Evidence map›Paper›PMID 27323328›Full record

ArticleNature cell biology2016

Chronic p53-independent p21 expression causes genomic instability by deregulating replication licensing.

Panagiotis Galanos, Konstantinos Vougas, David Walter, Alexander Polyzos, Apolinar Maya-Mendoza, Emma J Haagensen, Antonis Kokkalis, Fani-Marlen Roumelioti, Sarantis Gagos, Maria Tzetis and 17 more

Open access · greenAbstract read
In one paragraph

Article in Nature cell biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 200 papers.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed
17.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

200 citing papers in PubMed, 306 citations in OpenAlex.

  1. Review
  2. Role of the MDM2/p53 axis in regulating cisplatin response in tumor cells.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. PP4 deficiency drives airway epithelial senescence via the PERK-eIF2α-ATF4-p21 axis in severe asthma.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
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  7. Pre-Encoded IFN-I Sensitivity Exacerbates Memory T Cell Senescence in Solid Tumors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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140 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 13 institutions in 8 countries.

Panagiotis GalanosMolecular Carcinogenesis Group, Department of Histology and Embryology, School of Medicine, University of Athens, 75 Mikras Asias Str, Athens GR-11527, Greece.
Konstantinos VougasBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
David WalterBiotech Research and Innovation Centre (BRIC), University of Copenhagen, Ole Maaloes Vej 5, Copenhagen DK-2200, Denmark.ORCID 0000-0003-4363-0339
Alexander PolyzosBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
Apolinar Maya-MendozaGenome Integrity Unit, Danish Cancer Society Research Centre, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Emma J HaagensenCentre for Gene Regulation &Expression, College of Life Sciences, University of Dundee, Dow Street, Dundee DD1 5EH, UK.
Antonis KokkalisBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
Fani-Marlen RoumeliotiBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
Sarantis GagosBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
Maria TzetisDepartment of Medical Genetics, Medical School, University of Athens, Thivon &Levadias Str., Athens GR-11527, Greece.
Begoña CanovasInstitute for Research in Biomedicine (IRB Barcelona), Barcelona Institute of Science and Technology, 08028 Barcelona, Spain.
Ana IgeaInstitute for Research in Biomedicine (IRB Barcelona), Barcelona Institute of Science and Technology, 08028 Barcelona, Spain.
Akshay K AhujaInstitute of Molecular Cancer Research, University of Zurich, Winterthurerstrasse 190, Zurich CH-8057, Switzerland.
Ralph ZellwegerInstitute of Molecular Cancer Research, University of Zurich, Winterthurerstrasse 190, Zurich CH-8057, Switzerland.
Sofia HavakiMolecular Carcinogenesis Group, Department of Histology and Embryology, School of Medicine, University of Athens, 75 Mikras Asias Str, Athens GR-11527, Greece.
Emanuel KanavakisDepartment of Medical Genetics, Medical School, University of Athens, Thivon &Levadias Str., Athens GR-11527, Greece.
Dimitris KletsasLaboratory of Cell Proliferation and Ageing, Institute of Biosciences and Applications, National Centre for Scientific Research 'Demokritos', Agia Paraskevi Attikis, PO Box 60228, Athens GR-153 10, Greece.
Igor B RoninsonCenter for Targeted Therapeutics, Department of Drug Discovery and Biomedical Sciences, South Carolina College of Pharmacy, University of South Carolina, Coker Life Science Building, 715 Sumter Street, Columbia, South Carolina 29208, USA.
Spiros D GarbisCancer and Clinical Experimental Science Units, Faculty of Medicine, Institute for Life Sciences, Center for Proteome Research, University of Southampton, University Road Southampton, Southampton SO17 1BJ, UK.
Massimo LopesInstitute of Molecular Cancer Research, University of Zurich, Winterthurerstrasse 190, Zurich CH-8057, Switzerland.
Angel NebredaInstitute for Research in Biomedicine (IRB Barcelona), Barcelona Institute of Science and Technology, 08028 Barcelona, Spain.
Dimitris ThanosBiomedical Research Foundation of the Academy of Athens, 4 Soranou Ephessiou St., Athens GR-11527, Greece.
J Julian BlowCentre for Gene Regulation &Expression, College of Life Sciences, University of Dundee, Dow Street, Dundee DD1 5EH, UK.ORCID 0000-0002-9524-5849
Paul TownsendFaculty Institute of Cancer Sciences, University of Manchester, Manchester Academic Health Science Centre, Wilmslow Road, Manchester M20 4QL, UK.
Claus Storgaard SørensenBiotech Research and Innovation Centre (BRIC), University of Copenhagen, Ole Maaloes Vej 5, Copenhagen DK-2200, Denmark.
Jiri BartekGenome Integrity Unit, Danish Cancer Society Research Centre, Strandboulevarden 49, Copenhagen DK-2100, Denmark.
Vassilis G GorgoulisMolecular Carcinogenesis Group, Department of Histology and Embryology, School of Medicine, University of Athens, 75 Mikras Asias Str, Athens GR-11527, Greece.
Academy of Athens · GRNational and Kapodistrian University of Athens · GRUniversity of Zurich · CHInstitute for Research in Biomedicine · ESUniversity of Copenhagen · DKUniversity of Dundee · GBDanish Cancer Society · DKInstitució Catalana de Recerca i Estudis Avançats · ESManchester Academic Health Science Centre · GBNational Centre of Scientific Research "Demokritos" · GRScience for Life Laboratory · SEUniversity of Southampton · GBUniversity of South Carolina Sumter · US

Funding

Wellcome Trust 096598
6 · The paper itself

Abstract

The cyclin-dependent kinase inhibitor p21(WAF1/CIP1) (p21) is a cell-cycle checkpoint effector and inducer of senescence, regulated by p53. Yet, evidence suggests that p21 could also be oncogenic, through a mechanism that has so far remained obscure. We report that a subset of atypical cancerous cells strongly expressing p21 showed proliferation features. This occurred predominantly in p53-mutant human cancers, suggesting p53-independent upregulation of p21 selectively in more aggressive tumour cells. Multifaceted phenotypic and genomic analyses of p21-inducible, p53-null, cancerous and near-normal cellular models showed that after an initial senescence-like phase, a subpopulation of p21-expressing proliferating cells emerged, featuring increased genomic instability, aggressiveness and chemoresistance. Mechanistically, sustained p21 accumulation inhibited mainly the CRL4-CDT2 ubiquitin ligase, leading to deregulated origin licensing and replication stress. Collectively, our data reveal the tumour-promoting ability of p21 through deregulation of DNA replication licensing machinery-an unorthodox role to be considered in cancer treatment, since p21 responds to various stimuli including some chemotherapy drugs.

Indexed as

Cells, CulturedCyclin-Dependent Kinase Inhibitor p21CyclinsDNA ReplicationGenomic InstabilityHumansNeoplasmsTumor Suppressor Protein p53Cyclin-Dependent Kinase Inhibitor p21CyclinsTP53 protein, humanTumor Suppressor Protein p53

Identifiers

PMID27323328
PMCPMC6535144
OpenAlexW2470774921

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.