TP53 Monoclonal Antibodies are laboratory-engineered immune proteins designed to specifically target the p53 tumor suppressor protein, encoded by the TP53 gene. These antibodies are critical tools in cancer research, diagnostics, and emerging therapeutic strategies. The p53 protein regulates cell cycle arrest, apoptosis, and genomic stability, and mutations in TP53 are among the most common genetic alterations in human cancers . Monoclonal antibodies (mAbs) targeting p53 are used to detect protein expression levels, identify mutant variants, and guide therapeutic interventions .
Monoclonal antibodies bind to specific epitopes on p53, enabling detection via techniques like immunohistochemistry (IHC), Western blot (WB), and flow cytometry. Some antibodies, such as TP53/1739 and TP53/1799R, recognize both WT and mutant p53, while others (e.g., anti-R175H mAbs) target specific mutant forms .
p53 autoantibodies (p53-Abs) are detected in ~30% of cancer patients and correlate with TP53 mutations. While highly specific (95–96%), their sensitivity is limited (~30%), making them less reliable for early detection .
| Cancer Type | Prognostic Association | References |
|---|---|---|
| Breast, Colon, Gastric | High-grade tumors; poor survival | |
| TP53-Mutated AML | Shorter remission duration; lower OS |
Prevalence: 5–10% of de novo AML cases; often co-occurs with complex karyotypes .
Treatment Challenges: Poor response to standard therapies (e.g., 20–40% CR with azacitidine) .
Emerging Therapies:
Cross-Reactivity: Many antibodies bind WT and mutant p53, limiting specificity .
Sensitivity: p53-Abs in sera lack diagnostic utility due to low prevalence in early-stage cancers .
Targeted Imaging: Radiolabeled anti-p53 mAbs (e.g., 111In-H10-TAT) show promise for noninvasive tumor monitoring .
Bispecific Antibodies: Combinations (e.g., anti-R175H + anti-PD-1) enhance T-cell-mediated killing in preclinical models .