TP53 Gene Complete Identifier and Functional Mapping Reference

Provide a comprehensive cross-database identifier and functional mapping reference for human TP53 — a definitive lookup resource covering: ### …

Provide a comprehensive cross-database identifier and functional mapping reference for human TP53 — a definitive lookup resource covering: ### Section 1: Gene identifiers For human gene TP53, list ALL gene-level database identifiers. Required: - HGNC ID and approved symbol - Ensembl gene ID (ENSG...) - NCBI Entrez Gene ID - OMIM gene/locus ID - Genomic location: chromosome, start position, end position, strand (GRCh38) ### Section 2: Transcript identifiers For human gene TP53, list ALL transcript-level identifiers. Required: - Ensembl transcripts: ALL ENST IDs with biotype. Total count. - RefSeq transcripts: ALL NM_ mRNA accessions. Mark which is MANE Select. - CCDS IDs. - For the CANONICAL/MANE SELECT transcript: ALL exon IDs (ENSE) with genomic coordinates and total exon count. ### Section 3: Protein identifiers For human gene TP53 protein product(s), list ALL protein-level identifiers. Required: - UniProt accessions: ALL entries (reviewed and unreviewed). Mark the canonical reviewed entry. - RefSeq protein: ALL NP_ accessions. - Protein domains and families: list ALL annotated domains/families with identifiers, including name, type (domain/family/superfamily), and ID. - Antibody availability: known antibody resources for the protein. ### Section 4: Structure For human gene TP53 protein, list ALL structural data. Required: - Experimental structures: ALL PDB IDs. For each: experimental method (X-ray/NMR/Cryo-EM) and resolution. Total count. - Predicted structures: AlphaFold model ID and confidence metrics (pLDDT). ### Section 5: Cross-species orthologs For human gene TP53, list orthologous genes in key model organisms. Organisms: - Mouse (Mus musculus): gene ID, symbol - Rat (Rattus norvegicus): gene ID, symbol - Zebrafish (Danio rerio): gene ID, symbol - Fruit fly (Drosophila melanogaster): gene ID, symbol - Worm (C. elegans): gene ID, symbol - Yeast (S. cerevisiae): gene ID, symbol ### Section 6: Clinical variants & AI predictions For human gene TP53, summarize clinical variants and AI predictions. Clinical variant annotations (ClinVar): - Total variant count (approximate is fine) - Breakdown by classification: Pathogenic, Likely Pathogenic, VUS, Likely Benign, Benign - TOP 30 pathogenic/likely pathogenic variants with: variant ID, HGVS notation, associated condition AI-based variant effect predictions: - Splice effect predictions: total count + TOP 30 with delta scores if known - Missense pathogenicity from AlphaMissense — total count + TOP 30 likely-pathogenic with am_pathogenicity scores. ### Section 7: Pathways & Gene Ontology For human gene TP53, list biological pathways and Gene Ontology annotations. Pathway membership: - ALL biological pathways this gene participates in, with pathway IDs and names - Total pathway count Gene Ontology: - Biological Process: count and TOP 20 terms with GO IDs - Molecular Function: count and TOP 20 terms with GO IDs - Cellular Component: count and TOP 20 terms with GO IDs ### Section 8: Protein interactions & networks For human gene TP53 protein, summarize protein interactions and networks. Protein-protein interactions (STRING, IntAct, BioGRID, etc.): - Total interaction count (approximate) - TOP 30 highest-confidence interacting proteins with scores/evidence Protein similarity: - Structural/embedding similarity (e.g. Foldseek, ESM): TOP 20 similar proteins with scores - Sequence homology: TOP 20 homologous proteins with identity/similarity ### Section 9: Transcription factor regulatory data For human gene TP53, summarize transcription factor regulatory data. If TP53 is a transcription factor: - Downstream targets: total count + TOP 30 with regulation type (activates/represses) and evidence - DNA binding motifs from JASPAR — all known motif IDs and motif family classification. Regardless: - Upstream regulators: TFs that regulate TP53 — names with evidence type (ChIP-seq / predicted / experimentally validated) If TP53 is not a transcription factor, say so briefly and skip the downstream/motif sections. ### Section 10: Drug & pharmacology data For human gene TP53 protein as a drug target, summarize pharmacology data. If TP53 is a known drug target: - Targeting molecules: total count in ChEMBL/DrugBank + TOP 30 by development phase (molecule ID, name, mechanism, highest phase) - Clinical trials: TOP 20 involving drugs targeting this gene — trial ID, phase, status, intervention - Pharmacogenomics: known drug-gene interactions affecting drug response + dosing guidelines if any If TP53 is not currently a drug target, say so briefly. ### Section 11: Expression profiles For human gene TP53, summarize expression profiles. Tissue expression (GTEx, HPA, Bgee, etc.): - TOP 30 tissues with expression scores/levels (direction, units if known) - Note tissue-specific or tissue-enriched patterns Cell type expression (Tabula Sapiens, HCA, etc.): - TOP 30 cell types with expression scores - Note cell-type-specific patterns Single-cell expression: notable datasets or cell populations of interest for this gene. ### Section 12: Disease associations For human gene TP53, summarize disease associations. Mendelian / monogenic disease: - Diseases caused by mutations in TP53: disease name, disease ID (OMIM/Orphanet/Mondo), inheritance pattern, evidence level - Include all directly linked conditions Phenotype associations: - Clinical phenotypes associated with the gene (HPO terms where known) - TOP 30 phenotype terms with HPO IDs Complex-disease / GWAS: - Traits and diseases significantly associated via GWAS: trait name, variant, effect size, study where known - TOP 30 GWAS associations

TP53

Executive summary

TP53 (HGNC:11998; chromosome 17p13.1) encodes the tumor suppressor protein p53 — arguably the most consequential cancer gene in human biology — functioning as a transcription factor that orchestrates cell cycle arrest, apoptosis, DNA repair, and cellular senescence in response to stress. It is mutated in a vast range of human cancers and, in its germline form, causes Li-Fraumeni syndrome with definitive evidence for autosomal dominant inheritance. The variant landscape is exceptionally large (~3,850 ClinVar entries, including ~1,200 pathogenic), with hotspot missense mutations such as p.Arg248Trp, p.Arg248Gln, p.Arg175His, and p.Gly245Ser confirmed pathogenic by expert panels. p53 is ubiquitously expressed across all tissues (281 conditions, average score 77.62) and is structurally among the best-characterized human proteins, with 297 experimental PDB structures. Its primary negative regulator MDM2 — which ubiquitinates p53 for degradation — is the key therapeutic target; idasanutlin, the most advanced MDM2 inhibitor, reached Phase 3 trials in AML before termination.

Gene identifiers

  • HGNC ID: HGNC:11998
  • Approved symbol: TP53
  • Ensembl gene ID: ENSG00000141510
  • NCBI Entrez Gene ID: 7157
  • OMIM gene/locus ID: 191170
  • Genomic location (GRCh38):
    • Chromosome: 17
    • Start position: 7,661,779
    • End position: 7,687,546
    • Strand: minus (−)

Transcript identifiers

Ensembl Transcripts (ENST IDs) — 39 total

Transcript IDBiotype
ENST00000269305protein_coding
ENST00000359597protein_coding
ENST00000413465protein_coding
ENST00000420246protein_coding
ENST00000445888protein_coding
ENST00000455263protein_coding
ENST00000503591protein_coding
ENST00000504290protein_coding
ENST00000504937protein_coding
ENST00000505014retained_intron
ENST00000508793protein_coding
ENST00000509690protein_coding
ENST00000510385protein_coding
ENST00000514944protein_coding
ENST00000571370protein_coding_CDS_not_defined
ENST00000574684protein_coding_CDS_not_defined
ENST00000576024protein_coding
ENST00000604348protein_coding
ENST00000610292protein_coding
ENST00000610538protein_coding
ENST00000610623protein_coding
ENST00000618944protein_coding
ENST00000619186protein_coding
ENST00000619485protein_coding
ENST00000620739protein_coding
ENST00000622645protein_coding
ENST00000635293nonsense_mediated_decay
ENST00000714356protein_coding
ENST00000714357protein_coding
ENST00000714358nonsense_mediated_decay
ENST00000714359protein_coding
ENST00000714408protein_coding
ENST00000714409protein_coding
ENST00000905353protein_coding
ENST00000923566protein_coding
ENST00000923567protein_coding
ENST00000923568protein_coding
ENST00000923569protein_coding
ENST00000949117protein_coding

RefSeq mRNA Accessions — 34 total

AccessionMANE Select
NM_000546✓ YES
NM_001126112
NM_001126113
NM_001126114
NM_001126115
NM_001126116
NM_001126117
NM_001126118
NM_001170223
NM_001260323
NM_001271820
NM_001276695
NM_001276696
NM_001276697
NM_001276698
NM_001276699
NM_001276760
NM_001276761
NM_001328587
NM_001328588
NM_001407262
NM_001407263
NM_001407264
NM_001407265
NM_001407266
NM_001407267
NM_001407268
NM_001407269
NM_001407270
NM_001407271
NM_030989
NM_131327
NM_206544
NM_206545

CCDS Identifiers — 12 total

CCDS11118, CCDS45605, CCDS45606, CCDS73963, CCDS73964, CCDS73965, CCDS73966, CCDS73967, CCDS73968, CCDS73969, CCDS73970, CCDS73971

Canonical Transcript Exons (ENST00000269305) — 11 total

Exon IDStartEndStrandChromosome
ENSE000024195847676382767640317
ENSE000035184807675053767523617
ENSE000035459507670609767071517
ENSE000036257907675994767627217
ENSE000037123427674181767429017
ENSE000037239917674859767497117
ENSE000037252587673701767383717
ENSE000037535087687377768749017
ENSE000037865937673535767360817
ENSE000040237247668421766969017
ENSE000040237287676521767662217

Protein identifiers

UniProt accessions

Canonical (reviewed):

  • P04637 — Cellular tumor antigen p53 (reviewed, Swiss-Prot)

Additional entries (unreviewed/isoforms):

  • A0A087WT22
  • A0A087WXZ1
  • A0A087X1Q1
  • A0A0U1RQC9
  • A0A386NBZ1
  • A0AAQ5BHX5
  • A0AAQ5BHY1
  • A0AAQ5BHZ9
  • E7EMR6
  • E7EQX7
  • E7ESS1
  • E9PCY9
  • E9PFT5
  • H2EHT1
  • I3L0W9
  • J3KP33
  • K7PPA8
  • S4R334

RefSeq protein accessions (NP_)

  • NP_000537 (MANE Select, canonical)
  • NP_001119584
  • NP_001119585
  • NP_001119586
  • NP_001119587
  • NP_001119588
  • NP_001119589
  • NP_001119590
  • NP_001163694
  • NP_001247252
  • NP_001258749
  • NP_001263624
  • NP_001263625
  • NP_001263626
  • NP_001263627
  • NP_001263628
  • NP_001263689
  • NP_001263690
  • NP_001315516
  • NP_001315517
  • NP_001394191
  • NP_001394192
  • NP_001394193
  • NP_001394194
  • NP_001394195
  • NP_001394196
  • NP_001394197
  • NP_001394198
  • NP_001394199
  • NP_001394200
  • NP_112251
  • NP_571402
  • NP_996267
  • NP_996268

Protein domains and families

InterPro domains/families (9):

IDNameType
IPR002117p53 tumour suppressor familyFamily
IPR008967p53-like transcription factor, DNA-binding domain superfamilyHomologous superfamily
IPR010991p53, tetramerisation domainDomain
IPR011615p53, DNA-binding domainDomain
IPR012346p53/RUNT-type transcription factor, DNA-binding domain superfamilyHomologous superfamily
IPR013872p53, transactivation domainDomain
IPR036674p53-like tetramerisation domain superfamilyHomologous superfamily
IPR040926Cellular tumor antigen p53, transactivation domain 2Domain
IPR057064p53, central conserved siteConserved site

Pfam families (4):

  • PF00870
  • PF07710
  • PF08563
  • PF18521

SuperFamily domains (2):

  • SSF47719
  • SSF49417

CATH classification (3):

  • 2.60.40.720
  • 4.10.170.10
  • 6.10.50.20

PRINTS fingerprints (1):

  • PR00386

Antibody availability

No antibody entries found in biobtree for P04637. Commercial antibodies targeting human p53 are extensively available from major suppliers (Abcam, Cell Signaling Technology, Santa Cruz Biotechnology, Sigma-Aldrich, etc.) but not indexed in this system.

Structure

Experimental Structures

Total: 297 PDB entries

X-Ray Diffraction (majority): 1AIE (1.5 Å), 1C26 (1.7 Å), 1GZH (2.6 Å), 1H26 (2.24 Å), 1KZY (2.5 Å), 1MA3 (2 Å), 1TSR (2.2 Å), 1TUP (2.2 Å), 1UOL (1.9 Å), 1XQH (1.75 Å), 1YC5 (1.4 Å), 1YCQ (2.3 Å), 1YCR (2.6 Å), 1YCS (2.2 Å), 2AC0 (1.8 Å), 2ADY (2.5 Å), 2AHI (1.85 Å), 2ATA (2.2 Å), 2B3G (1.6 Å), 2BIM (1.98 Å), 2BIN (1.9 Å), 2BIO (1.9 Å), 2BIP (1.8 Å), 2BIQ (1.8 Å), 2FOJ (1.6 Å), 2FOO (2.2 Å), 2H1L (3.16 Å), 2H2D (1.7 Å), 2H2F (2.2 Å), 2H4F (2 Å), 2H4H (1.99 Å), 2H4J (2.1 Å), 2H59 (1.9 Å), 2J1W (1.8 Å), 2J1X (1.65 Å), 2J1Y (1.69 Å), 2J1Z (1.8 Å), 2J20 (1.8 Å), 2J21 (1.6 Å), 2OCJ (2.05 Å), 2PCX (1.54 Å), 2V5W (2 Å), 2VUK (1.5 Å), 2WGX (1.75 Å), 2X0U (1.6 Å), 2X0V (1.8 Å), 2X0W (2.1 Å), 2XWR (1.68 Å), 2YBG (1.9 Å), 2YDR (2.75 Å), 2Z5S (2.3 Å), 2Z5T (2.3 Å), 3D05 (1.7 Å), 3D06 (1.2 Å), 3D07 (2.2 Å), 3D08 (1.4 Å), 3D09 (1.9 Å), 3D0A (1.8 Å), 3DAB (1.9 Å), 3DAC (1.8 Å), 3IGK (1.7 Å), 3IGL (1.8 Å), 3KMD (2.15 Å), 3KZ8 (1.91 Å), 3LW1 (1.28 Å), 3OQ5 (2.5 Å), 3PDH (1.8 Å), 3Q01 (2.1 Å), 3Q05 (2.4 Å), 3Q06 (3.2 Å), 3TG5 (2.3 Å), 3TS8 (2.8 Å), 3ZME (1.35 Å), 4AGL (1.7 Å), 4AGM (1.52 Å), 4AGN (1.6 Å), 4AGO (1.45 Å), 4AGP (1.5 Å), 4AGQ (1.42 Å), 4FZ3 (2.1 Å), 4HFZ (2.694 Å), 4HJE (1.907 Å), 4IBQ (1.8 Å), 4IBS (1.78 Å), 4IBT (1.7 Å), 4IBU (1.7 Å), 4IBV (2.1 Å), 4IBW (1.791 Å), 4IBY (1.45 Å), 4IBZ (1.92 Å), 4IJT (1.78 Å), 4KVP (1.5 Å), 4LO9 (2.5 Å), 4LOE (1.85 Å), 4LOF (2 Å), 4MZI (1.25 Å), 4QO1 (1.924 Å), 4RP6 (1.703 Å), 4RP7 (1.576 Å), 4X34 (1.801 Å), 4XR8 (2.25 Å), 5A7B (1.4 Å), 5AB9 (1.36 Å), 5ABA (1.62 Å), 5AOI (1.78 Å), 5AOJ (1.47 Å), 5AOK (1.35 Å), 5AOL (1.5 Å), 5AOM (1.74 Å), 5BUA (1.812 Å), 5ECG (3 Å), 5G4M (1.38 Å), 5G4N (1.35 Å), 5G4O (1.48 Å), 5LAP (1.42 Å), 5LGY (2.92 Å), 5MCT (1.446 Å), 5MCU (1.7 Å), 5MCV (1.6 Å), 5MCW (1.897 Å), 5MF7 (1.59 Å), 5MG7 (1.45 Å), 5MHC (1.2 Å), 5MOC (1.8 Å), 5O1A (1.44 Å), 5O1B (1.43 Å), 5O1C (1.32 Å), 5O1D (1.36 Å), 5O1E (1.3 Å), 5O1F (1.38 Å), 5O1G (1.35 Å), 5O1H (1.32 Å), 5O1I (1.4 Å), 5OL0 (1.99 Å), 5UN8 (2.13 Å), 6FF9 (2 Å), 6FJ5 (2.051 Å), 6GGA (1.55 Å), 6GGB (1.32 Å), 6GGC (1.24 Å), 6GGD (1.4 Å), 6GGE (1.25 Å), 6GGF (1.32 Å), 6LHD (2.499 Å), 6R5L (1.884 Å), 6RJZ (1.58 Å), 6RK8 (1.602 Å), 6RKI (1.88 Å), 6RKK (1.88 Å), 6RKM (1.88 Å), 6RL3 (1.3 Å), 6RL4 (1.6 Å), 6RL6 (1.6 Å), 6RM5 (1.884 Å), 6RM7 (1.6 Å), 6RWH (1.68 Å), 6RWI (1.65 Å), 6RWS (1.53 Å), 6RWU (1.46 Å), 6RX2 (1.82 Å), 6RZ3 (4.23 Å), 6S39 (1.88 Å), 6S3C (2 Å), 6S40 (1.9 Å), 6S9Q (1.69 Å), 6SHZ (1.24 Å), 6SI0 (1.53 Å), 6SI1 (1.44 Å), 6SI2 (1.5 Å), 6SI3 (1.4 Å), 6SI4 (1.8 Å), 6SIN (1.64 Å), 6SIO (1.604 Å), 6SIP (1.600 Å), 6SIQ (1.601 Å), 6SL6 (1.67 Å), 6SLV (1.9 Å), 6T58 (3.1 Å), 6V4F (1.35 Å), 6V4H (1.53 Å), 6VQO (3 Å), 6VR1 (2.37 Å), 6VR5 (2.38 Å), 6VRM (2.61 Å), 6VRN (2.46 Å), 6W51 (3.53 Å), 6ZNC (1.64 Å), 7B46 (2.02 Å), 7B47 (1.8 Å), 7B48 (2.05 Å), 7B49 (1.42 Å), 7B4A (1.9 Å), 7B4B (1.76 Å), 7B4C (1.71 Å), 7B4D (1.85 Å), 7B4E (1.58 Å), 7B4F (1.78 Å), 7B4G (1.86 Å), 7B4H (1.39 Å), 7B4N (1.32 Å), 7BWN (2.396 Å), 7DHY (2.15 Å), 7DHZ (1.74 Å), 7DVD (2.59 Å), 7EAX (2.55 Å), 7EDS (1.77 Å), 7EEU (2.9 Å), 7EL4 (2.11 Å), 7NMI (2.1 Å), 7RM4 (3.33 Å), 7V97 (2.02 Å), 7YGI (2.1 Å), 8A31 (1.46 Å), 8A32 (1.47 Å), 8A92 (1.37 Å), 8CG7 (1.53 Å), 8DC4 (2.4 Å), 8DC6 (1.6 Å), 8DC7 (1.987 Å), 8DC8 (1.72 Å), 8E7A (1.3 Å), 8E7B (2.5 Å), 8HLL (2.62 Å), 8HLM (2.522 Å), 8HLN (2.354 Å), 8J8N (9.02 Å), 8OXM (3.3 Å), 8OXO (3.0 Å), 8QWK (1.69 Å), 8QWL (1.65 Å), 8QWM (1.54 Å), 8QWN (1.44 Å), 8QWO (1.38 Å), 8QWP (2.1 Å), 8RBA (1.57 Å), 8RBB (1.69 Å), 8RBC (2.06 Å), 8RCI (1.5 Å), 8UQR (1.22 Å), 8WD2 (1.85 Å), 8XCB (1.83 Å), 8XCE (2 Å), 8XP5 (2.55 Å), 9BR3 (1.9 Å), 9BR4 (1.7 Å), 9C5S (1.01 Å), 9FZB (1.44 Å), 9G5H (1.65 Å), 9G6T (1.56 Å), 9G6U (1.64 Å)

Solution NMR: 1A1U, 1DT7, 1HS5, 1JSP, 1OLG, 1OLH, 1PES, 1PET, 1SAE, 1SAF, 1SAK, 1SAL, 2FEJ, 2GS0, 2J0Z, 2J10, 2J11, 2K8F, 2L14, 2LY4, 2MEJ, 2MWO, 2MWP, 2MWY, 2MZD, 2RUK, 5HOU, 5HP0, 5HPD

Cryo-EM/Electron Microscopy: 5XZC (10.7 Å), 6XRE (4.6 Å), 7XZX (4.53 Å), 7XZZ (4.07 Å), 8GCR (3.38 Å), 8J8N (9.02 Å), 8OXM (3.3 Å), 8OXO (3.0 Å), 8R1F (3.67 Å), 8R1G (3.99 Å), 9CHT (3.54 Å), 9R04 (4.2 Å), 9R2M (3.5 Å), 9R2P (4.18 Å), 9R2Q (3.2 Å), 4MZR (2.9 Å)

Resolution Range: 1.01 – 10.7 Å

Predicted Structures

AlphaFold:

  • Model ID: P04637
  • Global pLDDT: 75.83
  • Sequence Length: 3060
  • High Confidence Residues (pLDDT ≥ 90): 54%

Cross-species orthologs

OrganismGene IDSymbol
Mouse (Mus musculus)22059Trp53
Rat (Rattus norvegicus)24842Tp53
Zebrafish (Danio rerio)30590tp53
Fruit fly (Drosophila melanogaster)2768677p53
Worm (C. elegans)172616cep-1
Yeast (S. cerevisiae)nonenone

Clinical variants & AI predictions

ClinVar Variants (Total: ~3,850)

ClassificationCount (estimated)
Pathogenic~1,200
Likely Pathogenic~700
Pathogenic/Likely Pathogenic~400
Uncertain Significance~900
Benign/Likely Benign~600
Conflicting Classifications~50

Top 30 ClinVar Pathogenic/Likely Pathogenic Variants

Variant IDHGVS NotationCondition/Classification
12347c.742C>T (p.Arg248Trp)Pathogenic (expert panel)
12349c.733G>T (p.Gly245Cys)Pathogenic (multiple submitters)
12352c.747G>T (p.Arg249Ser)Pathogenic/Likely pathogenic
12353c.469G>T (p.Val157Phe)Pathogenic/Likely pathogenic
12354c.725G>A (p.Cys242Tyr)Pathogenic/Likely pathogenic
12355c.734G>A (p.Gly245Asp)Pathogenic/Likely pathogenic
12356c.743G>A (p.Arg248Gln)Pathogenic (expert panel)
12357c.398T>C (p.Met133Thr)Pathogenic (multiple submitters)
12358c.814G>T (p.Val272Leu)Pathogenic/Likely pathogenic
12359c.722C>T (p.Ser241Phe)Pathogenic/Likely pathogenic
12364c.844C>T (p.Arg282Trp)Pathogenic/Likely pathogenic
12365c.733G>A (p.Gly245Ser)Pathogenic (expert panel)
12366c.818G>A (p.Arg273His)Pathogenic (expert panel)
12368c.839G>C (p.Arg280Thr)Pathogenic/Likely pathogenic
12369c.451C>A (p.Pro151Thr)Pathogenic/Likely pathogenic
12370c.451C>T (p.Pro151Ser)Pathogenic/Likely pathogenic
12374c.524G>A (p.Arg175His)Pathogenic (expert panel)
12375c.1031T>C (p.Leu344Pro)Likely pathogenic (expert panel)
12376c.412G>C (p.Ala138Pro)Likely pathogenic (expert panel)
12379c.1010G>A (p.Arg337His)Pathogenic/Likely pathogenic
12383c.659A>C (p.Tyr220Ser)Pathogenic (multiple submitters)
12384c.854A>T (p.Glu285Val)Pathogenic (single submitter)
127807c.328del (p.Arg110fs)Pathogenic (multiple submitters)
127809c.365_366del (p.Val122fs)Pathogenic (multiple submitters)
127814c.488A>G (p.Tyr163Cys)Pathogenic (expert panel)
127815c.535C>T (p.His179Tyr)Pathogenic/Likely pathogenic
127817c.580C>T (p.Leu194Phe)Pathogenic/Likely pathogenic
127819c.659A>G (p.Tyr220Cys)Pathogenic (expert panel)
127820c.701A>G (p.Tyr234Cys)Pathogenic/Likely pathogenic
1174012c.811G>T (p.Glu271Ter)Pathogenic (multiple submitters)

AlphaMissense Predictions

Total variants with predictions: ~2,000+
Likely Pathogenic predictions: 100+ (sample shown)

Top 30 AlphaMissense Likely Pathogenic Missense Variants

Genomic PositionProtein ChangeAM Pathogenicity ScoreClassification
17:7670670A347P0.995Likely pathogenic
17:7670678L344R0.960Likely pathogenic
17:7670687F341S0.994Likely pathogenic
17:7670695F338L0.993Likely pathogenic
17:7670699R337P0.987Likely pathogenic
17:7670708G334V0.992Likely pathogenic
17:7670708G334E0.986Likely pathogenic
17:7670709G334W0.985Likely pathogenic
17:7670709G334R0.989Likely pathogenic
17:7670714I332T0.994Likely pathogenic
17:7670714I332S0.997Likely pathogenic
17:7673539L330R0.978Likely pathogenic
17:7673539L330P0.995Likely pathogenic
17:7673545F328S0.956Likely pathogenic
17:7670656K351N0.692Likely pathogenic
17:7670664E349K0.905Likely pathogenic
17:7670662E349V0.820Likely pathogenic
17:7670674N345K0.920Likely pathogenic
17:7670675N345I0.850Likely pathogenic
17:7670676N345D0.861Likely pathogenic
17:7670678L344P0.996Likely pathogenic
17:7670678L344Q0.974Likely pathogenic
17:7670684R342P0.984Likely pathogenic
17:7670686F341C0.852Likely pathogenic
17:7670687F341Y0.567Likely pathogenic
17:7670688F341V0.658Likely pathogenic
17:7670696F338C0.930Likely pathogenic
17:7670696F338S0.982Likely pathogenic
17:7670697F338V0.944Likely pathogenic
17:7670697F338I0.971Likely pathogenic

SpliceAI Predictions

Total variants with splice predictions: 1,638
Top effects: Acceptor/donor gain/loss scores range 0.2–0.95

Genomic PositionGeneEffect TypeScore
17:7669688TP53acceptor_gain0.93
17:7669691TP53acceptor_gain0.95
17:7669689TP53acceptor_gain0.86
17:7669707TP53acceptor_gain0.81
17:7669687TP53acceptor_gain0.81
17:7669826TP53acceptor_gain0.79
17:7668826TP53acceptor_gain0.79
17:7668821TP53acceptor_gain0.59
17:7669701TP53acceptor_gain0.59
17:7669708TP53acceptor_gain0.48

Pathways & Gene Ontology

Reactome Pathways: 46 total

Pathway IDPathway Name
R-HSA-111448Activation of NOXA and translocation to mitochondria
R-HSA-139915Activation of PUMA and translocation to mitochondria
R-HSA-2559580Oxidative Stress Induced Senescence
R-HSA-2559584Formation of Senescence-Associated Heterochromatin Foci (SAHF)
R-HSA-2559585Oncogene Induced Senescence
R-HSA-2559586DNA Damage/Telomere Stress Induced Senescence
R-HSA-5628897TP53 Regulates Metabolic Genes
R-HSA-5693565Recruitment and ATM-mediated phosphorylation of repair and signaling proteins at DNA double strand breaks
R-HSA-6796648TP53 Regulates Transcription of DNA Repair Genes
R-HSA-6803204TP53 Regulates Transcription of Genes Involved in Cytochrome C Release
R-HSA-6803205TP53 regulates transcription of several additional cell death genes
R-HSA-6803207TP53 Regulates Transcription of Caspase Activators and Caspases
R-HSA-6803211TP53 Regulates Transcription of Death Receptors and Ligands
R-HSA-6804114TP53 Regulates Transcription of Genes Involved in G2 Cell Cycle Arrest
R-HSA-6804115TP53 regulates transcription of additional cell cycle genes
R-HSA-6804116TP53 Regulates Transcription of Genes Involved in G1 Cell Cycle Arrest
R-HSA-6804754Regulation of TP53 Expression
R-HSA-6804756Regulation of TP53 Activity through Phosphorylation
R-HSA-6804757Regulation of TP53 Degradation
R-HSA-6804758Regulation of TP53 Activity through Acetylation
R-HSA-6804759Regulation of TP53 Activity through Association with Co-factors
R-HSA-6804760Regulation of TP53 Activity through Methylation
R-HSA-6811555PI5P Regulates TP53 Acetylation
R-HSA-69473G2/M DNA damage checkpoint
R-HSA-69481G2/M Checkpoints
R-HSA-69541Stabilization of p53
R-HSA-69895Transcriptional activation of cell cycle inhibitor p21
R-HSA-8852276The role of GTSE1 in G2/M progression after G2 checkpoint
R-HSA-8941855RUNX3 regulates CDKN1A transcription
R-HSA-8943724Regulation of PTEN gene transcription
R-HSA-9723905Loss of function of TP53 in cancer due to loss of tetramerization ability
R-HSA-9758274Regulation of NF-kappa B signaling
R-HSA-1912408Pre-NOTCH Transcription and Translation
R-HSA-3232118SUMOylation of transcription factors
R-HSA-349425Autodegradation of the E3 ubiquitin ligase COP1
R-HSA-390471Association of TriC/CCT with target proteins during biosynthesis
R-HSA-5620971Pyroptosis
R-HSA-5689880Ub-specific processing proteases
R-HSA-5689896Ovarian tumor domain proteases
R-HSA-6785807Interleukin-4 and Interleukin-13 signaling
R-HSA-70635Urea cycle
R-HSA-8853884Transcriptional Regulation by VENTX
R-HSA-9725370Signaling by ALK fusions and activated point mutants
R-HSA-9819196Zygotic genome activation (ZGA)
R-HSA-983231Factors involved in megakaryocyte development and platelet production
R-HSA-9833482PKR-mediated signaling

Gene Ontology Annotations

Biological Process: 119 terms

GO IDTerm
GO:0000122Negative regulation of transcription by RNA polymerase II
GO:0000423Mitophagy
GO:0001701In utero embryonic development
GO:0001756Somitogenesis
GO:0001836Release of cytochrome c from mitochondria
GO:0002244Hematopoietic progenitor cell differentiation
GO:0002309T cell proliferation involved in immune response
GO:0002326B cell lineage commitment
GO:0002360T cell lineage commitment
GO:0002931Response to ischemia
GO:0006289Nucleotide-excision repair
GO:0006302Double-strand break repair
GO:0006355Regulation of DNA-templated transcription
GO:0006357Regulation of transcription by RNA polymerase II
GO:0006606Protein import into nucleus
GO:0006914Autophagy
GO:0006974DNA damage response
GO:0006983ER overload response
GO:0007179Transforming growth factor beta receptor signaling pathway
GO:0007265Ras protein signal transduction
GO:0007369Gastrulation
GO:0007405Neuroblast proliferation
GO:0007406Negative regulation of neuroblast proliferation
GO:0008104Intracellular protein localization
GO:0008156Negative regulation of DNA replication
GO:0008285Negative regulation of cell population proliferation
GO:0008340Determination of adult lifespan
GO:0009299mRNA transcription
GO:0009303rRNA transcription
GO:0009651Response to salt stress
GO:0010165Response to X-ray
GO:0010332Response to gamma radiation
GO:0010628Positive regulation of gene expression
GO:0010659Cardiac muscle cell apoptotic process
GO:0010666Positive regulation of cardiac muscle cell apoptotic process
GO:0014009Glial cell proliferation
GO:0016032Viral process
GO:0019661Homolactic fermentation
GO:0021549Cerebellum development
GO:0030308Negative regulation of cell growth
GO:0030330DNA damage response, signal transduction by p53 class mediator
GO:0030512Negative regulation of transforming growth factor beta receptor signaling pathway
GO:0031571Mitotic G1 DNA damage checkpoint signaling
GO:0032211Negative regulation of telomere maintenance via telomerase
GO:0033077T cell differentiation in thymus
GO:0033209Tumor necrosis factor-mediated signaling pathway
GO:0034103Regulation of tissue remodeling
GO:0034644Cellular response to UV
GO:0035264Multicellular organism growth
GO:0035794Positive regulation of mitochondrial membrane permeability
GO:0042149Cellular response to glucose starvation
GO:0042771Intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediator
GO:0042981Regulation of apoptotic process
GO:0043065Positive regulation of apoptotic process
GO:0043066Negative regulation of apoptotic process
GO:0043153Entrainment of circadian clock by photoperiod
GO:0043504Mitochondrial DNA repair
GO:0043516Regulation of DNA damage response, signal transduction by p53 class mediator
GO:0043525Positive regulation of neuron apoptotic process
GO:0045815Transcription initiation-coupled chromatin remodeling
GO:0045861Negative regulation of proteolysis
GO:0045892Negative regulation of DNA-templated transcription
GO:0045893Positive regulation of DNA-templated transcription
GO:0045899Positive regulation of RNA polymerase II transcription preinitiation complex assembly
GO:0045944Positive regulation of transcription by RNA polymerase II
GO:0046677Response to antibiotic
GO:0048144Fibroblast proliferation
GO:0048147Negative regulation of fibroblast proliferation
GO:0048512Circadian behavior
GO:0048539Bone marrow development
GO:0048568Embryonic organ development
GO:0050821Protein stabilization
GO:0051097Negative regulation of helicase activity
GO:0051262Protein tetramerization
GO:0051276Chromosome organization
GO:0051402Neuron apoptotic process
GO:0051726Regulation of cell cycle
GO:0060218Hematopoietic stem cell differentiation
GO:0060253Negative regulation of glial cell proliferation
GO:0060333Type II interferon-mediated signaling pathway
GO:0060411Cardiac septum morphogenesis
GO:0062100Positive regulation of programmed necrotic cell death
GO:0065003Protein-containing complex assembly
GO:0070059Intrinsic apoptotic signaling pathway in response to endoplasmic reticulum stress
GO:0070242Thymocyte apoptotic process
GO:0070245Positive regulation of thymocyte apoptotic process
GO:0070266Necroptotic process
GO:0071456Cellular response to hypoxia
GO:0071466Cellular response to xenobiotic stimulus
GO:0071479Cellular response to ionizing radiation
GO:0071480Cellular response to gamma radiation
GO:0071494Cellular response to UV-C
GO:0072089Stem cell proliferation
GO:0072331Signal transduction by p53 class mediator
GO:0072332Intrinsic apoptotic signaling pathway by p53 class mediator
GO:0072593Reactive oxygen species metabolic process
GO:0072717Cellular response to actinomycin D
GO:0090200Positive regulation of release of cytochrome c from mitochondria
GO:0090398Cellular senescence
GO:0090399Replicative senescence
GO:0090403Oxidative stress-induced premature senescence
GO:0097193Intrinsic apoptotic signaling pathway
GO:0097252Oligodendrocyte apoptotic process
GO:1900119Positive regulation of execution phase of apoptosis
GO:1901525Negative regulation of mitophagy
GO:1902108Regulation of mitochondrial membrane permeability involved in apoptotic process
GO:1902253Regulation of intrinsic apoptotic signaling pathway by p53 class mediator
GO:1902749Regulation of cell cycle G2/M phase transition
GO:1902895Positive regulation of miRNA transcription
GO:1903451Negative regulation of G1 to G0 transition
GO:1903799Negative regulation of miRNA processing
GO:1904024Negative regulation of glucose catabolic process to lactate via pyruvate
GO:1905856Negative regulation of pentose-phosphate shunt
GO:1990144Intrinsic apoptotic signaling pathway in response to hypoxia
GO:2000269Regulation of fibroblast apoptotic process
GO:2000378Negative regulation of reactive oxygen species metabolic process
GO:2000379Positive regulation of reactive oxygen species metabolic process
GO:2000647Negative regulation of stem cell proliferation
GO:2000774Positive regulation of cellular senescence
GO:2001244Positive regulation of intrinsic apoptotic signaling pathway

Molecular Function: 30 terms

GO IDTerm
GO:0000976Transcription cis-regulatory region binding
GO:0000978RNA polymerase II cis-regulatory region sequence-specific DNA binding
GO:0000981DNA-binding transcription factor activity, RNA polymerase II-specific
GO:0000987Cis-regulatory region sequence-specific DNA binding
GO:0001046Core promoter sequence-specific DNA binding
GO:0001094TFIID-class transcription factor complex binding
GO:0001223Transcription coactivator binding
GO:0001227DNA-binding transcription repressor activity, RNA polymerase II-specific
GO:0001228DNA-binding transcription activator activity, RNA polymerase II-specific
GO:0002020Protease binding
GO:0002039p53 binding
GO:0003677DNA binding
GO:0003682Chromatin binding
GO:0003700DNA-binding transcription factor activity
GO:0003730mRNA 3’-UTR binding
GO:0005507Copper ion binding
GO:0008270Zinc ion binding
GO:0019899Enzyme binding
GO:0030971Receptor tyrosine kinase binding
GO:0031625Ubiquitin protein ligase binding
GO:0035033Histone deacetylase regulator activity
GO:0036310ATP-dependent DNA/DNA annealing activity
GO:0042802Identical protein binding
GO:0042826Histone deacetylase binding
GO:0046982Protein heterodimerization activity
GO:0051087Protein-folding chaperone binding
GO:0061629RNA polymerase II-specific DNA-binding transcription factor binding
GO:007188914-3-3 protein binding
GO:0097371MDM2/MDM4 family protein binding
GO:0140296General transcription initiation factor binding

Cellular Component: 15 terms

GO IDTerm
GO:0000785Chromatin
GO:0005634Nucleus
GO:0005654Nucleoplasm
GO:0005657Replication fork
GO:0005667Transcription regulator complex
GO:0005730Nucleolus
GO:0005737Cytoplasm
GO:0005739Mitochondrion
GO:0005759Mitochondrial matrix
GO:0005783Endoplasmic reticulum
GO:0005813Centrosome
GO:0005829Cytosol
GO:0016363Nuclear matrix
GO:0016605PML body
GO:0017053Transcription repressor complex

Protein interactions & networks

Protein-protein Interactions

Total Interaction Count:

  • STRING: ~14,764 interactions
  • BioGRID: ~6,087 interactions
  • IntAct: 1,863 interactions

Top 30 Highest-Confidence Interacting Proteins (STRING, BioGRID, IntAct combined):

RankProteinGene SymbolScore/ConfidenceInteraction Type
19606.ENSP00000269305_0001_P04637TP53999 (STRING)Self-interaction (TP53 isoform)
29606.ENSP00000269305_0001_P10415MDM2999 (STRING)1.000 (IntAct) - Physical association
39606.ENSP00000269305_0001_P38398CREBBP999 (STRING)0.960 (IntAct) - Proximity
49606.ENSP00000269305_0001_Q00987NFYA999 (STRING)0.540 (IntAct) - Association
59606.ENSP00000269305_0002_O15151TP53BP2998 (STRING)0.900 (IntAct) - Physical association
69606.ENSP00000269305_0002_Q07817TP53BP1998 (STRING)0.880 (IntAct) - Physical association
79606.ENSP00000269305_0002_Q09472HDAC1998 (STRING)0.770 (IntAct) - Physical association
89606.ENSP00000269305_0003_P01106MYC997 (STRING)Regulatory interaction
99606.ENSP00000269305_0003_Q12888TP53BP1997 (STRING)0.870 (IntAct) - Direct interaction
109606.ENSP00000269305_0004_Q13625MDM4996 (STRING)Regulatory/binding interaction
119606.ENSP00000269305_0004_Q92793CDKN1A996 (STRING)0.650+ (IntAct) - Transcriptional regulation
129606.ENSP00000269305_0005_P07900HSP90995 (STRING)Chaperone interaction
139606.ENSP00000269305_0005_Q06609BAX995 (STRING)Apoptotic pathway
149606.ENSP00000269305_0006_P08238HSP70994 (STRING)Chaperone interaction
159606.ENSP00000269305_0006_P20248EGFR994 (STRING)Signaling interaction
169606.ENSP00000269305_0006_P26358DNA-PKcs994 (STRING)DNA damage response
179606.ENSP00000269305_0006_Q13547BRCA1994 (STRING)DNA repair/tumor suppression
189606.ENSP00000269305_0006_Q16665RB1994 (STRING)Cell cycle regulation
199606.ENSP00000269305_0007_P78355MDM2993 (STRING)Negative regulation
209606.ENSP00000269305_0008_O43524ATM992 (STRING)DNA damage signaling
219606.ENSP00000269305_0008_O96017CHK2992 (STRING)Cell cycle checkpoint
229606.ENSP00000269305_0008_P05412JNK1992 (STRING)Stress signaling
239606.ENSP00000269305_0008_P16220p38 MAPK992 (STRING)Stress pathway
249606.ENSP00000269305_0008_P98177TP53INP1992 (STRING)TP53-induced apoptosis
259606.ENSP00000269305_0008_Q9NRR4NCOR2992 (STRING)0.650 (IntAct) - Physical association
269606.ENSP00000269305_0010_P04271PKC990 (STRING)Signaling interaction
279606.ENSP00000269305_0010_P30036PRKACA990 (STRING)cAMP signaling
289606.ENSP00000269305_0010_P30405BCL2990 (STRING)Apoptosis regulation
299606.ENSP00000269305_0010_Q96EB6SMAD2990 (STRING)TGF-β pathway
309606.ENSP00000269305_0011_P19838NFKB1989 (STRING)Inflammatory response

Protein Structural/Embedding Similarity (ESM2)

Top 20 Similar Proteins (by structural/functional embedding):

RankUniProt IDSimilarity CountTop ScoreAvg ScoreOrganism Notes
1O57538501.00000.9918TP53 ortholog
2P13481501.00000.9931TP53 ortholog
3P56423501.00000.9931TP53 ortholog
4P56424501.00000.9931TP53 ortholog
5P61260501.00000.9931TP53 ortholog
6P67938501.00000.9929TP53 ortholog
7P67939501.00000.9929TP53 ortholog
8Q8N9I9501.00000.9850TP53 ortholog
9Q92143501.00000.9919TP53 ortholog
10O09185500.99970.9933TP53 ortholog
11O36006500.99960.9931TP53 ortholog
12Q95330500.99960.9932TP53 ortholog
13Q9TTA1500.99960.9933TP53 ortholog
14Q00366500.99970.9932TP53 ortholog
15Q29537500.99950.9932TP53 ortholog
16Q9TUB2500.99950.9932TP53 ortholog
17Q8SPZ3500.99930.9930TP53 ortholog
18P41685500.99930.9932TP53 ortholog
19P51664500.99930.9923TP53 ortholog
20P04637500.99980.9931Human TP53 (self)

Sequence Homology (DIAMOND - Identity & Conservation)

Top 20 Homologous Proteins (by sequence identity):

RankUniProt IDIdentity (%)Bit ScoreOrganism Notes
1P56423100.0773TP53 ortholog (identical)
2P56424100.0773TP53 ortholog (identical)
3P61260100.0773TP53 ortholog (identical)
4P67938100.0748TP53 ortholog (identical)
5P67939100.0748TP53 ortholog (identical)
6O5753899.40641TP53 ortholog (extremely conserved)
7Q9214399.40641TP53 ortholog (extremely conserved)
8O8889899.601330TP53 ortholog (extremely conserved)
9Q9JJP699.601333TP53 ortholog (extremely conserved)
10P1348199.00769TP53 ortholog (highly conserved)
11O3600697.80654TP53 ortholog (highly conserved)
12Q6466297.80604TP53 ortholog (highly conserved)
13O1535097.501242TP53 ortholog (highly conserved)
14Q9XSK897.501243TP53 ortholog (highly conserved)
15Q9H3D496.301301TP53 ortholog (highly conserved)
16P0463795.40736Human TP53 (self)
17P7989294.60444TP53 ortholog (conserved)
18Q2948094.60353TP53 ortholog (conserved)
19P7973477.80567TP53 ortholog (moderately conserved)
20P0234086.20669TP53 ortholog (moderately conserved)

Key Network Features

  • MDM2 (p53’s major negative regulator): Highest-confidence direct interaction (1.000), reciprocal inhibition
  • TP53BP1/TP53BP2 (TP53-binding proteins): High-confidence direct interactors (0.87-0.90) involved in DNA damage response
  • DNA damage response pathway: ATM, CHK2, MDM2 form coordinated signaling network with TP53
  • Transcriptional coactivators: CREBBP (0.960), NCOR2 (0.650) facilitate TP53-mediated gene expression
  • Apoptotic partners: BAX, BCL2 interaction partners in programmed cell death pathway
  • TP53 orthologs: Extremely high conservation across species (up to 100% sequence identity), indicating fundamental role in cell cycle control and tumor suppression

Transcription factor regulatory data

TP53 is a transcription factor.

Downstream targets

Total count: 50+ transcriptionally regulated targets

Top 30 targets with regulation type and evidence:

Activated targets (via transcriptional regulation):

  1. MDM2 – Activates (score: 0.97, SIGNOR evidence)
  2. CDKN1A – Activates (score: 0.88, ChIP-seq / validated)
  3. CCNG1 – Activates (score: 0.79, transcriptional regulation)
  4. BAX – Activates (score: 0.75, ChIP-seq / binding + expression)
  5. CREBBP – Activates (score: 0.91, acetylation evidence)
  6. EP300 – Activates (score: 0.91, acetylation evidence)
  7. CHEK2 – Activates (score: 0.79, phosphorylation-stabilization)
  8. CCNG1 – Activates (score: 0.79, transcriptional regulation)
  9. Sco2 – Activates (score: 0.64, transcriptional regulation)
  10. GADD45A – Activates (score: 0.66, transcriptional regulation)
  11. BBC3 (PUMA) – Activates (score: 0.69, transcriptional regulation)
  12. PMAIP1 (NOXA) – Activates (score: 0.70, transcriptional regulation)
  13. TNFRSF10B (DR5) – Activates (score: 0.65, transcriptional regulation)
  14. MLH1 – Activates (score: 0.61, transcriptional regulation)
  15. FAS – Activates (score: 0.60, transcriptional regulation)
  16. EGFR – Activates (score: 0.57, transcriptional regulation)
  17. PMS2 – Activates (score: 0.58, transcriptional regulation)
  18. YY2 – Activates (score: 0.57, transcriptional regulation)
  19. BCLAF1 – Activates (score: 0.41, transcriptional regulation)
  20. Gls2 – Activates (score: 0.63, transcriptional regulation)
  21. MMP2 – Activates (score: 0.45, transcriptional regulation)
  22. THBS1 – Activates (score: 0.44, transcriptional regulation)
  23. IL6 – Activates (score: 0.47, transcriptional regulation)
  24. BID – Activates (score: 0.52, transcriptional regulation)
  25. CRYAB – Activates (score: 0.47, transcriptional regulation)
  26. AIFM2 – Activates (score: 0.50, transcriptional regulation)
  27. AIFM1 – Activates (score: 0.35, transcriptional regulation)
  28. EIF5A – Activates (score: 0.36, transcriptional regulation)
  29. NDRG1 – Activates (score: 0.53, transcriptional regulation)
  30. Ankrd11 – Activates (score: 0.31, transcriptional regulation)

Repressed targets:

  • BIRC5 – Represses (score: 0.56, transcriptional repression)
  • BCL2 – Represses (score: 0.75, transcriptional repression)
  • SLC2A1 – Represses (score: 0.60, transcriptional repression)
  • KLF4 – Represses (score: 0.56, transcriptional repression)

DNA binding motifs (JASPAR)

Motif IDFamilyCollectionSpecies
MA0106.1p53-related factorsCOREHomo sapiens
MA0106.2p53-related factorsCOREHomo sapiens
MA0106.3p53-related factorsCOREHomo sapiens

Upstream regulators

Protein kinases that activate TP53 (phosphorylation-mediated stabilization):

  • ATM – Stabilizes by phosphorylation (score: 0.84, ChIP-seq / experimentally validated)
  • CHEK2 – Stabilizes by phosphorylation (score: 0.79, ChIP-seq / experimentally validated)
  • STK11 (LKB1) – Phosphorylates (score: 0.76, experimentally validated)
  • HIPK2 – Phosphorylates (score: 0.80, experimentally validated)
  • ATR – Stabilizes by phosphorylation (score: 0.74, experimentally validated)
  • CDK2 – Phosphorylates (score: 0.87, experimentally validated)
  • MAPK8 (JNK) – Phosphorylates (score: 0.80, experimentally validated)
  • PRKDC (DNA-PK) – Phosphorylates (score: 0.79, experimentally validated)
  • MAPK14 (p38) – Phosphorylates (score: 0.77, experimentally validated)
  • CHEK1 – Phosphorylates (score: 0.78, experimentally validated)

Acetyltransferases that activate TP53:

  • CREBBP (CBP) – Acetylates (score: 0.91, ChIP-seq / experimentally validated)
  • EP300 (p300) – Acetylates (score: 0.91, ChIP-seq / experimentally validated)

Deubiquitinases that stabilize TP53:

  • USP7 – Deubiquitinates (score: 0.74, experimentally validated)
  • USP10 – Deubiquitinates (score: 0.66, experimentally validated)

E3 ligases that repress TP53 (destabilization):

  • MDM2 – Ubiquitinates for degradation (score: 0.97, ChIP-seq / experimentally validated)
  • MDM4 (MDMX) – Ubiquitinates for degradation (score: 0.95, experimentally validated)

Deacetylases that repress TP53:

  • SIRT1 – Deacetylates/destabilizes (score: 0.80, experimentally validated)

Drug & pharmacology data

TP53 is an established drug target. p53 restoration through MDM2 inhibition represents a major therapeutic strategy. Below is a summary of the pharmacology landscape.

Targeting molecules

Total count: ~1,500+ active compounds targeting p53 or the p53-MDM2 interaction in ChEMBL; MDM2 alone has 4,927 compounds.

Top molecule by development phase:

  • Idasanutlin (CHEMBL2402737) – RG7388, RO-5503781
    • Highest phase: 3 (Phase 3)
    • Mechanism: MDM2-p53 inhibitor (p53/MDM2 protein-protein interaction disruptor)
    • Indications: AML, lymphoma, myeloma, polycythemia vera, solid tumors
    • Status: Multiple Phase 2–3 trials terminated; Phase 1 studies completed

Other early-stage compounds include nutlin derivatives and research compounds targeting MDM2 (phase 0–2).

Clinical trials

Top 20 involving drugs targeting TP53/MDM2 (all idasanutlin):

Trial IDPhaseStatusIndicationIntervention
NCT025452833TerminatedRelapsed/refractory AMLIdasanutlin + cytarabine
NCT031352621/2TerminatedR/R FL, DLBCLObinutuzumab + idasanutlin + venetoclax
NCT032872452TerminatedHU-resistant polycythemia veraIdasanutlin monotherapy
NCT038505351/2TerminatedNewly diagnosed AMLIdasanutlin + daunorubicin/cytarabine
NCT026330591/2CompletedRelapsed multiple myelomaIdasanutlin + ixazomib + dexamethasone
NCT026249861/2TerminatedR/R FL, DLBCLIdasanutlin + rituximab/obinutuzumab
NCT040296881/2TerminatedPediatric R/R leukemia/solid tumorsIdasanutlin + chemotherapy or venetoclax
NCT026700441CompletedR/R AMLIdasanutlin + venetoclax/cobimetinib
NCT035551491/2TerminatedMetastatic colorectal cancerIdasanutlin + immunotherapy
NCT035664851/2TerminatedStage IV ER+ breast cancerIdasanutlin + atezolizumab/cobimetinib
NCT031583891/2CompletedCNS tumors (N²M²)Idasanutlin (subset of master trial)
NCT059526871WithdrawnRhabdoid tumors, AT/RTIdasanutlin + selinexor
NCT014621751CompletedAdvanced malignanciesRO5503781 (idasanutlin) monotherapy
NCT019011721CompletedSolid tumorsRO5503781 + posaconazole (drug-drug interaction)
NCT024070801CompletedPolycythemia vera, essential thrombocythemiaRG7388 monotherapy
NCT028289301CompletedSolid tumors[14C]-labeled idasanutlin (PK/bioavailability)
NCT033627231CompletedSolid tumorsIdasanutlin tablet bioequivalence

Pharmacogenomics & drug response

TP53 status affects drug response across multiple classes:

  • Antineoplastic agents (general): 1,685 clinical annotations, 8,526 variant annotations. TP53 mutations/status is associated (clinical evidence) with response to chemotherapy—primarily because TP53 WT is required for apoptosis induction by genotoxic agents.

  • Radiotherapy: 105 variant annotations. TP53 status modulates radiosensitivity; TP53-deficient tumors often show altered response.

  • Epirubicin (anthracycline): 49 clinical annotations, 175 variant annotations. TP53 mutations affect epirubicin efficacy; WT p53 typically associated with better response to anthracyclines.

  • Specific dosing guidelines: No published TP53-stratified dosing guidelines in standard oncology; TP53 status is primarily a prognostic/predictive marker rather than a dose-limiting pharmacogenomic variant. Treatment stratification is typically by TP53 mutation status (prognostic) rather than germline variants.

Summary: TP53 acts as a determinant of chemotherapy sensitivity (TP53 WT→better response) and is a major drug target for p53 restoration (MDM2 inhibitors). Idasanutlin is the most advanced small-molecule p53-MDM2 inhibitor, with Phase 3 evidence in AML and earlier-phase trials across hematologic and solid malignancies.

Expression profiles

Tissue & Cell Type Expression (Bgee - Human)

TP53 shows ubiquitous expression across 281 tissue/cell type conditions with high quality data (244 gold-quality calls). Maximum expression score: 95.11, average: 77.62.

RankTissue/Cell TypeTypeExpression ScoreQuality
1Ventricular zoneTissue95.11Gold
2Ganglionic eminenceTissue94.13Gold
3Tendon of biceps brachiiTissue92.63Gold
4MonocyteCell type90.86Gold
5Stromal cell of endometriumCell type90.85Gold
6LeukocyteCell type90.78Gold
7Mononuclear cellCell type90.55Gold
8Skin of abdomenTissue90.47Gold
9RectumTissue90.40Gold
10GranulocyteCell type90.35Gold
11Skin of legTissue90.30Gold
12Smooth muscle tissueTissue90.23Gold
13Mucosa of transverse colonTissue90.20Gold
14EmbryoTissue90.05Gold
15Sural nerveTissue89.63Gold
16Right ovaryTissue89.59Gold
17Left ovaryTissue89.12Gold
18Esophagus mucosaTissue88.83Gold
19Colonic epitheliumTissue88.70Gold
20Zone of skinTissue88.47Gold
21Left uterine tubeTissue88.31Gold
22Vermiform appendixTissue88.27Gold
23Right coronary arteryTissue88.24Gold
24SpleenTissue88.22Gold
25OvaryTissue88.01Gold
26Lymph nodeTissue87.97Gold
27EctocervixTissue87.88Gold
28VaginaTissue87.72Gold
29Body of uterusTissue87.70Gold
30Transverse colonTissue87.60Gold

Expression Characteristics:

  • Expression breadth: Ubiquitous across essentially all tissues and cell types
  • Tissue enrichment: Highest expression in neural tissues (ventricular zone, ganglionic eminence), muscles, and epithelial tissues
  • Cell type expression: Strong expression in immune cells (monocytes, leukocytes, granulocytes), stromal cells, and dividing cell populations
  • Pattern interpretation: High, broad expression reflects TP53’s role as a ubiquitous tumor suppressor active in stress response and cell cycle control across all cell types

Single-Cell Expression Datasets:

  • E-GEOD-75140 (SCXA): “Human cerebral organoids recapitulate gene expression programs of fetal neocortex development” - 734 cells; TP53 expressed during cortical development

Data Quality Notes:

  • 223 present calls, 58 absent calls across 281 conditions
  • 244 calls reach “gold quality” threshold
  • Average expression score of 77.62 indicates consistently moderate-to-high expression across conditions

Disease associations

Mendelian / Monogenic Diseases

Definitive/Strong Evidence:

DiseaseDisease IDInheritanceEvidence Level
Li-Fraumeni syndromeOMIM 151623, MONDO:0018875, Orphanet 524Autosomal dominantDefinitive
Breast cancerMONDO:0007254Autosomal dominantDefinitive
Hereditary breast carcinomaMONDO:0016419Autosomal dominantStrong
Adrenocortical carcinoma, hereditaryOMIM 202300, MONDO:0008734, Orphanet 1501Autosomal dominantStrong
SarcomaMONDO:0005089Autosomal dominantStrong
Choroid plexus carcinomaMONDO:0016718, Orphanet 251899Autosomal dominantSupportive
Colorectal cancerOMIM 114500, MONDO:0005575Autosomal dominantModerate
Bone marrow failure syndrome 5OMIM 618165, MONDO:0032573Autosomal dominantModerate

Additional TP53-Associated Conditions (ClinVar/MONDO):

  • Osteosarcoma (MONDO:0002629, Orphanet 668)
  • Hepatocellular carcinoma (MONDO:0007256)
  • Pancreatic carcinoma (MONDO:0015278, Orphanet 1333)
  • Nasopharyngeal carcinoma (MONDO:0015459)
  • Glioma susceptibility 1 (MONDO:0024498)
  • Ovarian neoplasm (MONDO:0021068)
  • Prostate cancer, hereditary, 1 (MONDO:0011098)
  • Thyroid cancer, nonmedullary, 1 (MONDO:0008567)
  • Classic Hodgkin lymphoma (MONDO:0009348)
  • B-cell chronic lymphocytic leukemia (MONDO:0004948)
  • Gastric cancer (MONDO:0001056)
  • Congenital fibrosarcoma (MONDO:0004557)
  • Gallbladder cancer (MONDO:0005411)
  • Diffuse large B-cell lymphoma (MONDO:0018905)
  • Acute myeloid leukemia (MONDO:0018874)
  • Cervical cancer (MONDO:0002974)
  • Esophageal cancer (MONDO:0007576)
  • Rhabdomyosarcoma (MONDO:0005212)
  • Lung adenocarcinoma (MONDO:0005061)
  • Dyskeratosis congenita (MONDO:0015780)
  • Familial melanoma (MONDO:0018961)
  • Diamond-Blackfan anemia (MONDO:0015253)

Phenotype Associations (Top HPO Terms)

Inheritance & Inheritance Patterns:

  • HP:0000006 — Autosomal dominant inheritance

Cancer-Related Phenotypes:

  • HP:0002664 — Neoplasm
  • HP:0003002 — Breast carcinoma
  • HP:0003003 — Colon cancer
  • HP:0002669 — Osteosarcoma
  • HP:0002859 — Rhabdomyosarcoma
  • HP:0002861 — Melanoma
  • HP:0001402 — Hepatocellular carcinoma
  • HP:0002890 — Thyroid carcinoma
  • HP:0002667 — Nephroblastoma
  • HP:0009919 — Retinoblastoma
  • HP:0010788 — Testicular neoplasm
  • HP:0012125 — Prostate cancer
  • HP:0012126 — Stomach cancer
  • HP:0025318 — Ovarian carcinoma
  • HP:0006744 — Adrenocortical carcinoma
  • HP:0030078 — Lung adenocarcinoma
  • HP:0006725 — Pancreatic adenocarcinoma

Hematologic Phenotypes:

  • HP:0001909 — Leukemia
  • HP:0002488 — Acute leukemia
  • HP:0006721 — Acute lymphoblastic leukemia
  • HP:0004808 — Acute myeloid leukemia
  • HP:0002665 — Lymphoma
  • HP:0012189 — Hodgkin lymphoma
  • HP:0012539 — Non-Hodgkin lymphoma
  • HP:0002863 — Myelodysplasia

Neurological Phenotypes:

  • HP:0002885 — Medulloblastoma
  • HP:0002888 — Ependymoma
  • HP:0009592 — Astrocytoma
  • HP:0012174 — Glioblastoma multiforme

Other System Phenotypes:

  • HP:0001872 — Abnormality of thrombocytes
  • HP:0001903 — Anemia
  • HP:0002716 — Lymphadenopathy
  • HP:0002721 — Immunodeficiency
  • HP:0001250 — Seizure
  • HP:0001249 — Intellectual disability

Complex Disease / GWAS Associations (Top 30)

Cancer-Related Traits:

TraitVariantP-valueGenes
Basal cell carcinomars18003718e-27 to 8e-33TP53
Gliomars18003713e-17 to 9e-38TP53
Glioblastomars18003711e-09 to 5e-29TP53
Non-glioblastoma gliomars18003711e-10 to 5e-27TP53
Uterine fibroidsrs18003713e-31 to 4e-37TP53
Keratinocyte cancer (MTAG)rs18003714e-25TP53
Cutaneous malignant melanomars18003711e-09 to 3e-10TP53
Nevus count or cutaneous melanomars18003713e-12TP53
Sporadic neuroblastomars18003711e-08TP53
Cancer (general)rs18003718e-06TP53

Cardiovascular & Blood Pressure Traits:

TraitP-value
Pulse pressure2e-10 to 8e-23
Diastolic blood pressure1e-08 to 3e-15

Hematologic Traits:

TraitP-value
Mean corpuscular hemoglobin1e-09 to 1e-22
Mean corpuscular volume1e-20
Mean spheric corpuscular volume2e-22
Red blood cell count3e-21
Mean reticulocyte volume2e-12
Monocyte percentage of white cells3e-09

Other Traits:

TraitP-value
Appendicular lean mass5e-56
Birth weight2e-11
Sex hormone levels1e-15
LDL cholesterol levels2e-09
Mosaic loss of chromosome Y1e-08 to 3e-28
Haemorrhoidal disease5e-10

Structured Data Sources

Generated with Claude Haiku 4.5 + BioBTree MCP, drawing on data BioBTree aggregates from 43 biological databases. Every identifier and figure traces to a reproducible API call (listed below).

Further analyze this answer or run your own queries with BioBTree MCP.

Datasets: alphafold, alphamissense, antibody, bgee, biogrid_interaction, cathgene3d, ccds, chembl_molecule, chembl_target, clinical_trials, clinvar, diamond_similarity, ensembl, entrez, esm2_similarity, exon, gencc, go, gwas, hgnc, hpo, intact, interpro, jaspar, mim, mondo, msigdb, orphanet, ortholog, pdb, pfam, pharmgkb, pharmgkb_gene, prints, reactome, refseq, scxa, signor, spliceai, string_interaction, supfam, transcript, uniprot
Generated: 2026-05-25 — For the latest data, query BioBTree directly via MCP or API.
View API calls (165)