p53 is a renowned tumor suppressor gene that is frequently mutated or deleted in cancer, resulting in the development, persistence, and chemoresistance of human cancers. In surveying the broad spectrum of cancers for genetic modification of p53, we have identified a series of pediatric leukemias that maintain expression of wild-type p53 despite the attendant risks to tumor cell survival. We hypothesized that mechanisms other than p53 mutation and deletion could be operational to neutralize p53 activity in these contexts, including negative regulation of p53 by HDM2 and/or HDMX.
