ArticleWorld journal of oncology2026
TP53 Loss Fuels mTORC1 Activation and Autophagy Suppression to Drive Immune-Cold Colorectal Cancer.
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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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.
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