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Senses cellular DNA damage
DNA damage, hypoxia, or abnormal oncogene activation activates p53. Normally, p53 is rapidly degraded by MDM2, but after cellular stress it becomes stabilized and active.
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Causes cell-cycle arrest
p53 induces p21, a cyclin-dependent kinase inhibitor. This blocks the G1-to-S phase transition, allowing time for DNA repair before DNA replication.
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Promotes DNA repair
During cell-cycle arrest, p53 activates transcription of genes involved in DNA repair. Thus, cells with repairable damage can survive with an intact genome.
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Eliminates irreparably damaged cells
If damage is severe or cannot be repaired, p53 induces:
- Apoptosis by increasing pro-apoptotic proteins such as BAX
- Cellular senescence, producing permanent growth arrest
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Prevents cancer formation
By stopping proliferation of genetically damaged cells, p53 prevents accumulation of mutations and neoplastic transformation. Mutation of TP53 is common in human cancers.