) cyclin kinase inhibitor results in propagation of horizontally transferred DNA. (PMID:11809712)
  • hinge region of the human papillomavirus type 8 E2 protein activates the human p21(WAF1/CIP1) promoter via interaction with Sp1 (PMID:11842244)
  • The expression of p21(WAF1/CIP1) was higher in the skin of arsenic intoxication than in controls. (PMID:11860939)
  • We investigated three common sequence variants in TP53 and p21 for possible associations with the risk of breast cancer and with various phenotypic features of this disease (PMID:11872638)
  • Inhibition of bone marrow stem cell proliferation by retinol was mediated by the up-regulation of cyclin-dependent kinase inhibitors, p21(Cip1) and p27(Kip1). (PMID:11877274)
  • The onset of ATRA-induced G(0)/G(1) arrest of U-937 cells is linked to an increase in p21(WAF1/CIP1) expression. (PMID:11877298)
  • Role of p21 in apoptosis and senescence of human colon cancer cells treated with camptothecin (PMID:11877436)
  • Specific inhibition of p21(Waf1/Cip1) protein with the antisense oligodeoxynucleotide markedly reduces the production and secretion of the matrix proteins fibronectin and laminin, both in the presence and absence of TGF-beta stimulation. (PMID:11882322)
  • Early induction of CDKN1A (p21) and GADD45 mRNA by a low dose of ionizing radiation is due to their dose-dependent post-transcriptional regulation (PMID:11893252)
  • REVIEW: gene expression regulation and role of CDK inhibitor P21 in cell survival and cell cycle control in early hematopoiesis. (PMID:11908736)
  • Expression of p21WAF1 is dependent on the activation of ERK during vitamin E-succinate-induced monocytic differentiation. (PMID:11911463)
  • Negative regulation of cell growth and differentiation by TSG101 through association with p21(Cip1/WAF1). (PMID:11943869)
  • cyclooxygenase-2 inhibitor induces G0/G1 cell cycle arrest in NA cells by upregulation of p21 (PMID:11953864)
  • expression in pelvic lymph nodes and primary tumors in early stage cervical carcinomas (PMID:11956602)
  • Correlation of p21 gene codon 31 polymorphism and TNF-alpha gene polymorphism with nasopharyngeal carcinoma. (PMID:11968052)
  • Results suggest that p21(Cip/WAF1) and cyclin D1 induction may result from the activation of the ERK and PI-3 kinase pathways. (PMID:11989975)
  • A strong inhibition of cell proliferation was observed in K562-p21(WAF1) cell as compared with that of the control, and the cell number in G(0)/G(1) phase was remarkably increased. (PMID:12015083)
  • interferon-alpha exerts antitumor effects by increased p21 expression in neuroendocrine tumors (PMID:12025230)
  • Review of the influence of histone acetylation and DNA methylation on p21(WAF1) transcription, and affection of pathways or factors associated such as p 53, E2A, Sp1 as well as several histone deacetylation inhibitors. (PMID:12046058)
  • Cell attachment to the extracellular matrix induces proteasomal degradation of p21(CIP1) via Cdc42/Rac1 signaling (P21CIP1) (PMID:12052868)
  • H(2)O(2)-induced AP-1 activation and its effect on p21(WAF1/CIP1)-mediated G2/M arrest in a p53-deficient human lung cancer cell. (PMID:12054510)
  • Identification of the regulatory region required for ubiquitination of the cyclin kinase inhibitor, p21. (PMID:12054572)
  • Oxidized low density lipoprotein induces the cyclin-dependent kinase inhibitor p21(waf1) and the tumor suppressor Rb. (PMID:12054658)
  • results suggested that p21 is up-regulated by the stress of inflammation and fibrosis in hepatitis C virus (HCV)-associated chronic liver diseases and that high p21 expression might be related to hepatocarcinogenesis in cirrhotic patients (PMID:12055678)
  • stabilization by phosphorylation influenzed by protein kinase p38 alpha and JNK1 (PMID:12058028)
  • p21/WAF1 expression associated with endocrine activity in pituitary adenomas; tumors expressing cytoplasmic p21/WAF1 may have resistance to DNA-damaging agents such as ionizing radiation (PMID:12111504)
  • P27Kip1 immunoreactivity is higher in male breast cancers compared with female breast cancers. (PMID:12123335)
  • transcriptional regulation of p21 CIP1 WAF1 controls p53 independent ovarian cancer apoptosis (PMID:12138103)
  • C/EBPalpha is essential for p21-mediated inhibition of G1 to S-phase progression by RAP in KSHV-infected host cells (PMID:12145325)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_reriocdkn1aENSDARG00000076554
mus_musculusCdkn1aENSMUSG00000023067
rattus_norvegicusCdkn1aENSRNOG00000000521

Paralogs (2): CDKN1B (ENSG00000111276), CDKN1C (ENSG00000129757)

Protein

Protein identifiers

Cyclin-dependent kinase inhibitor 1P38936 (reviewed: P38936)

Alternative names: CDK-interacting protein 1, Melanoma differentiation-associated protein 6, p21

All UniProt accessions (1): P38936

UniProt curated annotations — full annotation on UniProt →

Function. Plays an important role in controlling cell cycle progression and DNA damage-induced G2 arrest. Involved in p53/TP53 mediated inhibition of cellular proliferation in response to DNA damage. Also involved in p53-independent DNA damage-induced G2 arrest mediated by CREB3L1 in astrocytes and osteoblasts. Binds to and inhibits cyclin-dependent kinase activity, preventing phosphorylation of critical cyclin-dependent kinase substrates and blocking cell cycle progression. Functions in the nuclear localization and assembly of cyclin D-CDK4 complex and promotes its kinase activity towards RB1. At higher stoichiometric ratios, inhibits the kinase activity of the cyclin D-CDK4 complex. Inhibits DNA synthesis by DNA polymerase delta by competing with POLD3 for PCNA binding. Negatively regulates the CDK4- and CDK6-driven phosphorylation of RB1 in keratinocytes, thereby resulting in the release of E2F1 and subsequent transcription of E2F1-driven G1/S phase promoting genes.

Subunit / interactions. Interacts with HDAC1; the interaction is prevented by competitive binding of C10orf90/FATS to HDAC1 facilitating acetylation and protein stabilization of CDKN1A/p21. Interacts with MKRN1. Interacts with PSMA3. Interacts with PCNA. Component of the ternary complex, cyclin D-CDK4-CDKN1A. Interacts (via its N-terminal domain) with CDK4; the interaction promotes the assembly of the cyclin D-CDK4 complex, its nuclear translocation and promotes the cyclin D-dependent enzyme activity of CDK4. Binding to CDK2 leads to CDK2/cyclin E inactivation at the G1-S phase DNA damage checkpoint, thereby arresting cells at the G1-S transition during DNA repair. Interacts with PIM1. Interacts with STK11 and NUAK1. Interacts wih DTL. Interacts with isoform 1 and isoform 2 of TRIM39. Interacts with PKP3; the interaction sequesters CDKN1A to the cytoplasm thereby repressing its role as an inhibitor of CDK4- and CDK6-driven RB1 phosphorylation.

Subcellular location. Cytoplasm. Nucleus.

Tissue specificity. Expressed in all adult tissues, with 5-fold lower levels observed in the brain.

Post-translational modifications. Phosphorylation of Thr-145 by Akt or of Ser-146 by PKC impairs binding to PCNA. Phosphorylation at Ser-114 by GSK3-beta enhances ubiquitination by the DCX(DTL) complex. Phosphorylation of Thr-145 by PIM2 enhances CDKN1A stability and inhibits cell proliferation. Phosphorylation of Thr-145 by PIM1 results in the relocation of CDKN1A to the cytoplasm and enhanced CDKN1A protein stability. UV radiation-induced phosphorylation at Thr-80 by LKB1 and at Ser-146 by NUAK1 leads to its degradation. Ubiquitinated by MKRN1; leading to polyubiquitination and 26S proteasome-dependent degradation. Ubiquitinated by the DCX(DTL) complex, also named CRL4(CDT2) complex, leading to its degradation during S phase or following UV irradiation. Ubiquitination by the DCX(DTL) complex is essential to control replication licensing and is PCNA-dependent: interacts with PCNA via its PIP-box, while the presence of the containing the ‘K+4’ motif in the PIP box, recruit the DCX(DTL) complex, leading to its degradation. Ubiquitination at Ser-2 leads to degradation by the proteasome pathway. Ubiquitinated by RNF114; leading to proteasomal degradation. Acetylation leads to protein stability. Acetylated in vitro on Lys-141, Lys-154, Lys-161 and Lys-163. Deacetylation by HDAC1 is prevented by competitive binding of C10orf90/FATS to HDAC1.

Domain organisation. The PIP-box K+4 motif mediates both the interaction with PCNA and the recruitment of the DCX(DTL) complex: while the PIP-box interacts with PCNA, the presence of the K+4 submotif, recruits the DCX(DTL) complex, leading to its ubiquitination. The C-terminal is required for nuclear localization of the cyclin D-CDK4 complex.

Induction. Activated by p53/TP53, mezerein (antileukemic compound) and IFNB1. Repressed by HDAC1.

Similarity. Belongs to the CDI family.

RefSeq proteins (10): NP_000380, NP_001207706, NP_001207707, NP_001278478, NP_001361438, NP_001361439, NP_001361440, NP_001361441, NP_001361442, NP_510867 (=MANE)

Domains & families (InterPro)

IDNameType
IPR003175CDI_domDomain
IPR029841CDKN1AFamily
IPR044898CDI_dom_sfHomologous_superfamily

Pfam: PF02234

UniProt features (38 total): mutagenesis site 10, modified residue 7, region of interest 4, strand 4, sequence variant 3, helix 2, short sequence motif 2, initiator methionine 1, chain 1, cross-link 1, zinc finger region 1, turn 1, compositionally biased region 1

Structure

Experimental structures (PDB)

13 structures.

PDBMethodResolution (Å)
5E0UX-RAY DIFFRACTION1.93
2ZVVX-RAY DIFFRACTION2
8GJFX-RAY DIFFRACTION2
4RJFX-RAY DIFFRACTION2.01
7KQ0X-RAY DIFFRACTION2.4
2ZVWX-RAY DIFFRACTION2.5
1AXCX-RAY DIFFRACTION2.6
6CBIX-RAY DIFFRACTION2.75
6P8HX-RAY DIFFRACTION3.19
7KQ1X-RAY DIFFRACTION3.3
6CEJSOLUTION NMR
6CIVSOLUTION NMR
6CIXSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P38936-F170.160.29

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Post-translational modifications (8): 2, 80, 114, 130, 145, 146, 160, 2

Mutagenesis-validated functional residues (10):

PositionPhenotype
80abolishes uv radiation-induced phosphorylation and subsequent degradation.
114phosphomimetic mutant, increases ubiquitination by the dcx(dtl) complex.
144–150abolishes interaction with pcna and subsequent degradation by the proteasome.
145reduces phosphorylation by akt; no change in interaction with pcna, cdk2 or cdk4; no change in subcellular location.
145no interaction with pcna; 59% inhibition of cdk2 binding; modest inhibition of cdk4 binding; no change in subcellular lo
146no change in interaction with pcna. abolishes uv radiation-induced phosphorylation and subsequent degradation.
146reduces interaction with pcna.
147–151abolishes interaction with pcna and subsequent degradation by the proteasome.
154–156abolishes degradation by the proteasome without affecting the interaction with pcna.
154loss of interaction with trim39.

Function

Pathways and Gene Ontology

Reactome pathways

70 pathways

IDPathway
R-HSA-187577SCF(Skp2)-mediated degradation of p27/p21
R-HSA-198323AKT phosphorylates targets in the cytosol
R-HSA-2559582Senescence-Associated Secretory Phenotype (SASP)
R-HSA-2559586DNA Damage/Telomere Stress Induced Senescence
R-HSA-5674400Constitutive Signaling by AKT1 E17K in Cancer
R-HSA-6785807Interleukin-4 and Interleukin-13 signaling
R-HSA-6804116TP53 Regulates Transcription of Genes Involved in G1 Cell Cycle Arrest
R-HSA-69202Cyclin E associated events during G1/S transition
R-HSA-69231Cyclin D associated events in G1
R-HSA-69563p53-Dependent G1 DNA Damage Response
R-HSA-69656Cyclin A:Cdk2-associated events at S phase entry
R-HSA-69895Transcriptional activation of cell cycle inhibitor p21
R-HSA-8852276The role of GTSE1 in G2/M progression after G2 checkpoint
R-HSA-8866911TFAP2 (AP-2) family regulates transcription of cell cycle factors
R-HSA-8878166Transcriptional regulation by RUNX2
R-HSA-8941855RUNX3 regulates CDKN1A transcription
R-HSA-8951664Neddylation
R-HSA-9616222Transcriptional regulation of granulopoiesis
R-HSA-9617828FOXO-mediated transcription of cell cycle genes
R-HSA-9661069Defective binding of RB1 mutants to E2F1,(E2F2, E2F3)
R-HSA-9702518STAT5 activation downstream of FLT3 ITD mutants
R-HSA-9703465Signaling by FLT3 fusion proteins
R-HSA-9725370Signaling by ALK fusions and activated point mutants
R-HSA-9755511KEAP1-NFE2L2 pathway
R-HSA-9825892Regulation of MITF-M-dependent genes involved in cell cycle and proliferation
R-HSA-2559584Formation of Senescence-Associated Heterochromatin Foci (SAHF)
R-HSA-1257604PIP3 activates AKT signaling
R-HSA-1266738Developmental Biology
R-HSA-1280215Cytokine Signaling in Immune system
R-HSA-162582Signal Transduction

MSigDB gene sets: 998 (showing top): GOBP_REGULATION_OF_CELL_ACTIVATION, SA_G2_AND_M_PHASES, WU_APOPTOSIS_BY_CDKN1A_VIA_TP53, MODULE_52, GOBP_REGULATION_OF_LEUKOCYTE_PROLIFERATION, AP1_01, GOBP_POSITIVE_REGULATION_OF_DNA_REPLICATION, GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, GOBP_RESPONSE_TO_IONIZING_RADIATION, GOBP_EPITHELIUM_DEVELOPMENT, GOBP_INTRINSIC_APOPTOTIC_SIGNALING_PATHWAY_IN_RESPONSE_TO_DNA_DAMAGE_BY_P53_CLASS_MEDIATOR, FREAC2_01, HNF3ALPHA_Q6, GOBP_NEGATIVE_REGULATION_OF_SMOOTH_MUSCLE_CELL_PROLIFERATION, HARRIS_HYPOXIA

GO Biological Process (53): G1/S transition of mitotic cell cycle (GO:0000082), in utero embryonic development (GO:0001701), protein import into nucleus (GO:0006606), DNA damage response (GO:0006974), mitotic G2 DNA damage checkpoint signaling (GO:0007095), Ras protein signal transduction (GO:0007265), heart development (GO:0007507), negative regulation of cell population proliferation (GO:0008285), regulation of G2/M transition of mitotic cell cycle (GO:0010389), negative regulation of gene expression (GO:0010629), keratinocyte differentiation (GO:0030216), negative regulation of cell growth (GO:0030308), DNA damage response, signal transduction by p53 class mediator (GO:0030330), positive regulation of B cell proliferation (GO:0030890), mitotic G1 DNA damage checkpoint signaling (GO:0031571), cellular response to amino acid starvation (GO:0034198), wound healing (GO:0042060), tissue regeneration (GO:0042246), intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator (GO:0042771), positive regulation of programmed cell death (GO:0043068), keratinocyte proliferation (GO:0043616), positive regulation of DNA replication (GO:0045740), positive regulation of protein kinase activity (GO:0045860), fibroblast proliferation (GO:0048144), positive regulation of fibroblast proliferation (GO:0048146), import into nucleus (GO:0051170), regulation of cell cycle (GO:0051726), cellular response to cell-matrix adhesion (GO:0071460), cellular response to ionizing radiation (GO:0071479), cellular response to gamma radiation (GO:0071480), cellular response to UV-B (GO:0071493), cellular senescence (GO:0090398), replicative senescence (GO:0090399), stress-induced premature senescence (GO:0090400), oncogene-induced cell senescence (GO:0090402), intrinsic apoptotic signaling pathway (GO:0097193), regulation of cell cycle G1/S phase transition (GO:1902806), negative regulation of vascular associated smooth muscle cell proliferation (GO:1904706), negative regulation of cardiac muscle tissue regeneration (GO:1905179), regulation of G1/S transition of mitotic cell cycle (GO:2000045)

GO Molecular Function (14): protein kinase inhibitor activity (GO:0004860), cyclin-dependent protein serine/threonine kinase inhibitor activity (GO:0004861), zinc ion binding (GO:0008270), protein kinase binding (GO:0019901), cyclin binding (GO:0030332), ubiquitin protein ligase binding (GO:0031625), protein-containing complex binding (GO:0044877), protein serine/threonine kinase binding (GO:0120283), protein sequestering activity (GO:0140311), molecular function activator activity (GO:0140677), molecular function inhibitor activity (GO:0140678), protein binding (GO:0005515), obsolete cyclin-dependent protein kinase activating kinase activity (GO:0019912), metal ion binding (GO:0046872)

GO Cellular Component (9): cyclin-dependent protein kinase holoenzyme complex (GO:0000307), nucleus (GO:0005634), nucleoplasm (GO:0005654), nucleolus (GO:0005730), cytoplasm (GO:0005737), cytosol (GO:0005829), nuclear body (GO:0016604), protein-containing complex (GO:0032991), PCNA-p21 complex (GO:0070557)

Reactome top-level categories

Rollup of top-20 pathways:

CategoryPathways
Cellular Senescence2
Cyclin E associated events during G1/S transition1
Cyclin A:Cdk2-associated events at S phase entry1
PIP3 activates AKT signaling1
PI3K/AKT Signaling in Cancer1
Signaling by Interleukins1
TP53 Regulates Transcription of Cell Cycle Genes1
G1/S Transition1
G1 Phase1
p53-Dependent G1/S DNA damage checkpoint1
S Phase1
Transcriptional activation of p53 responsive genes1
G2/M Transition1
Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors1
Generic Transcription Pathway1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure3
mitotic DNA damage checkpoint signaling2
negative regulation of cellular process2
protein binding2
binding2
molecular function regulator activity2
nuclear lumen2
intracellular membraneless organelle2
mitotic cell cycle1
mitotic cell cycle phase transition1
cell cycle G1/S phase transition1
chordate embryonic development1
intracellular protein transport1
protein localization to nucleus1
import into nucleus1
establishment of protein localization to organelle1
cellular response to stress1
mitotic G2 phase1
mitotic G2/M transition checkpoint1
small GTPase-mediated signal transduction1
animal organ development1
circulatory system development1
cell population proliferation1
regulation of cell population proliferation1
G2/M transition of mitotic cell cycle1
regulation of mitotic cell cycle phase transition1
regulation of cell cycle G2/M phase transition1
gene expression1
regulation of gene expression1
negative regulation of macromolecule biosynthetic process1
epidermal cell differentiation1
skin development1
regulation of cell growth1
cell growth1
negative regulation of growth1
signal transduction in response to DNA damage1
signal transduction by p53 class mediator1
regulation of B cell proliferation1
B cell proliferation1
positive regulation of lymphocyte proliferation1

Protein interactions and networks

STRING

5536 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
CDKN1ACDK2P24941999
CDKN1ACDK4P11802998
CDKN1ACCND1P24385996
CDKN1ACCNA1P78396996
CDKN1ACCNL2Q96S94996
CDKN1ACCNA2P20248996
CDKN1ACDK6Q00534995
CDKN1AFOXO3O43524994
CDKN1ACDK1P06493987
CDKN1ACIZ1Q9ULV3987
CDKN1ABCCIPQ9P287976
CDKN1ATP53P04637961
CDKN1ACDKN3Q16667947
CDKN1AE2F1Q01094947
CDKN1AMYCP01106945

IntAct

515 interactions, top by confidence:

ABTypeScore
CDKN1APCNApsi-mi:“MI:0915”(physical association)0.980
PCNACDKN1Apsi-mi:“MI:0915”(physical association)0.980
CDK2CDKN1Apsi-mi:“MI:0915”(physical association)0.980
CDKN1ACDK2psi-mi:“MI:0915”(physical association)0.980
CDK2CDKN1Apsi-mi:“MI:0407”(direct interaction)0.980
PCNACDKN1Apsi-mi:“MI:0407”(direct interaction)0.980
CDK2CDKN1Apsi-mi:“MI:0914”(association)0.980
CDKN1ACDK2psi-mi:“MI:0914”(association)0.980
CDKN1APCNApsi-mi:“MI:0407”(direct interaction)0.980

BioGRID (923): CDKN1A (Affinity Capture-Western), CDKN1A (Biochemical Activity), CDKN1A (Affinity Capture-Western), CDKN1A (Two-hybrid), CDKN1A (Two-hybrid), CDKN1A (Two-hybrid), KRT31 (Two-hybrid), PCNA (Two-hybrid), TCF4 (Two-hybrid), TRAF1 (Two-hybrid), IKZF3 (Two-hybrid), TEX11 (Two-hybrid), TRIM54 (Two-hybrid), PCNA (Reconstituted Complex), PCNA (Affinity Capture-Western)

ESM2 similar proteins: A2AI08, A6QLA6, O19001, O19002, O94992, P38936, P39689, P46414, P46527, P46529, Q0X0C4, Q13111, Q1LZD3, Q2WG78, Q3KP66, Q4FZR5, Q58CQ0, Q5BJT1, Q5EE38, Q5M9G1, Q5SX79, Q5XHX2, Q5XIB1, Q60439, Q68DK7, Q69YU3, Q6AYH4, Q6NSI3, Q6PDM1, Q6PGN9, Q6SLL5, Q7TN12, Q80Y50, Q86WR7, Q8BHZ5, Q8BY98, Q8C0J6, Q8CFU8, Q8CHM3, Q8IXH6

Diamond homologs: O19001, O19002, P38936, P39689, P46414, P46527, P46529, P49918, P49919, Q60439, Q6SLL5

SIGNOR signaling

94 interactions.

AEffectBMechanism
MYC“down-regulates quantity by repression”CDKN1A“transcriptional regulation”
RBPJ“up-regulates quantity by expression”CDKN1A“transcriptional regulation”
CDKN1Adown-regulatesCDK1binding
SKP2down-regulatesCDKN1Aubiquitination
PRKCA“up-regulates activity”CDKN1Aphosphorylation
CDK6“down-regulates activity”CDKN1Aphosphorylation
CDK2“down-regulates quantity by destabilization”CDKN1Aphosphorylation
AKT1“up-regulates quantity by stabilization”CDKN1Aphosphorylation
AKT2“down-regulates activity”CDKN1Abinding
CDKN1Adown-regulatesCDK2binding
GSK3B“down-regulates quantity by destabilization”CDKN1Aphosphorylation
MAP3K5up-regulatesCDKN1Aphosphorylation
MDM2“down-regulates quantity by repression”CDKN1A
PIM1“up-regulates quantity by stabilization”CDKN1Aphosphorylation
PIM2“up-regulates quantity by stabilization”CDKN1Aphosphorylation
MAGED1up-regulatesCDKN1A
TP53“up-regulates quantity by expression”CDKN1A“transcriptional regulation”
PBRM1“up-regulates quantity by expression”CDKN1A“transcriptional regulation”
CDKN1Adown-regulatesCCNB1binding
MAPK1“down-regulates quantity by destabilization”CDKN1Aphosphorylation
PRKAA1“down-regulates quantity by repression”CDKN1A“transcriptional regulation”
CDKN1Adown-regulatesPCNAbinding
AKT“up-regulates quantity by stabilization”CDKN1Aphosphorylation
AKT“down-regulates activity”CDKN1Abinding
ERK1/2“down-regulates quantity by destabilization”CDKN1Aphosphorylation
CDKN1A“down-regulates activity”CyclinE/CDK2binding

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 61 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Defective binding of RB1 mutants to E2F1,(E2F2, E2F3)9139.3×1e-15
TP53 Regulates Transcription of Genes Involved in G1 Cell Cycle Arrest587.0×6e-08
p53-Dependent G1 DNA Damage Response587.0×6e-08
p53-Dependent G1/S DNA damage checkpoint587.0×6e-08
G1/S DNA Damage Checkpoints581.9×7e-08
Aberrant regulation of mitotic cell cycle due to RB1 defects879.6×4e-12
TP53 Regulates Transcription of Cell Cycle Genes679.6×3e-09
G1 Phase876.8×4e-12

GO biological processes:

GO termPartnersFoldFDR
G1/S transition of mitotic cell cycle1454.0×2e-18
positive regulation of G1/S transition of mitotic cell cycle538.6×2e-05
cell division1715.1×1e-13
Wnt signaling pathway59.6×8e-03

Disease & clinical

Cancer significance

From intOGen — cancer-driver classification: loss-of-function (tumor-suppressor-like) across 3 cancer types — BLCA, CHRCC, HCC.

Clinical variants and AI predictions

ClinVar

47 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic1
Likely pathogenic0
Uncertain significance21
Likely benign11
Benign2

Top pathogenic / likely-pathogenic (1)

Variant IDHGVSClassification
2582285NM_000389.5(CDKN1A):c.142C>T (p.Arg48Ter)Pathogenic

SpliceAI

1017 predictions. Top by Δscore:

VariantEffectΔscore
6:36684423:G:GTdonor_gain1.0000
6:36684092:T:Aacceptor_gain0.9900
6:36684093:GCA:Gacceptor_loss0.9900
6:36684094:CA:Cacceptor_loss0.9900
6:36684095:A:AGacceptor_gain0.9900
6:36684096:G:GAacceptor_loss0.9900
6:36684096:G:GGacceptor_gain0.9900
6:36684096:GGC:Gacceptor_gain0.9900
6:36684231:G:GTdonor_gain0.9900
6:36684279:G:GTdonor_gain0.9900
6:36684280:A:Tdonor_gain0.9900
6:36684296:G:GTdonor_gain0.9900
6:36684298:A:Tdonor_gain0.9900
6:36684360:GA:Gdonor_gain0.9900
6:36684089:T:TAacceptor_gain0.9800
6:36684095:AGGC:Aacceptor_gain0.9800
6:36684096:GGCG:Gacceptor_gain0.9800
6:36684281:GG:Gdonor_gain0.9800
6:36684282:GG:Gdonor_gain0.9800
6:36684359:GGA:Gdonor_gain0.9800
6:36684564:G:GTdonor_gain0.9700
6:36684095:AG:Aacceptor_gain0.9600
6:36684096:GG:Gacceptor_gain0.9600
6:36684233:GGCCC:Gdonor_gain0.9600
6:36684234:GCCCG:Gdonor_gain0.9600
6:36684361:A:Gdonor_gain0.9600
6:36684473:G:Tdonor_gain0.9600
6:36684489:TCCCC:Tdonor_gain0.9600
6:36685745:CCTCA:Cacceptor_loss0.9600
6:36685746:CTCAG:Cacceptor_loss0.9600

AlphaMissense

0 scored. Top likely-pathogenic:

dbSNP variants (sampled 300 via entrez): RS1000096520 (6:36678255 T>A,C), RS1000834944 (6:36681325 T>C), RS1000963720 (6:36681119 C>T), RS1001435130 (6:36687673 A>G,T), RS1001805922 (6:36681873 T>C), RS1002140591 (6:36675781 G>C), RS1002260135 (6:36686196 C>A,T), RS1002279958 (6:36678967 G>A), RS1002289641 (6:36686541 C>T), RS1002314083 (6:36678709 C>T), RS1002546307 (6:36680735 C>A), RS1002643052 (6:36685367 G>C), RS1002649716 (6:36679883 A>G), RS1002737804 (6:36685066 C>A), RS1003290514 (6:36674694 T>C)

Disease associations

OMIM: gene MIM:116899 | disease phenotypes: MIM:109800

GenCC curated gene-disease

Mondo (1): urinary bladder cancer (MONDO:0001187)

Orphanet (1): NON RARE IN EUROPE: Bladder cancer (Orphanet:157980)

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

0 associations (top):

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (2): CHEMBL3038463 (PROTEIN COMPLEX), CHEMBL5021 (SINGLE PROTEIN)

Clinical evidence (CIViC)

Drug × variant × indication: 1 predictive associations from 1 curated evidence items; also 2 predisposing.

VariantTherapyIndicationEffectLevelCIViC
CDKN1A EXPRESSIONFluorouracilColorectal CancerResistanceCIViC BEID852

PharmGKB: 1 entry (VIP=true, CPIC=false)

ChEMBL bioactivities

14 potent at pChembl≥5 of 17 total, top 14 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
6.77IC50170nMCHEMBL5277005
6.40IC50400nMCHEMBL368233
6.31IC50490nMCHEMBL5266126
6.19IC50640nMCHEMBL4226806
6.17IC50680nMCHEMBL179694
6.12IC50750nMCHEMBL178807
6.12IC50760nMCHEMBL1434157
5.64IC502300nMCHEMBL179730
5.62IC502400nMCHEMBL179110
5.62IC502400nMCHEMBL178310
5.46IC503500nMCHEMBL425866
5.39IC504100nMCHEMBL179916
5.18IC506600nMCHEMBL178807
5.08IC508400nMCHEMBL179178

PubChem BioAssay actives

14 with measured affinity, of 95 total; 13 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
1-[3-[(6-methyl-2,3,4,9-tetrahydro-1H-carbazol-1-yl)methyl]phenyl]ethanone1933425: Inhibition of p21 (unknown origin)ic500.1700uM
N-[3-[3-(thiophene-2-carbonyl)pyrazolo[1,5-a]pyrimidin-7-yl]phenyl]cyclopropanecarboxamide248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic500.4000uM
N-(5-benzamido-2-phenyl-1,2,4-triazol-3-yl)-4-methoxybenzamide1933425: Inhibition of p21 (unknown origin)ic500.4900uM
4-(2-phenylethylamino)quinazoline-6-carbonitrile1388680: Inhibition of p21 (unknown origin)-induced transcription in human HT1080 p21-9-CMV-GFP cells after 3 days by fluorescence assayic500.6400uM
2-(2-fluoro-4-methoxyphenyl)-5,6,7,8-tetrahydro-3H-[1]benzothiolo[2,3-d]pyrimidin-4-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic500.6800uM
5-(3,4,5-trimethoxyphenyl)-8-thia-4,6-diazatricyclo[7.5.0.02,7]tetradeca-1(9),2(7),5-trien-3-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic500.7500uM
ethyl 4-[[5-(2,3-dimethylanilino)-[1,2,5]oxadiazolo[3,4-b]pyrazin-6-yl]amino]benzoate1933425: Inhibition of p21 (unknown origin)ic500.7600uM
2-(3,4,5-trimethoxyphenyl)-5,6,7,8-tetrahydro-3H-[1]benzothiolo[2,3-d]pyrimidin-4-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic502.3000uM
10-(4-methoxyphenyl)-7-thia-9,11-diazatricyclo[6.4.0.02,6]dodeca-1(8),2(6),9-trien-12-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic502.4000uM
2-(4-methoxyphenyl)-5,6,7,8-tetrahydro-3H-[1]benzothiolo[2,3-d]pyrimidin-4-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic502.4000uM
10-(3,4,5-trimethoxyphenyl)-7-thia-9,11-diazatricyclo[6.4.0.02,6]dodeca-1(8),2(6),9-trien-12-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic503.5000uM
2-(4-methylsulfanylphenyl)-5,6,7,8-tetrahydro-3H-[1]benzothiolo[2,3-d]pyrimidin-4-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic504.1000uM
2-(4-ethoxyphenyl)-5,6,7,8-tetrahydro-3H-[1]benzothiolo[2,3-d]pyrimidin-4-one248292: Inhibitory concentration against p21 deficient cell (p21-/-) proliferationic508.4000uM

CTD chemical–gene interactions

958 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Resveratroldecreases reaction, increases expression, decreases expression, affects binding, increases activity (+4 more)49
Cisplatindecreases expression, decreases reaction, increases reaction, increases activity, increases phosphorylation (+8 more)44
Doxorubicindecreases expression, increases expression, affects expression, affects reaction, affects response to substance (+7 more)44
Benzo(a)pyreneincreases expression, increases reaction, affects expression, affects methylation, decreases expression (+9 more)40
Arsenic Trioxideincreases phosphorylation, increases stability, increases sumoylation, increases response to substance, affects reaction (+9 more)39
sodium arseniteincreases phosphorylation, increases abundance, affects response to substance, affects cotreatment, affects expression (+5 more)35
Fluorouracildecreases reaction, affects response to substance, affects binding, affects reaction, decreases expression (+6 more)31
Vorinostatincreases cleavage, increases expression, increases reaction, affects localization, decreases expression (+1 more)28
Hydrogen Peroxideaffects localization, increases reaction, decreases reaction, increases expression, affects reaction (+4 more)23
Quercetinaffects cotreatment, increases expression, increases reaction, increases stability, affects reaction (+4 more)23
Decitabineincreases reaction, affects expression, decreases methylation, increases activity, decreases reaction (+7 more)22
Estradioldecreases expression, decreases reaction, increases reaction, increases expression, increases secretion (+4 more)22
Tretinoinaffects cotreatment, increases expression, affects activity, increases activity, decreases expression (+3 more)22
(+)-JQ1 compoundincreases reaction, affects response to substance, affects expression, affects cotreatment, increases expression (+2 more)20
Etoposideincreases response to substance, affects cotreatment, decreases reaction, increases activity, affects reaction (+3 more)20
trichostatin Aaffects expression, increases expression, increases reaction, decreases reaction, affects reaction (+1 more)18
Bortezomibincreases reaction, increases stability, affects reaction, decreases response to substance, affects cotreatment (+2 more)18
Acetylcysteinedecreases reaction, increases expression, decreases expression, affects binding, increases reaction15
Curcuminaffects reaction, increases expression, increases activity, decreases expression, increases reaction (+3 more)15
bisphenol Adecreases expression, affects expression, affects reaction, affects cotreatment, increases expression (+1 more)14
Troglitazonedecreases reaction, increases expression, affects cotreatment, affects binding, increases reaction (+4 more)14
Calcitriolincreases abundance, affects cotreatment, increases expression, decreases expression, decreases reaction14
Tetrachlorodibenzodioxindecreases activity, decreases response to substance, decreases reaction, affects reaction, increases reaction (+4 more)14
Cadmium Chlorideincreases abundance, increases expression, affects reaction, decreases reaction, affects cotreatment (+2 more)14
Particulate Matterincreases stability, decreases reaction, increases expression, increases abundance, increases reaction (+9 more)14
Valproic Acidincreases reaction, affects cotreatment, decreases reaction, affects expression, decreases methylation (+1 more)13
Genisteinincreases expression, affects reaction, decreases expression, decreases reaction, increases phosphorylation (+1 more)13
pifithrinincreases expression, increases abundance, decreases activity, increases reaction, decreases expression (+2 more)12
2-(2-amino-3-methoxyphenyl)-4H-1-benzopyran-4-oneincreases expression, increases reaction, increases phosphorylation, affects localization, decreases reaction11
nutlin 3increases secretion, affects reaction, increases expression, decreases expression, decreases reaction (+3 more)10

ChEMBL screening assays

16 unique, capped per target: 8 binding, 8 functional

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL2423501BindingInhibition of AKT/p21CIP1 in human DU145 cells assessed as decrease in ratio of phosphorylated retinoblastoma level to unphosphorylated retinoblastoma level at 0.1 uM after 72 hrs by Western blotting analysisAntitumor properties of substituted (αE)-α-(1H-indol-3-ylmethylene)benzeneacetic acids or amides. — Bioorg Med Chem
CHEMBL827456FunctionalSelectivity ratio between p21(-/-) and p21(+/+) isogenic cell linesInhibition of tumor cell proliferation by thieno[2,3-d]pyrimidin-4(1H)-one-based analogs. — Bioorg Med Chem Lett

Cellosaurus cell lines

18 cell lines: 17 cancer cell line, 1 transformed cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_B1DAAbcam HCT 116 CDKN1A KO 1Cancer cell lineMale
CVCL_B1N7Abcam HeLa CDKN1A KOCancer cell lineFemale
CVCL_B8ANAbcam HCT 116 CDKN1A KO 2Cancer cell lineMale
CVCL_B8TZAbcam MCF-7 CDKN1A KOCancer cell lineFemale
CVCL_B9FPAbcam A-549 CDKN1A KOCancer cell lineMale
CVCL_D7MDUbigene A-549 CDKN1A KOCancer cell lineMale
CVCL_D8ITUbigene HCT 116 CDKN1A KOCancer cell lineMale
CVCL_D9BRUbigene HEK293 CDKN1A KOTransformed cell lineFemale
CVCL_D9ZXUbigene HeLa CDKN1A KOCancer cell lineFemale
CVCL_HD58DLD-1 CDKN1A(-/-)Cancer cell lineMale

Clinical trials (associated diseases)

42 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00384891PHASE3TERMINATEDHyperthermia Treatment in Conjunction With Mitomycin C Versus Bacillus Calmette-Guérin Immunotherapy (BCG) for Superficial Bladder Cancer
NCT03335059PHASE3TERMINATEDMitomycin C Intravesical Chemotherapy in Conjunction With Synergo® Radiofrequency-Induced Hyperthermia for Treatment of Carcinoma in Situ Non-Muscle Invasive Bladder Cancer Patients Unresponsive to Bacillus Calmette-Guérin, With or Without Papillary Tumors.
NCT04534075PHASE3COMPLETEDDietary Fiber During Radiotherapy - a Placebo-controlled Randomized Trial
NCT05822934PHASE3ACTIVE_NOT_RECRUITINGCarboplatin-gemcitabine Versus Cisplatin- Gemcitabine as Neoadjuvant Chemotherapy for Treatment of Muscle Invasive Urinary Bladder Cancer
NCT00462488PHASE2COMPLETEDStudy of Vicinium for Treating Patients With Non-Invasive Urothelial Carcinoma In Situ
NCT01374789PHASE2TERMINATEDPURO Panitumumab in Combination With Gemcitabine/Cisplatin in Advanced Urothelial Cancer
NCT03529890PHASE2UNKNOWNRadio-Immunotherapy Before Cystectomy in Locally Advanced Urothelial Carcinoma of the Bladder
NCT04066894PHASE2TERMINATEDSacral Nerve Stimulation in Treating Low Anterior Resection Syndrome or Fecal Incontinence in Patients With Locally Advanced Rectal Cancer or Other Pelvic Cancer, the RESTORE Study
NCT04861584PHASE2RECRUITINGNeoadjuvant Toripalimab in Combination with Gemcitabine and Cisplatin Therapy in Local Advanced Bladder Cancer Subjects
NCT05072600PHASE2RECRUITINGPembrolizumab Monotherapy Following Tri-modality Treatment for Selected Patients With Muscle-invasive Bladder Cancer
NCT05644041PHASE2RECRUITINGIntravesical Gem/Doce in Patients With NMIBC
NCT06290687PHASE2RECRUITINGPartial Cystectomy & Extended Pelvic Lymph Node Dissection With SOC Perioperative Systemic Therapy
NCT06822010PHASE2RECRUITINGSeqUential GeMcitabine and MITomycin Treatment for Favorable High-Risk Upper Urinary Tract Urothelial Carcinoma
NCT07184021PHASE2NOT_YET_RECRUITINGNeoadjuvent Dose-dense Gemcitabine and Cisplatin In Muscle Invasive Bladder Cancer
NCT02437539PHASE1COMPLETEDEvaluation of a New Radiotracer (68Ga-NOTA-AE105) for Diagnosing Aggressive Cancer With Positron Emission Tomography
NCT02720367PHASE1COMPLETEDSafety and Tolerability of TAR-200 mg in Subjects With Non-Muscle-Invasive Bladder Cancer
NCT02722538PHASE1COMPLETEDSafety and Tolerability of GemRIS 225 mg in Subjects With Muscle-Invasive Bladder Cancer
NCT02897765PHASE1COMPLETEDA Personal Cancer Vaccine (NEO-PV-01) w/ Nivolumab for Patients With Melanoma, Lung Cancer or Bladder Cancer
NCT03132922PHASE1ACTIVE_NOT_RECRUITINGMAGE-A4ᶜ¹º³²T for Multi-Tumor
NCT03636256PHASE1/PHASE2COMPLETEDEvaluation of NanoDoce® in Participants With Urothelial Carcinoma
NCT03844256PHASE1/PHASE2RECRUITINGA Study of Mitomycin-c/ Capecitabine ChemoRadiotherapy Combined With Nivolumab Monotherapy or Ipilumimab and Nivolumab, as Bladder Sparing Curative Treatment for Muscle Invasive Bladder Cancer: the CRIMI Study
NCT02139371EARLY_PHASE1COMPLETEDEvaluation of a New Radiotracer (64Cu-DOTA-AE105) for Diagnosing Aggressive Cancer With Positron Emission Tomography
NCT00872495Not specifiedRECRUITINGEvaluation of Non-Invasive Assays for the Detection of Urothelial Cancer
NCT01836978Not specifiedCOMPLETEDPrehabilitation to Enhance Postoperative Functional Capacity Following Radical Cystectomy
NCT02228330Not specifiedUNKNOWNProspective Clinical Trial - Obturator Reflex Predictors and Blockage
NCT03433924Not specifiedCOMPLETEDAn Epidemiologic Study on PD-L1 Expression Combined With Clinical Observation in the Chinese MIUBC Patients.
NCT03998579Not specifiedCOMPLETEDPhysical Rehabilitation Among Patients Undergoing Radical Cystectomy Due to Urinary Bladder Cancer
NCT04525781Not specifiedUNKNOWNClinicoepidimiological Study and Clinical Outcome in Patients With Urinary Bladder Cancer
NCT04635566Not specifiedCOMPLETEDPharmacological Enhancement for Nocturnal Incontinence in Orthotopic Bladder Substitute
NCT04718948Not specifiedUNKNOWNMultimodal Spectroscopy to Detect Urothelial Cancer in Urine
NCT04812145Not specifiedUNKNOWNRole of Hypofractionated Radiotherapy With Concurrent Gemcitabine in Treatment of Urinary Bladder Carcinoma
NCT05335707Not specifiedWITHDRAWNLongitudinal Geriatric Assessment to Optimize Outcomes of Older Patients With Muscle-Invasive Bladder Cancer After Radical Cystectomy
NCT05621837Not specifiedRECRUITINGQuantifying Systemic Immunosuppression to Personalize Cancer Therapy
NCT05787938Not specifiedUNKNOWNRole of MRI in Assessment of the Urinary Bladder Wall Post Transurethral Tumor Resection
NCT05946369Not specifiedCOMPLETEDNeutrophils to Lymphocytes Ratio in Predicting the Response to BCG in Non-muscle Invasive Bladder Cancer
NCT06115434Not specifiedUNKNOWNComparing Operative, Postoperative and Quality of Life of Patients After Salvage and Radical Cystectomy
NCT06156787Not specifiedCOMPLETEDPatterns of Urinary Bladder Cancer in Darfur, Suda
NCT06307704Not specifiedACTIVE_NOT_RECRUITINGLung US for PEEP Optimization in Robotic Radical Prostatectomy or Cystectomy Patients
NCT06582849Not specifiedCOMPLETEDEnhanced Assistance During Radiotherapy for Unmet Essential Needs
NCT06675656Not specifiedNOT_YET_RECRUITINGPredictive Role of Microbiome in Patients With Urothelial Carcinoma