Aliases: p53, LFS1.
Tumor suppressor p53 is a multifunctional transcription factor that acts as a guardian of the genome, coordinating cellular responses to diverse stress signals including DNA damage, oxidative stress, hypoxia, and metabolic stress. It regulates cell fate decisions through transcriptional control of genes involved in cell cycle arrest, apoptosis, senescence, DNA repair, and metabolism. TP53 is the most frequently mutated gene in human cancers (~50%), underlining its critical role in preventing malignant transformation. Beyond its canonical tumor suppressive functions, p53 also regulates ferroptosis, autophagy, immune responses, and stemness.
Relationship is the entry's genetic[].relationship_type. untyped means the entry has a genetic record for the gene but does not type it; its free-text association is shown instead.
| Disorder | Relationship | Where the gene appears |
|---|---|---|
| Acute Erythroid Leukemia | somatic driver somatic |
mechanism: Biallelic TP53 Inactivation
|
| Acute Megakaryoblastic Leukemia | biomarker somatic |
mechanism: Adult Adverse Genomic Landscape and Therapy Resistance
scoped to subtype: Adult AMKL
|
| Adult T-Cell Leukemia/Lymphoma | somatic driver somatic |
mechanism: TP53-Mutant Senescence Escape
|
| Aflatoxin-Related Hepatocellular Carcinoma | somatic driver somatic |
mechanism: TP53 R249S Hotspot Mutation
|
| Aggressive NK-cell Leukemia | unknown unknown |
mechanism: TP53 Checkpoint and DNA-Repair Impairment
|
| Anaplastic Thyroid Carcinoma | somatic driver somatic |
mechanism: TP53 Loss and p53-Mediated DNA Damage Response Failure
|
| Angiosarcoma | unknown somatic | |
| Appendiceal Neoplasm | somatic driver somatic | |
| Bile Duct Cyst | somatic driver somatic | |
| Bone Giant Cell Tumor | somatic driver somatic | |
| Bone Marrow Failure Syndrome 5 | causative germline gain of function |
mechanism: TP53 C-Terminal Domain Truncation
variant: TP53 c.1077delA p.(Ser362AlafsTer8)
|
| Bone Marrow Failure Syndrome 6 | cooperating somatic loss of function |
mechanism: Somatic TP53 Loss-of-Function as Maladaptive Clonal Rescue
|
| Burkitt Lymphoma | cooperating |
mechanism: Apoptosis Resistance
|
| Chondrosarcoma | somatic driver somatic |
mechanism: TP53 Dysfunction
subtype: Conventional; Dedifferentiated
|
| Choroid Plexus Neoplasm | causativesomatic driver germlinesomatic |
mechanism: TP53 Pathway Inactivation
subtype: CPC
animal model: Mus musculus
scoped to subtype: CPC
|
| Chromophobe Renal Cell Carcinoma | somatic driver somatic | |
| Embryonal Carcinoma | modifier somatic |
mechanism: Acquired Cisplatin Resistance; Intact Apoptotic Apparatus with Limited DNA Repair Capacity
|
| Embryonal Rhabdomyosarcoma | risk factor germline |
subtype: Anaplastic Embryonal Rhabdomyosarcoma
scoped to subtype: Anaplastic Embryonal Rhabdomyosarcoma
|
| Gastric Adenocarcinoma | somatic driver somatic |
mechanism: Chromosomal Instability and Aneuploidy
subtype: CIN
scoped to subtype: CIN
|
| Kidney Sarcoma | somatic driver |
scoped to subtype: Renal LMS
|
| Large Cell Neuroendocrine Carcinoma | somatic driver somatic |
mechanism: TP53 Inactivation
|
| Liposarcoma | cooperating somatic |
scoped to subtype: PLPS
|
| Myelodysplastic Syndrome | somatic driver somatic | |
| Oligoastrocytoma | somatic driver somatic | |
| Pancytopenia-Developmental Delay Syndrome | somatic driver somatic |
mechanism: Somatic TP53 Clonal Rescue
|
| Postcricoid Region Cancer | susceptibility | |
| Pseudomyxoma Peritonei | somatic driver somatic | |
| Splenic Marginal Zone Lymphoma | modifier somatic | |
| Triple-Negative Breast Cancer | somatic driver somatic | |
| Wilms Tumor | somatic driver |
mechanism: TP53-Deficient Anaplastic Progression
scoped to subtype: Anaplastic
|
| Anal Canal Carcinoma |
untyped
Inactivated by E6 Oncoprotein
|
|
| Arsenic-Related Cancers |
untyped
Somatic loss of function
|
|
| Basal Cell Carcinoma |
untyped
Somatic Mutations
|
|
| Bladder Urothelial Carcinoma |
untyped
Somatic Inactivation
|
|
| Breast Carcinoma |
untyped
Somatic loss of function
somatic
|
mechanism: TP53 Loss of Function
|
| Cervical Adenocarcinoma |
untyped
Somatic Mutation
|
|
| Cervical Cancer |
untyped
Inactivated by E6 Oncoprotein
|
mechanism: miR-4327-Mediated TP53 Repression
|
| Choroid Plexus Carcinoma |
untyped
Germline and Somatic Tumor Suppressor Loss
|
|
| Classic Familial Adenomatous Polyposis |
untyped
Somatic progression-associated alterations
|
|
| Cutaneous Squamous Cell Carcinoma |
untyped
Somatic Mutation
|
|
| Diffuse Astrocytoma |
untyped
Somatic Mutation
|
|
| Diffuse Midline Glioma, H3 K27-Altered |
untyped
Somatic Mutation
|
|
| Endometrial Carcinoma |
untyped
Somatic mutation
somatic
|
mechanism: TP53 Mutation and Copy-Number High State
|
| Endometrial Endometrioid Adenocarcinoma |
untyped
Somatic p53-abnormal high-risk alteration
somatic
|
|
| Esophageal Adenocarcinoma |
untyped
Somatic Loss-of-Function Mutation
|
|
| Esophageal Carcinoma |
untyped
Somatic Loss-of-Function Mutation
|
|
| Esophageal Squamous Cell Carcinoma |
untyped
Somatic Driver Mutation
|
mechanism: TP53 Dysfunction
|
| Ethmoid Sinus Adenocarcinoma |
untyped
Somatic mutation associated with wood-dust exposure
|
mechanism: Inflammation-Associated TP53 Mutagenesis
|
| Ewing Sarcoma |
untyped
Somatic Tumor Suppressor Mutation
somatic
|
|
| Fallopian Tube Cancer |
untyped
Somatic Loss-of-Function Mutations
|
|
| Gallbladder Cancer |
untyped
Somatic Loss-of-Function Mutation
|
|
| Gastric Cancer H. pylori Associated |
untyped
Somatic Mutations
|
|
| Glioblastoma, IDH-Wildtype |
untyped
Somatic Mutation
|
|
| Hepatocellular Carcinoma |
untyped
Somatic Loss of Function
|
|
| HER2-Positive Gastric Cancer |
untyped
Co-occurring Mutations
|
|
| HPV-Negative Head and Neck Cancer |
untyped
Somatic Mutations
somatic
|
mechanism: TP53 Mutation and Inactivation
|
| HPV-Positive Head and Neck Cancer |
untyped
Wild-type (rarely mutated)
|
|
| IDH-Mutant Astrocytoma |
untyped
Somatic Mutation
|
|
| Laryngeal Squamous Cell Carcinoma |
untyped
Somatic mutation
|
mechanism: TP53 Dysfunction
|
| Leiomyosarcoma |
untyped
Somatic mutation or deletion
|
|
| Li-Fraumeni Syndrome |
untyped
Germline Loss-of-Function Mutations
|
mechanism: Germline TP53 Heterozygosity
|
| Malignant Peripheral Nerve Sheath Tumor |
untyped
Somatic loss of function
|
mechanism: TP53 Pathway Loss
|
| Mantle Cell Lymphoma |
untyped
Adverse Prognostic Marker
|
|
| Medulloblastoma, SHH-Activated |
untyped
Somatic/Germline Mutation
|
|
| Medulloblastoma, WNT-Activated |
untyped
Somatic Mutation
|
|
| Melanoma_in_Congenital_Melanocytic_Nevus |
untyped
Mutations
|
|
| Merkel Cell Carcinoma |
untyped
Somatic Mutations (in MCPyV-negative MCC)
|
|
| Mixed Germ Cell Tumor |
untyped
Wild-type in most germ cell tumors; the most recurrently mutated driver in TGCT
|
|
| Mucoepidermoid Carcinoma | untyped somatic |
mechanism: p16-CDK4/6-RB Pathway Deregulation and High-Grade Progression
|
| Multiple Myeloma |
untyped
Somatic
|
|
| Nasopharyngeal Carcinoma |
untyped
Occasionally Mutated
|
|
| Non-Small Cell Lung Cancer |
untyped
Loss-of-function Mutations
|
|
| Oral Cavity Squamous Cell Carcinoma |
untyped
Somatic Mutations
somatic
|
mechanism: TP53 Mutation and Inactivation
scoped to subtype: HPV-Independent
|
| Osteosarcoma |
untyped
Somatic mutation / germline predisposition
|
|
| Ovarian High-Grade Serous Carcinoma |
untyped
Near-universal somatic mutation
|
|
| Ovarian Mucinous Carcinoma |
untyped
Mutation enriched in invasive/high-grade carcinoma and associated with progression
|
|
| Pancreatic Ductal Adenocarcinoma |
untyped
Somatic Loss-of-Function Mutation
|
|
| Pancreatic Mucinous Cystadenoma |
untyped
PREDISPOSING
|
|
| Paranasal Sinus Squamous Cell Carcinoma |
untyped
Somatic mutation
|
mechanism: TP53 Dysfunction
|
| Penile Cancer |
untyped
Somatic Driver Mutation
somatic
|
mechanism: HPV-Independent Somatic Tumor Suppressor Loss
|
| Pleuropulmonary Blastoma |
untyped
Frequent Somatic Biallelic Loss
|
mechanism: TP53 Loss
|
| Prostate Adenocarcinoma |
untyped
Somatic loss of function
|
|
| Sarcoma Of Cervix Uteri |
untyped
Somatic mutation
|
|
| Sezary Syndrome |
untyped
Tumor Suppressor Loss
|
|
| Shwachman-Diamond syndrome |
untyped
Somatic driver of malignant progression
|
|
| Sinonasal Undifferentiated Carcinoma |
untyped
Co-occurring somatic mutation
|
|
| Small Cell Lung Cancer |
untyped
Somatic Inactivating Mutation
|
|
| Squamous Cell Carcinoma of Penis |
untyped
Somatic Driver Mutation
somatic
|
mechanism: Somatic Cell-Cycle Driver Alteration
|
| Testicular Germ Cell Tumor |
untyped
Wild-type in most TGCTs; mutations in ~10-17% of refractory cases
|
|
| Thymic Carcinoma |
untyped
Recurrent somatic tumor suppressor mutation
|
|
| Transitional Cell Carcinoma | untyped somatic | |
| Urinary Bladder Small Cell Neuroendocrine Carcinoma |
untyped
Somatic Mutations
|
mechanism: Recurrent TP53 and RB1 Tumor-Suppressor Alterations
|
| Vulvar Carcinoma |
untyped
Somatic Mutation
somatic
|
mechanism: HPV E6-Mediated p53 Degradation; HPV-Independent Somatic Driver Accumulation
|
| Yolk Sac Tumor |
untyped
Infrequently mutated in the studied ovarian YST cohort; not a universal absence
somatic
|
scoped to subtype: Ovarian YST
|
| Amatoxin Poisoning | no genetic record |
mechanism: p53- and Caspase-Dependent Hepatocyte Apoptosis
|
| Balkan Endemic Nephropathy | no genetic record |
mechanism: A:T to T:A Transversion Mutational Signature
|
| BRAF V600 Mutant Melanoma | no genetic record |
animal model: Danio rerio
|
| BRAF V600E-Mutant Non-Small Cell Lung Cancer | no genetic record |
mechanism: Cooperating Tumor-Suppressor and Lineage-State Alterations
animal model: Mus musculus
|
| Gestational Trophoblastic Neoplasm | no genetic record |
mechanism: Tumor Suppressor and Apoptosis Dysregulation
|
| Small Intestine Cancer | no genetic record |
mechanism: Adenoma-Carcinoma Sequence and Wnt-APC Activation
subtype: Adenocarcinoma
|
An entry matches when ClinGen's MONDO disease is the entry's own disease term, a subtype term, or an exact-match mapping. An amber status marks an entry ClinGen supports the gene for (Definitive, Strong or Moderate) whose own record does not type it. A Limited, Disputed or Refuted tier on such an entry is not a gap.
| ClinGen disease | MOI | Classification | dismech entry |
|---|---|---|---|
| Li-Fraumeni syndrome MONDO:0018875 | AD | Definitive 2024-03-22 |
Choroid Plexus Carcinoma
untyped
Li-Fraumeni Syndrome
untyped
|
Identity from HGNC (snapshot 2026-10-01). Page layers are described in the gene pages documentation.