Proteasomal degradation of p53 is mediated by two alternative pathways that are either dependent or independent of both Mdm2 and
ubiquitin. The
ubiquitin-independent pathway is regulated by
NAD(P)H:
quinone oxidoreductase 1 (NQO1) that stabilizes p53. The NQO1 inhibitor
dicoumarol induces
ubiquitin-independent p53 degradation. We now show that, like
dicoumarol, several other
coumarin and
flavone inhibitors of NQO1 activity, which compete with
NAD(P)H for binding to NQO1, induced
ubiquitin-independent p53 degradation and inhibited wild-type p53-mediated apoptosis. Although wild-type p53 and several p53 mutants were sensitive to
dicoumarol-induced degradation, the most frequent "hot-spot" p53 mutants in human
cancer, R175H, R248H, and R273H, were resistant to
dicoumarol-induced degradation, but remained sensitive to Mdm2-ubiquitin-mediated degradation. The two alternative pathways for p53 degradation thus have different p53 structural requirements. Further mutational analysis showed that arginines at positions 175 and 248 were essential for
dicoumarol-induced p53 degradation. NQO1 bound to wild-type p53 and
dicoumarol, which induced a conformational change in NQO1, inhibited this binding. Compared with wild-type p53, the hot-spot p53 mutants showed increased binding to NQO1, which can explain their resistance to
dicoumarol-induced degradation. NQO1 thus has an important role in stabilizing hot-spot p53
mutant proteins in human
cancer.