Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells

Abstract This study explores the multifaceted role of p21 in mediating cellular responses to DNA-damaging agents, with a focus on doxorubicin treatment in HCT116 colon carcinoma cells. We investigated how different doses of doxorubicin affect cells with varied p21 and p53 statuses, revealing distinc...

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Main Authors: Heeyeon Kim, Haein Kim, Eunjung Jang, Young-Woo Eom, Gyesoon Yoon, Kyeong Sook Choi, Eunhee Kim
Format: Article
Language:English
Published: Nature Publishing Group 2025-04-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-025-02416-w
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author Heeyeon Kim
Haein Kim
Eunjung Jang
Young-Woo Eom
Gyesoon Yoon
Kyeong Sook Choi
Eunhee Kim
author_facet Heeyeon Kim
Haein Kim
Eunjung Jang
Young-Woo Eom
Gyesoon Yoon
Kyeong Sook Choi
Eunhee Kim
author_sort Heeyeon Kim
collection DOAJ
description Abstract This study explores the multifaceted role of p21 in mediating cellular responses to DNA-damaging agents, with a focus on doxorubicin treatment in HCT116 colon carcinoma cells. We investigated how different doses of doxorubicin affect cells with varied p21 and p53 statuses, revealing distinct roles for p21 depending on the drug dosage. At high doses (HD), p21 is more critical than p53 in mediating apoptosis, whereas at low doses (LD), p21 is essential for preventing mitotic defects and multinucleation. Notably, reintroducing p21 or pharmacologically inhibiting CDK1 reduced multinucleation. The absence of p21 upon LD doxorubicin exposure led to aberrant chromosome segregation, persistent DNA damage response (DDR) activation, and increased non-homologous end-joining (NHEJ) activity, resulting in unrepaired DNA accumulation and multinucleation. Additionally, mitotic defects in p21-deficient cells were associated with mislocalization of key mitotic regulators, Aurora B and mitotic kinesin-like protein 1 (MKLP1), exacerbating defective mitosis. In summary, p21 functions as a dual regulator in response to DNA damage, promoting apoptosis at HD and preventing mitotic failure at LD. These insights have significant implications for cancer therapy, highlighting the potential of targeting the p21 to enhance treatment efficacy.
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spelling doaj-art-8d0394f644cd4b669d6fdf88632bbc9d2025-08-20T03:08:02ZengNature Publishing GroupCell Death Discovery2058-77162025-04-011111810.1038/s41420-025-02416-wDual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cellsHeeyeon Kim0Haein Kim1Eunjung Jang2Young-Woo Eom3Gyesoon Yoon4Kyeong Sook Choi5Eunhee Kim6Department of Biological Sciences, Ulsan National Institute of Science and Technology (UNIST)Department of Biological Sciences, Ulsan National Institute of Science and Technology (UNIST)Department of Biological Sciences, Ulsan National Institute of Science and Technology (UNIST)Cell Therapy and Tissue Engineering Center, Yonsei University Wonju College of MedicineDepartment of Biochemistry, Ajou University School of MedicineDepartment of Biochemistry, Ajou University School of MedicineDepartment of Biological Sciences, Ulsan National Institute of Science and Technology (UNIST)Abstract This study explores the multifaceted role of p21 in mediating cellular responses to DNA-damaging agents, with a focus on doxorubicin treatment in HCT116 colon carcinoma cells. We investigated how different doses of doxorubicin affect cells with varied p21 and p53 statuses, revealing distinct roles for p21 depending on the drug dosage. At high doses (HD), p21 is more critical than p53 in mediating apoptosis, whereas at low doses (LD), p21 is essential for preventing mitotic defects and multinucleation. Notably, reintroducing p21 or pharmacologically inhibiting CDK1 reduced multinucleation. The absence of p21 upon LD doxorubicin exposure led to aberrant chromosome segregation, persistent DNA damage response (DDR) activation, and increased non-homologous end-joining (NHEJ) activity, resulting in unrepaired DNA accumulation and multinucleation. Additionally, mitotic defects in p21-deficient cells were associated with mislocalization of key mitotic regulators, Aurora B and mitotic kinesin-like protein 1 (MKLP1), exacerbating defective mitosis. In summary, p21 functions as a dual regulator in response to DNA damage, promoting apoptosis at HD and preventing mitotic failure at LD. These insights have significant implications for cancer therapy, highlighting the potential of targeting the p21 to enhance treatment efficacy.https://doi.org/10.1038/s41420-025-02416-w
spellingShingle Heeyeon Kim
Haein Kim
Eunjung Jang
Young-Woo Eom
Gyesoon Yoon
Kyeong Sook Choi
Eunhee Kim
Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
Cell Death Discovery
title Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
title_full Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
title_fullStr Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
title_full_unstemmed Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
title_short Dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
title_sort dual role of p21 in regulating apoptosis and mitotic integrity in response to doxorubicin in colon cancer cells
url https://doi.org/10.1038/s41420-025-02416-w
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