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TP53 Somatic Mutations: Prognostic and Predictive Value in Human Cancers

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p53 in the Clinics

Abstract

The tumor suppressor gene TP53 (OMIM #191117) is one of the most frequently altered genes in human cancers. Somatic gene mutations are the preferred mode of inactivation in many cancer types. These mutations have been shown, in various experimental models, to promote cell proliferation and resistance to anti-neoplastic effects of radio- and chemotherapeutic agents. It was thus expected that TP53 mutations may be useful prognostic and predictive markers in cancer. While a prognostic marker provides information on the risk of relapse and death independently of treatment, a predictive marker provides information on the potential benefit of a specific treatment. Many studies have investigated, in various clinical settings, the prognostic and predictive value of TP53 mutation status in cancer patients. Despite many studies showing a poor prognosis associated with TP53-mutated status, no consensus results have been produced that could support clinical applications. Here, we review these studies, in particular those performed in the context of specific treatment regimen.

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Olivier, M. (2013). TP53 Somatic Mutations: Prognostic and Predictive Value in Human Cancers. In: Hainaut, P., Olivier, M., Wiman, K. (eds) p53 in the Clinics. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3676-8_8

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