id: MODULE:p53_signaling
title: p53 signaling — stress-kinase stabilisation of p53 (ATM/ATR, CHK2/CHK1), MDM2-MDM4 ubiquitin-ligase negative feedback, ARF inhibition of MDM2, acetylation control, and p53 tetramer transactivation of target genes; TP53/MDM2/MDM4/CDKN2A(ARF)/ATM/ATR/CHEK2/CHEK1/EP300/CREBBP/KAT5/SIRT1
description: >-
  The tumour suppressor p53 (TP53) is a sequence-specific transcription factor that
  is kept at low levels in unstressed cells by the RING E3 ubiquitin ligase MDM2.
  MDM2 binds the N-terminal transactivation domain of p53, which both conceals the
  domain from the transcription machinery and positions p53 for polyubiquitylation
  and proteasomal degradation. The MDM2 paralog MDM4 (MDMX) has no ligase activity
  of its own toward p53 but heterodimerises with MDM2 through the RING domain,
  stimulating MDM2 E3 activity, and also binds and inhibits the p53
  transactivation domain. Because the MDM2 gene is itself a p53 target, the
  circuit is a negative feedback loop. Stress releases p53 from this loop in two
  main ways. DNA damage activates the PI3K-like kinases ATM (double-strand breaks)
  and ATR (replication stress and UV damage), which phosphorylate p53 on Ser15 and
  MDM2, and activate the effector kinases CHK2 and CHK1, which phosphorylate p53
  on Ser20 in the MDM2-binding region; these modifications weaken the p53-MDM2
  interaction and stabilise p53. Oncogenic signalling induces the ARF product of
  the CDKN2A locus, which binds MDM2, inhibits its E3 activity and sequesters it
  in the nucleolus. Stabilised p53 binds its response elements as a tetramer and
  recruits the coactivator acetyltransferases p300 and CBP, which acetylate the
  p53 C-terminal domain as well as promoter histones; KAT5 (TIP60) acetylates p53
  Lys120 in the DNA-binding domain, a mark needed for induction of pro-apoptotic
  targets, and the NAD-dependent deacetylase SIRT1 removes p53 acetylation and
  dampens its activity. The transcriptional outputs, such as CDKN1A (p21),
  BBC3 (PUMA), PMAIP1 (NOXA) and BAX, then execute cell-cycle arrest, apoptosis or
  senescence through modules downstream of this circuit.
status: DRAFT
scope: CONCRETE
evidence:
  - source_id: PW:0000718
    title: p53 signaling pathway
    statement: >-
      The module boundary follows the RGD Pathway Ontology term and its diagram. The
      diagram draws Mdm2 and Mdm4 associated with and negatively affecting Tp53, Mdm2
      associated with Mdm4, Tp53 positively affecting Mdm2 (the feedback loop), the
      ATM signaling pathway positively affecting "p53, Mdm2 phosphorylation", "p53,
      Mdm2 acetylation" positively affecting Tp53 and negatively affecting Mdm2,
      endogenous and exogenous stress positively affecting Tp53, and Tp53 positively
      affecting "p53 targets", cell cycle arrest, senescence, the intrinsic apoptotic
      pathway and RNA polymerase II transcription. Derived through
      projects/RGD_PATHWAY_ONTOLOGY (pathways/PW_0000718.yaml).
  - source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0000718.yaml
    title: RGD PW:0000718 pathway description
    statement: RGD's description of the MDM2-p53 negative feedback loop at the core of the module.
    supporting_text: In the unstressed state, Mdm2 binds to and sterically blocks the transactivation domain of p53, it also acts as an E3 ubiquitin ligase for p53 and itself. Mdm2 is a target of p53, hence the negative feedback loop it provides.
  - source_id: GO:0072331
    title: signal transduction by p53 class mediator
    statement: >-
      The curated skos:closeMatch GO process for PW:0000718 in
      projects/RGD_PATHWAY_ONTOLOGY/data/module_seeds.yaml, used as the module
      concept.
  - source_id: gomodel:680ad14200006012
    title: Negative regulation of signal transduction by p53 by RAD54B (Human)
    statement: >-
      Human GO-CAM in which MDM4 enzyme activator activity directly positively
      regulates MDM2 ubiquitin protein ligase activity, which directly negatively
      regulates TP53 (promoter-specific chromatin binding, part of signal
      transduction by p53 class mediator), in the nucleoplasm. It grounds the
      MDM2-MDM4 part of the module.
  - source_id: gomodel:646ff70100000239
    title: Negative regulation of signal transduction by p53 class mediator by MORN3. (Human)
    statement: >-
      Human GO-CAM in which MDM2 ubiquitin protein ligase activity and SIRT1
      NAD-dependent protein lysine deacetylase activity both act on the TP53
      DNA-binding transcription factor activity, part of signal transduction by p53
      class mediator. It grounds the SIRT1 deacetylation part.
  - source_id: PMID:8319905
    title: The p53-mdm-2 autoregulatory feedback loop.
    statement: MDM2 is a p53 target gene whose product inhibits p53, forming the feedback loop.
    supporting_text: This creates a feedback loop that regulates both the activity of the p53 protein and the expression of the mdm-2 gene.
notes: >-
  Derived from the RGD Pathway Ontology diagram PW:0000718 (p53 signaling pathway)
  through the RGD_PATHWAY_ONTOLOGY project's diagram->module route (seed in
  projects/RGD_PATHWAY_ONTOLOGY/data/module_seeds.yaml, tier related_module_only). The
  seed's only existing related module was c_elegans_core_apoptosis, matched because it
  uses a descendant of the mapped GO term; it models CEP-1-dependent germline
  apoptosis in C. elegans and is not a human p53 circuit, so it is neither referenced
  nor duplicated here. The seed's best-overlap GO-CAM (gomodel:65a1f4f800001246,
  lactylation of MRE11 by CREBBP and of NBN by KAT5 in homologous recombination)
  shares only DNA-repair genes with the pathway and is not linked. The diagram draws
  only three genes (Mdm2, Mdm4, Tp53); RGD curates 40 human genes to PW:0000718: ABL1
  ATM BRCA1 CHEK1 CHEK2 COP1 CREBBP ETS1 HDAC1 KAT2A KAT2B KAT5 KAT8 MDM2 MDM4 MRE11
  MUC1 NFYA NFYB NFYC PIN1 POU4F1 POU4F2 PPP1R13B PPP1R13L RCHY1 SETD7 SIRT1 SMYD2
  SREBF2 TP53 TP53BP2 TP63 TP73 USP7 VDR YBX1 ZNF385A ZNF420 ZNHIT1. Nine are modelled
  as participants (TP53, MDM2, MDM4, ATM, CHEK1, CHEK2, CREBBP, KAT5, SIRT1). Three
  gene products not on the RGD list are added because the circuit cannot be drawn
  without them: ATR (the replication-stress kinase upstream of CHK1), ARF (the
  CDKN2A alternative-reading-frame product, the oncogenic-stress inhibitor of MDM2),
  and EP300 as the paralog shown by Gu and Roeder to acetylate p53 (grouped with
  CREBBP in one family annoton). Molecular functions come from each protein's
  experimental GO annotations in QuickGO (November 2026): TP53 GO:0001228 (IDA), MDM2
  GO:0061630 (IDA/IMP/EXP), MDM4 GO:0008047 (IDA, with extension has_input MDM2 and
  directly positively regulates ubiquitin protein ligase activity), ARF GO:1990948
  (IDA), ATM, ATR and CHEK2 GO:0004674 (IDA), CHEK1 GO:0106310 (EXP/IDA), KAT5 and
  p300/CBP GO:0061733 (IDA), SIRT1 GO:0034979 (IDA). Gene reviews exist for TP53,
  CDKN2A (p16 entry P42771) and CDKN2A__Q8N726 (ARF), ATM, CHEK1, CHEK2, CREBBP, EP300,
  SIRT1, COP1 and ABL1.

  Substrate versus participant (CLAUDE.md). p53 target genes are transcriptional
  outputs of the circuit, not participants in it. CDKN1A, BAX, BBC3 (PUMA), PMAIP1
  (NOXA) and GADD45A are therefore not annotons; their products act in downstream
  modules referenced as optional output parts (bcl2_family_momp_control#bh3_only_activation
  for the BH3-only proteins and BAX; g1_s_transition#g1s_cdk_activation for p21
  inhibition of G1/S cyclin-CDK). The comparator check agrees with this convention:
  in human GOA, BBC3, BAX and GADD45A carry no annotation to GO:0072331 or its
  descendants, and CDKN1A carries only IEA/TAS rows to GO:0030330, whereas the
  circuit components MDM2 (IMP), KAT5 (IDA) and SIRT1 (IMP, GO:0042771) carry
  experimental ones. PMAIP1 carries GO:0072332 (IMP), which is the apoptotic
  output process rather than the p53 signal itself. MDM2 is the exception the rule
  allows: it is a p53 target, but its product does work in the circuit (E3 ligase
  activity on p53), so it is a participant, and the p53 -> MDM2 transcriptional edge
  closes the feedback loop. p53 itself is a substrate of every enzyme in parts 2-4
  and 6-7, but it is also the pathway's transcription factor, so it is the central
  participant. Two human GO-CAMs do model target-gene products as downstream
  activities (BAX channel activity in gomodel:69b3372b00001963; CDKN1A CDK inhibitor
  activity in gomodel:69d8496c00000318, p21 induction via HIPK2); that is consistent
  with treating them as outputs causally downstream of the p53 activity.

  Boundary decisions. (1) ATM activation at double-strand breaks is not re-modelled:
  part 1 is a module_ref to atm_dsb_signaling#atm_activation and is optional, because
  p53 also responds to ATR-dependent and ARF-dependent stress. Only ATM's own action on
  p53 and MDM2 is an annoton here. MRE11 and BRCA1, on the RGD list, belong to that
  module. ATR activation (ATRIP, TOPBP1, 9-1-1) is out of scope; no human ATR module
  exists (dmel_atr_atrip_complex and dmel_9_1_1_checkpoint_clamp are fly modules).
  (2) Ribosomal-protein inhibition of MDM2 (RPL5, RPL11, nucleolar stress) is named in
  the ARF part description but not modelled. (3) Further p53 ubiquitin-system
  components on the RGD list are not modelled: COP1 and RCHY1 (Pirh2) are additional
  p53 E3 ligases (RCHY1 is itself p53-induced, a second feedback loop), and USP7
  (HAUSP) deubiquitinates both p53 (PMID:11923872) and MDM2, so its net effect is
  context dependent. They are candidates for a later extension of part 3. (4) Other
  p53 modifiers on the RGD list are not modelled to keep the core circuit legible:
  KAT2A and KAT2B (PCAF; Lys320 acetylation, in the p21 induction GO-CAM
  gomodel:69c59f8a00000219), KAT8 (MOF; Lys120, redundant with KAT5 and named in the
  KAT5 annoton), SETD7 (Lys372 methylation), SMYD2 (repressive Lys370 methylation),
  HDAC1 (deacetylation with NuRD/MTA2), PIN1 (phosphorylation-dependent prolyl
  isomerisation) and ABL1 (damage-induced phosphorylation of MDM2 and MDM4). (5) The
  ASPP proteins PPP1R13B (ASPP1), TP53BP2 (ASPP2) and PPP1R13L (iASPP) modulate p53
  promoter selection toward or away from apoptotic targets; they are context
  regulators of target choice, not part of the stabilisation circuit. (6) Gene
  products that bind p53 or its target promoters as transcriptional partners or
  regulators of TP53 expression (NFYA, NFYB, NFYC, ETS1, YBX1, VDR, SREBF2, POU4F1,
  POU4F2, MUC1, ZNF385A, ZNF420/Apak, ZNHIT1) are peripheral and not modelled. (7) The
  p53 paralogs TP63 and TP73 share response elements but have their own
  developmental and DNA-damage roles; they are not variants of this human p53
  module. (8) Repression of RNA polymerase I and III transcription, non-coding RNA
  targets and regulators, and p53 transcription-independent mitochondrial apoptosis
  are drawn or described by RGD but left out. (9) The RGD diagram links PW:0000104
  (intrinsic apoptotic pathway), PW:0000127 and PW:0001274 (RNA polymerase II
  transcription and its initiation) and PW:0001361 (ATM signaling pathway). These are
  mentioned here, reached through module_ref or as context, and are not listed as
  evidence sources; PW:0001361 is the evidence source of atm_dsb_signaling. (10) The
  module concept is GO:0072331 (the curated closeMatch), not its DNA-damage child
  GO:0030330, because ARF-driven activation is not a DNA damage response.

  GO-CAM and GOA observations for upstream review. In human GOA, CHEK1's experimental
  MF rows use GO:0106310 protein serine kinase activity while CHEK2, ATM and ATR use
  GO:0004674; both are correct for serine kinases, but the split is a curation
  inconsistency rather than a biological difference. The MDM4 enzyme activator
  annotation (GO:0008047) rests on PMID:25384516, a paper about RAD54B as a scaffold
  for the MDM2-MDMX ligase, rather than on the primary MDM2-MDMX heterodimer studies.
  The ARF GO:1990948 IDA comes from PMID:18560357 (a ribosomal protein L5/L11 study)
  rather than from the original ARF-MDM2 papers. The p53 GO-CAM activities are typed
  inconsistently across models (GO:0003700, GO:0000981, GO:0001228 and GO:1990841 for
  the same p53 role). TP53 and CHEK1 gene reviews do not list GO:0001228 or
  GO:0106310 in core_functions (module validator conformance warnings). PANTHER family
  ids and PTNs are deliberately not asserted.
module:
  id: p53_signaling
  label: p53 signaling (MDM2-MDM4 feedback, stress-kinase and ARF release, p53 transactivation)
  module_type: SIGNALING_PATHWAY
  concepts:
    - preferred_term: signal transduction by p53 class mediator
      term:
        id: GO:0072331
        label: signal transduction by p53 class mediator
      description: >-
        The GO process mapped (skos:closeMatch) to PW:0000718: the intracellular
        cascade in which a p53-family protein relays a stress signal and regulates
        transcription.
  context:
    taxa:
      - preferred_term: Homo sapiens
        term:
          id: NCBITaxon:9606
          label: Homo sapiens
    cellular_components:
      - preferred_term: nucleoplasm
        term:
          id: GO:0005654
          label: nucleoplasm
  parts:
    - order: 1
      optional: true
      role: DNA double-strand break input through ATM activation
      node:
        id: atm_dsb_input
        label: MRN recruitment and activation of ATM at DNA double-strand breaks
        description: >-
          Included by reference to the ATM activation step of the ATM DSB signalling
          module (MRN sensing, ATM monomerisation and Ser1981 autophosphorylation, KAT5
          acetylation of ATM). Optional because p53 is also released by stresses that
          do not act through ATM (ATR-dependent replication and UV stress, and
          ARF-dependent oncogenic stress, parts 2 and 4).
        module_ref: atm_dsb_signaling#atm_activation
    - order: 2
      role: stress-kinase phosphorylation of p53 and MDM2
      node:
        id: p53_stabilizing_phosphorylation
        label: ATM/ATR and CHK2/CHK1 phosphorylation of p53 (Ser15, Ser20) and MDM2
        module_type: REGULATORY_STEP
        description: >-
          The DNA damage kinases phosphorylate the p53 N-terminus: ATM (and ATR) on
          Ser15, CHK2 and CHK1 on Ser20 in the MDM2-binding region. ATM also
          phosphorylates MDM2. These modifications weaken the p53-MDM2 interaction,
          stabilise p53 and favour coactivator binding.
        annotons:
          - id: atm_p53_kinase
            label: ATM phosphorylation of p53 Ser15 and of MDM2
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ATM
                term:
                  id: UniProtKB:Q13315
                  label: Serine-protein kinase ATM
            function:
              preferred_term: protein serine/threonine kinase activity
              term:
                id: GO:0004674
                label: protein serine/threonine kinase activity
              targets:
                - preferred_term: TP53 (Ser15)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
                - preferred_term: MDM2
                  term:
                    id: UniProtKB:Q00987
                    label: E3 ubiquitin-protein ligase Mdm2
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              Activated by double-strand breaks (part 1); phosphorylates p53 Ser15 directly
              and also phosphorylates and activates CHK2, and phosphorylates MDM2, so it
              acts on both partners of the feedback loop.
            evidence:
              - source_id: PMID:9843217
                statement: Recombinant ATM phosphorylates p53 on Ser15, and ATM is required for IR-induced Ser15 phosphorylation.
                supporting_text: Recombinant ATM protein phosphorylates p53 on serine 15 near the N terminus.
              - source_id: PMID:9733515
                statement: Endogenous ATM phosphorylates p53 Ser15, and ionizing radiation enhances this activity.
                supporting_text: Immunoprecipitated ATM had intrinsic protein kinase activity and phosphorylated p53 on serine-15 in a manganese-dependent manner.
              - source_id: PMID:10611322
                statement: ATM phosphorylates MDM2 directly after DNA strand breaks.
                supporting_text: Furthermore, MDM2 is directly phosphorylated by ATM in vitro.
          - id: atr_p53_kinase
            label: ATR phosphorylation of p53 Ser15
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ATR
                term:
                  id: UniProtKB:Q13535
                  label: Serine/threonine-protein kinase ATR
            function:
              preferred_term: protein serine/threonine kinase activity
              term:
                id: GO:0004674
                label: protein serine/threonine kinase activity
              targets:
                - preferred_term: TP53 (Ser15, Ser37)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              The replication-stress and UV arm. ATR phosphorylates p53 Ser15 (and Ser37)
              and activates CHK1. ATR activation (ATRIP, TOPBP1, 9-1-1 clamp) is not
              modelled here.
            evidence:
              - source_id: PMID:9925639
                statement: ATR phosphorylates p53 in vitro and catalytically inactive ATR blocks damage-induced Ser15 phosphorylation.
                supporting_text: ATR phosphorylated p53 at Ser-15 and Ser-37 in vitro, suggesting that p53 is a target for phosphorylation by ATR in DNA-damaged cells.
          - id: chek2_p53_kinase
            label: CHK2 phosphorylation of p53 Ser20
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CHEK2 (CHK2)
                term:
                  id: UniProtKB:O96017
                  label: Serine/threonine-protein kinase Chk2
            function:
              preferred_term: protein serine/threonine kinase activity
              term:
                id: GO:0004674
                label: protein serine/threonine kinase activity
              targets:
                - preferred_term: TP53 (Ser20)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              ATM-activated effector kinase. Ser20 phosphorylation lies in the
              MDM2-binding region of the transactivation domain and dissociates p53-MDM2
              complexes.
            evidence:
              - source_id: PMID:10673500
                statement: CHK2 phosphorylates p53 Ser20 and dissociates p53-MDM2 complexes in vitro; dominant-negative CHK2 blocks p53 stabilization.
                supporting_text: In vitro, Chk2/hCds1 phosphorylated p53 on Ser-20 and dissociated preformed complexes of p53 with Mdm2, a protein that targets p53 for degradation.
              - source_id: PMID:10710310
                statement: Chk2-deficient cells fail to stabilise p53 after irradiation.
                supporting_text: Chk2-/- cells were defective for p53 stabilization and for induction of p53-dependent transcripts such as p21 in response to gamma irradiation.
          - id: chek1_p53_kinase
            label: CHK1 phosphorylation of p53 Ser20
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CHEK1 (CHK1)
                term:
                  id: UniProtKB:O14757
                  label: Serine/threonine-protein kinase Chk1
            function:
              preferred_term: protein serine kinase activity
              term:
                id: GO:0106310
                label: protein serine kinase activity
              targets:
                - preferred_term: TP53 (Ser20)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              ATR-activated effector kinase; phosphorylates tetrameric p53 at Ser20 and
              other inducible N- and C-terminal sites.
            evidence:
              - source_id: PMID:10673501
                statement: Recombinant CHK1, but not a kinase-dead mutant, phosphorylates p53 Ser20.
                supporting_text: We confirmed that recombinant hCHK1, but not a kinase-defective version of hCHK1, can phosphorylate p53 in vitro at S20.
    - order: 3
      role: MDM2-MDM4 ubiquitin-ligase negative feedback on p53
      node:
        id: mdm2_mdm4_feedback
        label: MDM2 E3 ubiquitin ligase activity on p53, stimulated by MDM4
        module_type: REGULATORY_STEP
        description: >-
          MDM2 binds the p53 transactivation domain and polyubiquitylates p53 for
          proteasomal degradation; MDM4 binds both p53 and MDM2 and stimulates MDM2
          E3 activity. MDM2 is transcriptionally induced by p53, closing the negative
          feedback loop.
        annotons:
          - id: mdm2_p53_ligase
            label: MDM2 ubiquitin protein ligase activity toward p53
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: MDM2
                term:
                  id: UniProtKB:Q00987
                  label: E3 ubiquitin-protein ligase Mdm2
            function:
              preferred_term: ubiquitin protein ligase activity
              term:
                id: GO:0061630
                label: ubiquitin protein ligase activity
              targets:
                - preferred_term: TP53
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            processes:
              - preferred_term: negative regulation of signal transduction by p53 class mediator
                term:
                  id: GO:1901797
                  label: negative regulation of signal transduction by p53 class mediator
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              Both a component of the circuit and a p53 transcriptional target: MDM2
              occludes the p53 transactivation domain (Phe19, Trp23, Leu26 insert into the
              MDM2 N-terminal cleft) and is the principal p53 E3 ligase.
            evidence:
              - source_id: PMID:9450543
                statement: MDM2 polyubiquitylates p53 with E1 and UbcH5 in vitro.
                supporting_text: p53 was polyubiquitinated in the presence of E1, UbcH5 as E2 and MDM2 oncoprotein.
              - source_id: PMID:9153395
                statement: MDM2 promotes rapid degradation of p53 and terminates the p53 signal.
                supporting_text: We now report that Mdm2 also promotes the rapid degradation of p53 under conditions in which p53 is otherwise stabilized.
              - source_id: PMID:9153396
                statement: Endogenous MDM2 levels regulate p53 stability through proteasome-dependent degradation.
                supporting_text: Endogenous levels of Mdm2 are sufficient to regulate p53 stability, and overexpression of Mdm2 can reduce the amount of endogenous p53.
              - source_id: PMID:8875929
                statement: MDM2 conceals the p53 transactivation domain.
                supporting_text: These same p53 residues are also involved in transactivation, supporting the hypothesis that MDM2 inactivates p53 by concealing its transactivation domain.
            gocam_associations:
              - model: gomodel:680ad14200006012
                activity: gomodel:680ad14200006012/680ad14200006066
                title: MDM2 ubiquitin protein ligase activity (GO:0061630), directly negatively regulates TP53, Negative regulation of signal transduction by p53 by RAD54B (Human)
              - model: gomodel:646ff70100000239
                activity: gomodel:646ff70100000239/646ff70100000245
                title: MDM2 ubiquitin protein ligase activity (GO:0061630), Negative regulation of signal transduction by p53 class mediator by MORN3 (Human)
              - model: gomodel:69b3372b00001963
                activity: gomodel:69b3372b00001963/69b3372b00001964
                title: MDM2 ubiquitin protein ligase activity (GO:0061630), MDM2-UBE4B cooperation to ubiquitinate P53 (Human)
          - id: mdm4_mdm2_activator
            label: MDM4 (MDMX) stimulation of MDM2 E3 activity
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: MDM4 (MDMX)
                term:
                  id: UniProtKB:O15151
                  label: Protein Mdm4
            function:
              preferred_term: enzyme activator activity
              term:
                id: GO:0008047
                label: enzyme activator activity
              targets:
                - preferred_term: MDM2
                  term:
                    id: UniProtKB:Q00987
                    label: E3 ubiquitin-protein ligase Mdm2
            processes:
              - preferred_term: negative regulation of signal transduction by p53 class mediator
                term:
                  id: GO:1901797
                  label: negative regulation of signal transduction by p53 class mediator
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              MDM2 paralog without effective p53 E3 activity of its own. It binds the p53
              transactivation domain and inhibits transactivation, and as the MDM2-MDM4
              RING heterodimer it stimulates MDM2-mediated p53 ubiquitylation. Unlike
              MDM2 it is not induced by p53.
            evidence:
              - source_id: PMID:8895579
                statement: MDMX binds p53 and inhibits the p53 transactivation domain, but, unlike MDM2, is not transcriptionally induced by damage.
                supporting_text: This interaction probably occurs with the N-terminal part of p53, because the activity of the transcription activation domain of p53 was inhibited by co-transfection of MDMX.
              - source_id: PMID:25384516
                statement: MDM2-MDMX act as a ubiquitin-ligase complex for p53 degradation (the source of the MDM4 enzyme activator IDA annotation).
                supporting_text: We find that Rad54B functions as a scaffold for p53 degradation via its direct interaction with the MDM2-MDMX ubiquitin-ligase complex.
            gocam_associations:
              - model: gomodel:680ad14200006012
                activity: gomodel:680ad14200006012/680ad14200006096
                title: MDM4 enzyme activator activity (GO:0008047), directly positively regulates MDM2, Negative regulation of signal transduction by p53 by RAD54B (Human)
    - order: 4
      role: ARF inhibition and nucleolar sequestration of MDM2
      node:
        id: arf_mdm2_inhibition
        label: ARF (CDKN2A) inhibition of MDM2 E3 activity
        module_type: REGULATORY_STEP
        description: >-
          ARF, the alternative-reading-frame product of the CDKN2A locus, accumulates
          under oncogenic stress (an upstream input not modelled here). ARF binds MDM2, inhibits its ubiquitin ligase activity, promotes
          MDM2 degradation and holds it in the nucleolus, stabilising p53 without DNA
          damage signalling. Ribosomal proteins RPL5 and RPL11 inhibit MDM2 in a similar
          way during nucleolar stress (not modelled).
        annotons:
          - id: arf_mdm2_inhibitor
            label: ARF ubiquitin ligase inhibitor activity on MDM2
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ARF (p14ARF; CDKN2A alternative reading frame product)
                term:
                  id: UniProtKB:Q8N726
                  label: Tumor suppressor ARF
            function:
              preferred_term: ubiquitin ligase inhibitor activity
              term:
                id: GO:1990948
                label: ubiquitin ligase inhibitor activity
              targets:
                - preferred_term: MDM2
                  term:
                    id: UniProtKB:Q00987
                    label: E3 ubiquitin-protein ligase Mdm2
            locations:
              - preferred_term: nucleolus
                term:
                  id: GO:0005730
                  label: nucleolus
            role_description: >-
              The exon 1beta-encoded N-terminal domain of ARF binds a central/C-terminal
              region of MDM2. ARF is a distinct protein (UniProtKB:Q8N726) from the CDK4/6
              inhibitor p16INK4a encoded by the same gene.
            evidence:
              - source_id: PMID:9529249
                statement: ARF binds MDM2, promotes its degradation and stabilises p53.
                supporting_text: We show here that ARF binds to MDM2 and promotes the rapid degradation of MDM2.
              - source_id: PMID:9529248
                statement: p19Arf binds MDM2 and blocks MDM2-induced p53 degradation and transactivational silencing.
                supporting_text: p19Arf functions mechanistically to prevent MDM2's neutralization of p53
              - source_id: PMID:18560357
                statement: p14ARF inhibits MDM2 E3 activity (the source of the ARF ubiquitin ligase inhibitor IDA annotation).
                supporting_text: We found that when overexpressed alone, L11 is much less potent in inhibiting MDM2 than p14(ARF).
              - source_id: file:genes/human/CDKN2A__Q8N726/CDKN2A__Q8N726-uniprot.txt
                statement: UniProt records experimentally supported nucleolar and nucleoplasmic location for ARF.
                supporting_text: 'SUBCELLULAR LOCATION: Nucleus, nucleolus {ECO:0000269|PubMed:16173922,'
    - order: 5
      role: p53 tetramer sequence-specific transactivation
      node:
        id: p53_transactivation
        label: p53 tetramer DNA-binding transcription activator activity at response elements
        module_type: REGULATORY_STEP
        description: >-
          Stabilised p53 binds its response elements as a tetramer (dimer of dimers)
          through the zinc-coordinating DNA-binding domain and activates RNA polymerase
          II transcription of target genes, including MDM2 itself.
        annotons:
          - id: tp53_transcription_activator
            label: TP53 DNA-binding transcription activator activity, RNA polymerase II-specific
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: TP53 (p53)
                term:
                  id: UniProtKB:P04637
                  label: Cellular tumor antigen p53
            function:
              preferred_term: DNA-binding transcription activator activity, RNA polymerase II-specific
              term:
                id: GO:0001228
                label: DNA-binding transcription activator activity, RNA polymerase II-specific
            processes:
              - preferred_term: signal transduction by p53 class mediator
                term:
                  id: GO:0072331
                  label: signal transduction by p53 class mediator
            locations:
              - preferred_term: chromatin
                term:
                  id: GO:0000785
                  label: chromatin
            role_description: >-
              The pathway's transcription factor. Its targets are outputs of the module,
              not participants, except MDM2 (part 3), whose product feeds back on p53.
            evidence:
              - source_id: PMID:8319905
                statement: p53 binds a response element in the MDM2 gene and regulates its transcription.
                supporting_text: The mdm-2 gene is shown here to contain a p53 DNA-binding site and a genetically responsive element such that expression of the mdm-2 gene can be regulated by the level of wild-type p53 protein.
              - source_id: PMID:12609999
                statement: p53 binds the p21 promoter response elements and needs its activation domains and p300/CBP to induce p21 (one of the GO:0001228 IDA sources).
                supporting_text: We found that like wild-type p53, these p53 mutants are capable of binding to the p53 response elements in the p21 promoter.
            gocam_associations:
              - model: gomodel:69d8496c00003152
                activity: gomodel:69d8496c00003152/69d8496c00003296
                title: TP53 DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), FBXO42-mediated degradation of p53 via CUL1/RBX1 (Human)
              - model: gomodel:69b3372b00001963
                activity: gomodel:69b3372b00001963/69b3372b00001985
                title: TP53 DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), part of intrinsic apoptotic signaling pathway by p53 class mediator, MDM2-UBE4B cooperation to ubiquitinate P53 (Human)
              - model: gomodel:680ad14200006012
                activity: gomodel:680ad14200006012/680ad14200006105
                title: TP53 promoter-specific chromatin binding (GO:1990841), part of signal transduction by p53 class mediator, Negative regulation of signal transduction by p53 by RAD54B (Human)
              - model: gomodel:646ff70100000239
                activity: gomodel:646ff70100000239/646ff70100000261
                title: TP53 DNA-binding transcription factor activity (GO:0003700), part of signal transduction by p53 class mediator, Negative regulation of signal transduction by p53 class mediator by MORN3 (Human)
    - order: 6
      role: coactivator acetylation of p53
      node:
        id: p53_acetylation
        label: p300/CBP and KAT5 acetylation of p53
        module_type: REGULATORY_STEP
        description: >-
          p53 recruits the coactivator acetyltransferases p300 and CBP, which acetylate
          its C-terminal regulatory domain (stimulating sequence-specific DNA binding and
          competing with MDM2-directed ubiquitylation of the same lysines) as well as
          promoter histones. KAT5 (TIP60) acetylates Lys120 in the DNA-binding domain,
          a mark required for p53-dependent apoptosis but not for growth arrest.
        annotons:
          - id: p300_cbp_p53_acetylation
            label: p300/CBP protein-lysine acetyltransferase activity on the p53 C-terminus
            participant:
              selector_type: FAMILY
              family:
                preferred_term: p300/CBP coactivator acetyltransferases
                description: >-
                  The two paralogous KAT3 coactivators. Gu and Roeder showed the
                  activity with p300; CBP (on the RGD list) is its functionally
                  overlapping paralog. No PANTHER id is asserted.
                representative_members:
                  - preferred_term: EP300 (p300)
                    term:
                      id: UniProtKB:Q09472
                      label: Histone acetyltransferase p300
                  - preferred_term: CREBBP (CBP)
                    term:
                      id: UniProtKB:Q92793
                      label: Histone lysine acetyltransferase CREBBP
            function:
              preferred_term: protein-lysine-acetyltransferase activity
              term:
                id: GO:0061733
                label: protein-lysine-acetyltransferase activity
              targets:
                - preferred_term: TP53 (C-terminal lysines)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            locations:
              - preferred_term: chromatin
                term:
                  id: GO:0000785
                  label: chromatin
            role_description: >-
              Coactivators recruited by the p53 transactivation domain. Their histone
              acetyltransferase activity at target promoters is part of transactivation
              itself; here the module records their acetylation of p53.
            evidence:
              - source_id: PMID:9288740
                statement: p300 acetylates the p53 C-terminal domain, stimulating sequence-specific DNA binding.
                supporting_text: Furthermore, the acetylation of p53 can dramatically stimulate its sequence-specific DNA-binding activity, possibly as a result of an acetylation-induced conformational change.
          - id: kat5_p53_k120_acetylation
            label: KAT5 (TIP60) acetylation of p53 Lys120
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: KAT5 (TIP60)
                term:
                  id: UniProtKB:Q92993
                  label: Histone acetyltransferase KAT5
            function:
              preferred_term: protein-lysine-acetyltransferase activity
              term:
                id: GO:0061733
                label: protein-lysine-acetyltransferase activity
              targets:
                - preferred_term: TP53 (Lys120)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            processes:
              - preferred_term: intrinsic apoptotic signaling pathway by p53 class mediator
                term:
                  id: GO:0072332
                  label: intrinsic apoptotic signaling pathway by p53 class mediator
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              Biases p53 output toward apoptosis; KAT8 (MOF), also on the RGD list,
              acetylates the same residue.
            evidence:
              - source_id: PMID:17189186
                statement: TIP60 acetylates p53 Lys120, which is needed for apoptosis but not growth arrest.
                supporting_text: Here, we show that Tip60 is required for both cell growth arrest and apoptosis mediated by p53 and also induces its acetylation specifically at lysine 120 (K120) within the DNA-binding domain.
    - order: 7
      role: SIRT1 deacetylation of p53
      node:
        id: p53_deacetylation
        label: SIRT1 NAD-dependent deacetylation of p53
        module_type: REGULATORY_STEP
        description: >-
          SIRT1 removes the activating acetylation of p53 Lys382, reducing p53
          transcriptional activity; it opposes part 6.
        annotons:
          - id: sirt1_p53_deacetylase
            label: SIRT1 NAD-dependent protein lysine deacetylase activity on p53
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: SIRT1
                term:
                  id: UniProtKB:Q96EB6
                  label: NAD-dependent protein deacetylase sirtuin-1
            function:
              preferred_term: NAD-dependent protein lysine deacetylase activity
              term:
                id: GO:0034979
                label: NAD-dependent protein lysine deacetylase activity
              targets:
                - preferred_term: TP53 (Lys382)
                  term:
                    id: UniProtKB:P04637
                    label: Cellular tumor antigen p53
            processes:
              - preferred_term: negative regulation of signal transduction by p53 class mediator
                term:
                  id: GO:1901797
                  label: negative regulation of signal transduction by p53 class mediator
            locations:
              - preferred_term: nucleoplasm
                term:
                  id: GO:0005654
                  label: nucleoplasm
            role_description: >-
              A pleiotropic NAD-dependent deacetylase; only its action on p53 belongs to
              this module.
            evidence:
              - source_id: PMID:11672523
                statement: SIRT1 binds and deacetylates p53 Lys382 and reduces p53 transcriptional activity.
                supporting_text: Expression of wild-type hSir2 in human cells reduces the transcriptional activity of p53.
              - source_id: PMID:11672522
                statement: Sir2alpha deacetylation negatively controls p53.
            gocam_associations:
              - model: gomodel:646ff70100000239
                activity: gomodel:646ff70100000239/646ff70100000253
                title: SIRT1 NAD-dependent protein lysine deacetylase activity (GO:0034979), part of negative regulation of signal transduction by p53 class mediator, MORN3 model (Human)
    - order: 8
      optional: true
      role: pro-apoptotic output through BH3-only targets
      node:
        id: p53_apoptotic_output
        label: BH3-only activation and derepression (PUMA/BBC3, NOXA/PMAIP1)
        description: >-
          Included by reference to the BH3-only step of the BCL2-family MOMP control
          module. p53 transactivates BBC3 (PUMA), PMAIP1 (NOXA) and BAX; their products
          act there, not in this module. Optional because the output chosen depends on
          cell type and stimulus.
        module_ref: bcl2_family_momp_control#bh3_only_activation
    - order: 9
      optional: true
      role: G1 arrest output through p21 inhibition of G1/S CDK
      node:
        id: p53_g1_arrest_output
        label: G1/S cyclin-CDK activation (inhibited by p53-induced p21/CDKN1A)
        description: >-
          Included by reference to the G1/S cyclin-CDK activation step of the G1/S
          transition module. p53-induced CDKN1A (p21) inhibits cyclin E-CDK2, arresting
          cells in G1. p21 is a p53 transcriptional output and is modelled neither here
          nor (yet) as a CKI annoton there.
        module_ref: g1_s_transition#g1s_cdk_activation
  connections:
    - source: atm_dsb_input
      target: p53_stabilizing_phosphorylation
      connection_type: POSITIVELY_REGULATES
      description: Activated ATM phosphorylates p53 and MDM2 directly and activates CHK2.
    - source: p53_stabilizing_phosphorylation
      target: mdm2_mdm4_feedback
      connection_type: NEGATIVELY_REGULATES
      description: >-
        Ser15/Ser20 phosphorylation of p53 and ATM phosphorylation of MDM2 weaken the
        p53-MDM2 interaction and p53 ubiquitylation.
    - source: p53_stabilizing_phosphorylation
      target: p53_transactivation
      connection_type: POSITIVELY_REGULATES
      description: N-terminal phosphorylation stabilises p53 and favours coactivator binding.
    - source: arf_mdm2_inhibition
      target: mdm2_mdm4_feedback
      connection_type: NEGATIVELY_REGULATES
      description: ARF inhibits MDM2 E3 activity and sequesters MDM2 in the nucleolus.
    - source: mdm2_mdm4_feedback
      target: p53_transactivation
      connection_type: NEGATIVELY_REGULATES
      description: MDM2 (stimulated by MDM4) ubiquitylates p53 for degradation and occludes its transactivation domain.
    - source: p53_transactivation
      target: mdm2_mdm4_feedback
      connection_type: POSITIVELY_REGULATES
      description: p53 transactivates the MDM2 gene, closing the negative feedback loop.
    - source: p53_acetylation
      target: p53_transactivation
      connection_type: POSITIVELY_REGULATES
      description: C-terminal acetylation stimulates sequence-specific DNA binding; K120 acetylation favours apoptotic targets.
    - source: p53_deacetylation
      target: p53_transactivation
      connection_type: NEGATIVELY_REGULATES
      description: SIRT1 removes activating acetylation and reduces p53 transcriptional activity.
    - source: p53_transactivation
      target: p53_apoptotic_output
      connection_type: POSITIVELY_REGULATES
      description: Transcriptional induction of BBC3 (PUMA), PMAIP1 (NOXA) and BAX.
    - source: p53_transactivation
      target: p53_g1_arrest_output
      connection_type: NEGATIVELY_REGULATES
      description: Transcriptional induction of CDKN1A (p21), which inhibits G1/S cyclin-CDK.
knowledge_gaps:
  - gap_statement: >-
      How p53 chooses between cell-cycle arrest, senescence and apoptosis target
      programs is not resolved: the relative weight of response-element affinity,
      Lys120 acetylation, ASPP cofactors, p53 protein level and pulsatile versus
      sustained p53 dynamics in setting the outcome in a given cell type remains
      unknown.
    gap_kind:
      - BIOLOGY
  - gap_statement: >-
      The division of labour between MDM2 and MDM4 in vivo is incompletely understood,
      including how much p53 control depends on the MDM2-MDM4 RING heterodimer as an
      E3 versus MDM4 occlusion of the transactivation domain, and how damage-induced
      phosphorylation of MDM2 and MDM4 by ATM and ABL1 redistributes their activities.
    gap_kind:
      - BIOLOGY
