Evidence map›Paper›PMID 41822325›Full record

ArticleWorld journal of oncology2026

TP53 Loss Fuels mTORC1 Activation and Autophagy Suppression to Drive Immune-Cold Colorectal Cancer.

Eunseuk Lee, Dana Al-Assi, Randy Rivera-Rueda, Sharon Susan Paul, Aksa Joy

Abstract read
In one paragraph

Article in World journal of oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Eunseuk LeeRutgers Health Community Medical Center, Toms River, NJ, USA.ORCID https://orcid.org/0009-0004-3761-576X
Dana Al-AssiRutgers Health Community Medical Center, Toms River, NJ, USA.ORCID https://orcid.org/0009-0001-9297-2434
Randy Rivera-RuedaRutgers Health Community Medical Center, Toms River, NJ, USA.ORCID https://orcid.org/0009-0003-4630-8369
Sharon Susan PaulRutgers Health Community Medical Center, Toms River, NJ, USA.
Aksa JoyRutgers Health Community Medical Center, Toms River, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Microsatellite-stable colorectal cancer (MSS CRC) is typically resistant to immune checkpoint blockade and remains an "immune-cold" disease. Wild-type p53 is known to restrain mTOR signaling and support autophagy, yet how TP53 loss integrates metabolic rewiring with immune suppression in MSS CRC-especially with protein- and phosphosite-level validation-remains incompletely defined. We tested whether p53 deficiency is associated with coordinated mTORC1 activation, autophagy attenuation, and immune-cold remodeling across multi-omics datasets. Methods: We analyzed GSE146009 (paired tumor-normal RNA-seq pairs), TCGA-COAD/READ (n = 647, mutation annotated), GSE108989 (11,138 tumor-infiltrating T cells), and CPTAC colon proteome/phosphoproteome cohorts. Pathway activities were quantified by single-sample gene set enrichment analysis (ssGSEA) and Seurat module scoring. Group differences were tested by Kruskal-Wallis and Wilcoxon analyses with false-discovery-rate correction. CPTAC phosphosite-to-protein ratios were compared between TP53-mutant or p53-low versus wild-type or p53-high tumors. Results: Across bulk transcriptomes, TP53-mutant tumors showed higher mTORC1 signaling, lower autophagy scores, higher FOXP3, and reduced CD8A/FOXP3 ratios consistent with a regulatory T-cell-skewed immune-cold state. Single-cell analysis confirmed subset-specific immunometabolic programs, highlighting metabolically active regulatory/exhausted states with relatively blunted inflammatory output. Proteomic/phosphoproteomic data supported post-translational mTOR pathway activation in p53-deficient tumors, including increased phosphorylation of canonical mTOR substrates (EIF4EBP2 S65; RPS6KB1 T421/S424) and reduced phosphorylation at inhibitory RPTOR sites (S705/T725/S726), consistent with sustained mTORC1 activity. Conclusions: In MSS CRC, p53 deficiency is consistently associated with immunometabolic remodeling marked by persistent mTOR pathway activation, relative autophagy attenuation, and FOXP3-dominant immune-cold features across transcriptomic, single-cell, and proteomic layers. These findings add protein- and phosphosite-level evidence linking TP53 loss to an immune-suppressive metabolic state and support biomarker-guided evaluation of mTOR kinase (TORC1/2) inhibition, which more fully suppresses 4E-BP/S6K phosphorylation, combined with PD-1/PD-L1 (± CTLA-4) blockade in TP53-deficient MSS CRC.

Indexed as

AutophagyColorectal cancerImmune evasionImmunometabolismmTORC1ProteomicsRegulatory T cellsTP53

Identifiers

PMID41822325
PMCPMC12978393

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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.