Evidence map›Paper›PMID 40287431›Full record

ArticleNature communications2025

p53 protein degradation redefines the initiation mechanisms and drives transitional mutations in colorectal cancer.

Irene Herranz-Montoya, Mariana Angulo-Aguado, Cristian Perna, Sladjana Zagorac, Luis García-Jimeno, Solip Park, Nabil Djouder

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Biomedicines · 2026
    Article
  4. Review
  5. Article
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

7 authors.

Irene Herranz-MontoyaGrowth Factors, Nutrients and Cancer Group, Molecular Oncology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain.ORCID http://orcid.org/0000-0001-9644-0585
Mariana Angulo-AguadoGrowth Factors, Nutrients and Cancer Group, Molecular Oncology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain.
Cristian PernaDepartment of Pathology, Hospital Universitario Ramón y Cajal, IRYCIS, 28034, Madrid, Spain.ORCID http://orcid.org/0000-0001-8566-1198
Sladjana ZagoracGrowth Factors, Nutrients and Cancer Group, Molecular Oncology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain.
Luis García-JimenoComputational Cancer Genomics Group, Structural Biology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain.
Solip ParkComputational Cancer Genomics Group, Structural Biology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain.ORCID http://orcid.org/0000-0002-5988-5339
Nabil DjouderGrowth Factors, Nutrients and Cancer Group, Molecular Oncology Programme, Centro Nacional Investigaciones Oncológicas (CNIO), 28029, Madrid, Spain. ndjouder@cnio.es.ORCID http://orcid.org/0000-0001-8423-1030

Funding

Fundación BBVA (BBVA Foundation) EIC21-1-243
6 · The paper itself

Abstract

Incidence of colorectal cancer (CRC) is increasing likely due to different mechanisms driving initiation and progression. The initial model proposed by Fearon and Vogelstein posits it as a multi-hit neoplasia, originating from adenomatous-polyps induced by WNT activation, ultimately progressing to aggressiveness through p53 loss. Integrating human data with mouse genetics, we redefine this paradigm, highlighting pivotal roles of MYC, oncogenic URI and p53 degradation to initiate CRC. Early APC loss activates MYC to transcriptionally upregulate URI, which modulates MDM2 activity, triggering p53 proteasomal degradation, essential for tumour initiation and mutation burden accrual in CRC mice. Remarkably, reinstating p53 levels via genetic URI depletion or p53 super-expression in CRC mice with WNT pathway activation prevents tumour initiation and extends lifespan. Our data reveal a "two-hit" genetic model central to APC loss-driven CRC initiation, wherein MYC/URI axis intricately controls p53 degradation, offering mechanistic insights into transitional mutation acquisition essential for CRC progression.

Indexed as

Colorectal NeoplasmsTumor Suppressor Protein p53Adenomatous Polyposis Coli ProteinAnimalsFemaleGene Expression Regulation, NeoplasticHumansMiceMutationProteolysisProto-Oncogene Proteins c-mdm2Proto-Oncogene Proteins c-mycWnt Signaling PathwayAdenomatous Polyposis Coli ProteinProto-Oncogene Proteins c-mdm2Proto-Oncogene Proteins c-mycTrp53 protein, mouseTumor Suppressor Protein p53

Identifiers

PMID40287431
PMCPMC12033273

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Registered trials

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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.