Most E3s that have been reported to modify p53 target p53 for proteasomal degradation (, ). The largest group of them are E3s with a RING domain.
3.1.1. RING-Domain E3s
RING-domain E3s are characterized by the presence of a RING (Really Interesting New Gene) domain. The amino acid sequence of the RING normally follows the pattern C-X
2-C-X
(9-39)-C-X
(1-3)-H-X
(2-3)-C-X
2-C-X
(4-48)-C-X
2-C, also abbreviated as C3HC4 or RING-HC. Two zinc atoms coordinate the conserved seven cysteine residues and the histidine residue and stabilize the structure. Variations of the RING pattern, where a cysteine residue is replaced by a histidine residue as in the RING-H2 variant or where cysteine residues and histidine residues are swapped or replaced by another amino acid that can coordinate zinc, have also been observed [
94]. RING-domains are sites of protein-protein interactions, in particular with E2s. Although some E3s act as single proteins, they have a preference to form homo and heterodimers [
94].
The most studied RING-type E3 is MDM2. MDM2 binds to the transactivation domain of p53, inhibits its transcriptional activity and mediates p53 ubiquitination and degradation via 26S proteasomes [
55,
56,
57]. Since MDM2 is also a transcriptional target of p53, the two proteins form a negative feedback loop. This feedback loop restrains p53 abundance since as soon as p53 levels rise, MDM2 levels rise as well and foster p53 degradation [
58]. MDM2 mediates ubiquitination of p53 with K48-linked polyubiquitin chains at six key lysine residues in the C-terminus (K370, K372, K373, K381, K382 and K386) resulting in p53 degradation [
59]. Genetic deletion of MDM2 leads to embryonic death that is rescued by simultaneous deletion of p53, demonstrating that MDM2 is a key regulator of p53 [
95]. After DNA damage, p53 is released from MDM2, allowing its accumulation to high levels and transcriptional activation of its target genes [
35]. Thirty-seven different isoforms can be generated from the MDM2 gene, although it is unclear whether they are all translated. Most of them lack a p53-binding site. MDM2 isoforms are more frequently expressed in poorly differentiated and late-stage tumors [
96,
97]. Apart from full-length MDM2, only the smallest isoform (MDM2-E) co-precipitates with p53 [
96]. Although the isoform MDM2-A does not bind to p53, it causes p53-dependent perinatal lethality and senescence [
97]. As MDM2 forms dimers, the full-length protein can heterodimerize with MDM2 isoforms, allowing the isoforms to control p53 abundance and activity in trans. Some heterodimers consisting of full-length MDM2 and one of its isoforms are even more potent in ubiquitinating p53 than homodimers of the full-length protein [
98]. Of note, despite the increase in p53 ubiquitination, heterodimers of MDM2-B and full-length MDM2 even increased p53 activity [
99,
100]. More recently, it was found that MDM2-C also has E3 activity and ubiquitinates wild-type and mutated (R273H) p53 [
101]. However, it was not determined whether this ubiquitination of p53 by MDM-C leads to p53 degradation.
Other RING-domain E3s that mediate p53 degradation are MKRN1 and MKRN2. MKRN1 and MKRN2 are members of the MKRN (Makorin Ring) protein family, a highly conserved but not very well-investigated family of RING-domain containing proteins. MKRN1 mediated polyubiquitination of p53 at lysine residues K291 and K292 resulted in p53 degradation and downregulation of MKRN1 induced p53-dependent cell cycle arrest [
60]. Interestingly, MKRN1 is also an E3 for p21 and promotes p21 poly-ubiquitination and degradation. Upon DNA damage, the interaction of p53 and MKRN1 is strongly reduced resulting in elevated p53 levels while degradation of p21 is still ongoing. Therefore, under normal growth conditions, MKRN1 keeps cells alive by suppressing p53 and p21. However, when cells experience cellular stress, MKRN1 primarily induces the degradation of p21 leading to increased cell death [
60]. MKRN2 also binds and ubiquitinates p53 resulting in downregulation of the tumor suppressor protein. MKRN2 is highly expressed in human malignant melanoma cell lines and downregulation of MKRN2 inhibited melanoma growth in a p53-dependent manner [
61].
COP1 (constitutive photomorphogenic protein 1) is another RING-domain E3 that mediates p53 degradation. COP1 was identified by mass spectrometric analysis as a binding partner of p53. COP1 increased p53 turnover by targeting it for ubiquitin-mediated degradation and deletion of COP1 stabilized p53, inhibited p53-dependent transcription and arrested cells in the G1 phase of the cell cycle. Although COP1 was able to target p53 for degradation by itself, depletion of both, COP1 and MDM2, by siRNA showed that these two E3s can cooperate and sensitize U2OS cells to ionizing-radiation-induced cell death. COP1 is, furthermore, a target gene of p53, which connects the two proteins by a negative feed-back loop [
62]. Like Mdm2, COP1 also possesses splice variants. A total of eleven transcripts have been generated from the human COP1 pre-mRNA and shown to exist in human cell lines. Together with the full-length protein, the COP1D variant is the most abundantly expressed isoform and the only one that has been investigated in human cells and tissues. COP1 and COP1D are nuclear proteins. Their expression varies between different cell lines and tissues. Both isoforms are induced by UV-light albeit with different ratios. Full length COP1 and COP1D form homo- and heterodimers. While COP1D reduced the ability of the full-length protein to target c-Jun for degradation, both isoforms decreased p53 levels under steady-state conditions and after UV-exposure [
102].
A further RING-E3 for p53 is PIRH2 (p53-induced protein with a RING-H2 domain). PIRH2 was identified as a p53 target with a RING-domain by differential display [
63]. Further analysis showed that PIRH2 binds to p53 and that overexpression of PIRH2 reduces p53 levels because of PIRH2-mediated polyubiquitination and degradation. Accordingly, transcriptional and growth inhibitory activities of p53 were also reduced after overexpression of PIRH2 [
63]. The overall ligase activity of PIRH2 towards p53 was lower than that of MDM2 and PIRH2 modified a different set of lysine residues [
64]. Like MDM2, PIRH2 is a transcriptional target of p53 and was induced after ionizing irradiation in murine embryonic fibroblasts, yet not to the same extent as MDM2. Of note, activation of p53 in MCF-7 and A549 cells by DNA damage did not lead to the accumulation of PIRH2, pointing to a cell type-dependent regulation of PIRH2 [
63,
65]. PIRH2 is highly expressed in several cancer cell lines regardless of the p53 status, suggesting that it also has p53-independent oncogenic activities [
65]. PIRH2 also comes in several isoforms. A total of six isoforms have been described so far (PIRH2A to PIRH2F, where PIRH2A is the full-length protein) [
103,
104,
105]. PIRH2B and PIRH2C have been detected in different cell lines and PIRH2E and PIRH2F in HepG2 cells [
103,
105]. PIRH2B and PIRH2C show the same diffuse staining in the nucleus and cytoplasm as the full-length protein. While PIRH2B is able to dimerize with PIRH2A, this is not the case for PIRH2C, yet all three proteins co-precipitated with MDM2 [
105]. PIRH2B associates with p53 to a similar extent as the full-length protein while PIRH2C shows only weak interactions with p53. Nevertheless, both isoforms were able to ubiquitinate p53, to target it for degradation and to reduce its transcriptional activity. However, because their RING domains are disrupted, neither PIRH2B nor PIRH2C were able to ubiquitinate p53 directly and required other proteins, eventually PIRH2A or MDM2 [
105]. PIRH2D lacks the C-terminal RING domain and thus most likely also E3 activity [
104].
Synoviolin is a RING-type E3 that is located in the endoplasmatic reticulum (ER). Synoviolin was identified as an E3 for p53 in cells where synoviolin had been genetically deleted and where p53 accumulated. Synoviolin binds directly to p53, sequesters p53 in the ER and mediates ER-associated polyubiquitination and degradation of p53. Knocking-down synoviolin resulted in p53 accumulation and induction of the GADD45 (growth arrest and DNA damage-inducible protein), MDM2 and p21 genes [
66]. The activity of synoviolin is regulated by ER stress. In unstressed cells, synoviolin keeps the steady state levels of p53 low by ubiquitinating it for 26S proteasome-dependent degradation. After mild ER-stress, synoviolin is transcriptionally upregulated and the increased amount of synoviolin is still able to target p53 for degradation. However, under severe or prolonged ER-stress, the overwhelming amount of unfolded proteins may squelch and release p53 from synoviolin and allow its accumulation and activation [
67].
Another RING-type E3 that mediates p53 degradation is TOPORS (TOP1 Binding Arginine/Serine Rich Protein, E3). TOPORS was initially found as a p53-binding protein by a yeast two hybrid system with p53 as a bait [
68]. Overexpression of TOPORS resulted in a proteasome-dependent decrease in p53 protein expression in human osteosarcoma cells. TOPORS can cooperate with the E2 conjugating enzyme, UbcH5a, Ubch5c and UbcH6 for mediating p53 ubiquitination [
69]. Ubiquitination and degradation of p53 by TOPORS is regulated by phosphorylation of TOPORS at serine S718 by the Polo-like kinase 1 (PLK1). Plk1-mediated phosphorylation of TOPORS enhances p53 ubiquitination and degradation. As PLK1 expression is highest in late G2 and S-phase of the cell cycle, this is probably also the time when TOPORS-mediated regulation of p53 occurs [
70]. TOPORS is induced after DNA damage, however, while several E3s are target genes of p53, the DNA damage-induced induction of TOPORS is independent of p53 [
106].
Two more recently discovered E3s for p53 are RNF1 and RNF2, also known as RING1 and RING1B [
71,
72]. RNF1 is a crucial component of the transcriptional repression complex PRC1 and RNF2, is part of the transcriptional repression complex PRC2 of the polycomb group. RNF1 directly interacts with p53 and mediates its ubiquitination and degradation by 26S proteasomes. Depletion of RNF1 resulted in p53 stabilization and p53-dependent cell cycle arrest, apoptosis and senescence of HepG2 and HCT116 cells. This effect was compromised in p53-deficient cells showing that the induction of apoptosis and senescence occured via p53 and not through other activities of RNF1 [
71]. RNF1 is even capable of downregulating p53 during the DNA damage response [
71]. RNF2 binds to p53 and mediates p53 ubiquitination and degradation, however, only in selected cells and cell lines including cells from germ cell tumors or ovarian cancers [
72,
73]. Also, RNF2 requires the Bmi1 protein of the PRC2 complex for full activity [
73]. Furthermore, although RNF2 can bind directly to p53, it also binds to MDM2 and forms a ternary complex with the two proteins. Overexpression of RNF2 was not sufficient to mediate p53 ubiquitination in vitro or in HEK293T cells, suggesting that RNF2 may require MDM2, Bmi1 or a further protein to promote p53 ubiquitination [
72]. Downregulation of RNF2 primarily leads to the induction of cell cycle arrest-linked target genes of p53 and of genes that contribute to cellular metabolism but not to the induction of the pro-apoptotic target genes Bax, Noxa and Puma [
107]. Starvation of cells, which downregulates RNF2 expression, leads to enhanced p53-dependent apoptosis and to liver atrophy in mice [
73]. Although RNF1 can form complexes with RNF2, the association of RNF1 with p53 and its ubiquitination and degradation are independent of an interaction with RNF2 [
73].
Other RNF proteins that target p53 are RNF38 and RNF128. RNF38 is widely expressed in a variety of human tissues and evolutionary conserved [
108]. Its interaction with p53 was first identified in a genome-wide in vitro expression pull-down screen using Drosophila p53 as a bait [
109]. RNF38 is a nuclear protein and predicted to have three isoforms. At least the full-length protein interacts with the E2 enzyme UbcH5b and shows E3 activity. The interaction of RNF38 with p53 was confirmed using bacterially expressed proteins, showing that the interaction is direct. RNF38-mediated ubiquitination of p53 was observed in vitro and after overexpression in cells. Overexpression of RNF38 forced p53 into punctate structures in the nucleus, some of them colocalized with PML bodies [
110]. Unfortunately, no data are available on p53 stability upon overexpression of RNF38. Thus, it is also possible that RNF38-mediated ubiquitination of p53 leads to its activation which would be consistent with the deletion of the chromosomal area, where the RNF38 gene is located, in several malignancies [
110]. RNF128, also known as Grail, is a transmembrane protein that is localized in endosomes and best-known as a regulator of energy and cytokine production [
111]. RNF128 usually exists as a tri-molecular complex comprising Grail, Otub1, and USP8 and possesses E3 activity [
74]. The interaction of RNF128 with p53 was identified through a yeast two-hybrid SOS recruitment system for identifying p53-interacting proteins. RNF128 interacts with the N-terminal domain of p53 under normal growth conditions as well as after DNA damage. [
74]. Overexpression of RNF128 reduced p53 levels and stability, and expression of its downstream target genes p21 and Bax, and p53-dependent apoptosis. RNF128 is a p53 target gene and as it is able to target p53 for degradation after treatment with actinomycin D or exposure to UV-light, it may contribute to the downregulation of p53 after DNA damage, particularly as RNF128 is induced by p53 under these conditions [
74]. As RNF128 is highly abundant in heart and liver, it may regulate p53 expression especially in these tissues. Although RNF128 downregulates p53, its expression was significantly reduced in advanced urinary cancer and its low expression was correlated with high tumor stage, high histological grade, high proliferation and vascular and perineural invasion [
112].
Some other RING-type E3s that mediate p53 ubiquitination and degradation belong to the TRIM-family of proteins, a protein family with more than 80 members that are characterized by an N-terminal RING-domain, one or two B-Boxes and a coiled-coiled region. Due to the presence of a RING-domain, most TRIM proteins possess E3 activity. TRIM24, TRIM32, TRIM39, TRIM59, TRIM69 and TRIM71 all mediate ubiquitination and degradation of p53 [
75,
76,
77,
80,
81]. TRIM24 was first identified as a co-repressor of the retinoic acid receptor alpha [
113]. Later, by a tandem-affinity-purification approach with subsequent mass spectrometry analysis, it was found to associate with p53 [
75]. TRIM24 ubiquitinates p53 and promotes its degradation in 26S proteasomes. Downregulation of TRIM24 in human tumor-derived cancer cells resulted in p53-dependent apoptosis [
75]. In contrast to MDM2
−/− embryos, which die a few days after fertilization, TRIM24
−/− mice are viable [
114,
115]. However, mutation of the TRIM24 homolog Bonus led in Drosophila to apoptosis that was rescued by p53 deletion [
75]. Like many E3s that target p53, TRIM24 is also a target gene of p53, connecting the two proteins by a negative feedback-loop [
38]. DNA damage leads to phosphorylation of TRIM24 at serine S768 by the ATM kinase, resulting in the release of p53 from TRIM24 and degradation of TRIM24 [
38]. Due to the high levels of p53 after DNA damage, TRIM24 is continuously synthesized and as it can even bind to phosphorylated p53 and target it for degradation, TRIM24 contributes to the return to normal p53 levels once DNA lesions have been repaired [
38]. TRIM32 is best known for its activity during neuronal and skeletal muscle cell differentiation [
116]. However, the ligase is also frequently overexpressed in head and neck cancers and in skin carcinoma [
117]. In line with promoting p53 degradation, TRIM32 has been shown to reduce the transcriptional activation of p53 target genes, both under non-stressed conditions and after DNA damage, and to reduce p53-mediated cell cycle arrest and apoptosis while downregulation of TRIM32 increased expression of p53-target genes in a p53-dependent manner [
118]. As TRIM32 is, like MDM2 or TRIM24, a target gene of p53, both proteins are connected by a negative feedback loop [
76]. Also, TRIM39, better known as a regulator of the anaphase promoting complex [
119], can directly bind to p53, ubiquitinate the tumor suppressor protein and target it for degradation. Most interestingly, cells harboring wild-type p53 cannot traverse the G1/S checkpoint when TRIM39 is absent from the cell and this cell cycle arrest depends strongly on p53 [
77]. Although TRIM39-mediated ubiquitination of p53 is independent of MDM2, TRIM39 synergizes with MDM2 to promote cell cycle arrest and apoptosis via promoting p53 degradation. This is possible as both proteins bind to different domains of p53 [
77]. TRIM59, attracted attention when it was found to be highly overexpressed in gastric cancer. Its increased levels were, furthermore, associated with more advanced tumor stages and shorter survival times [
78]. Knocking-down TRIM59 reduced proliferation and clonogenicity of gastric cancer cells and the growth of xenografts in nude mice while increased levels of TRIM59 are correlated with decreased expression of p53 target genes, probably resulting from the interaction of TRIM59 with p53 and its ubiquitination and degradation [
78]. TRIM69 is a protein that is present in the cytoplasm and nucleus where it forms speckled aggregates in a RING-dependent manner [
120]. It is highly expressed throughout zebrafish embryogenesis and in most adult tissues with highest expression in testis, brain, heart and ovary [
79]. Knocking-down TRIM69 by morpholino-antisense-oligonucleotides induced massive cell death that was rescued by knocking-down p53 [
79]. Further analysis showed that overexpression of TRIM69 reduced UVB-induced apoptosis while downregulation of TRIM69 induced it [
80]. TRIM69 interacted with p53 and induced its ubiquitination [
80]. TRIM69 is downregulated in cataract lenses whereas p53 levels are higher under these conditions, suggesting that the regulation of p53 by TRIM69 might play a role in this process. [
80]. TRIM71 is an E3 that is especially linked to stem cell pluripotency, reprogramming and neurogenesis. It is indispensable for neural tube closure and embryonic development. TRIM71 interacts directly with p53, controls its abundance by ubiquitinating lysine residues K313-K315 within the nuclear localization signal and antagonizes p53-dependent pro-apoptotic and pro-differentiation responses [
81]. TRIM71
−/− cells showed upregulation of Grhl3 and Caspase-3 activation, two downstream effectors of p53 [
81]. TRIM71 is particularly active after the onset of differentiation of embryonic stem cells. Overexpression of TRIM71 decreased p53 protein levels in this setting and increased cell proliferation. Most importantly, induction of neural differentiation is associated with p53-dependent accumulation of cleaved Caspase-3 and this is strongly reduced upon overexpression of TRIM71. Loss of TRIM71 resulted in aberrant p53 activation during neural tube closure leading to massive cell death and an unclosed neural tube [
81].
Another protein family where members show E3 activity towards p53 are the CARPs (Caspase8/10-associated RING proteins) [
82]. CARPs (CARP1 and 2) usually target Caspase 8 and 10 for degradation and are cleaved by the activated Caspases 8 and 10 once the extrinsic cell death pathway is initiated [
82]. CARPs are overexpressed in tumors and their downregulation reduced cell viability. CARP1 and 2 physically interacted with p53, ubiquitinated it, promoted its degradation and reduced the expression of p53 target genes and the induction of cell cycle arrest. CARPs belong to the few E3s that also target phosphorylated p53 for degradation and thus contribute to the return to basal p53 levels once DNA lesions are repaired [
121]. In addition to the direct role for p53 degradation, CARPs bind to MDM2 and stabilize MDM2 by inhibiting its self-ubiquitination. The resulting elevated levels of MDM2 also contribute to the strong decrease in p53 levels upon overexpression of CARPS [
122].
3.1.2. HECT-Domain and U-Box-Domain E3s
Apart from RING-domain containing E3s, some U-Box and HECT-domain containing E3s target p53 for degradation. Among these E3s are the HECT-domain containing proteins UBE3A and ARF-BP1 and the U-box E3s CHIP and UBE4B.
The HECT domain of E3s roughly consists of 350 amino acids that form a larger N-terminal and a smaller C-terminal lobe that are connected by a short linker [
123]. The N-terminal lobe is the landing site for the E2 while the C-terminal lobe contains the active-site cysteine that forms a thioester bond with ubiquitin resulting in an E3-ubiquitin intermediate before the ubiquitin is transferred to its substrate [
124].
UBE3A was the first HECT-type E3 that was found to be involved in p53 regulation [
83,
84]. Over-expression of UBE3A in neuro 2a cells increased ubiquitination and degradation of p53 that could be prevented by deletion of the HECT-domain of the ligase. Partial knockdown of UBE3A increased p53 levels and p53-dependent transcription, and also promoted neuronal cell death [
85]. In vitro ubiquitination assays showed that UBE3A directly interacts with and ubiquitinates p53 [
86]. UBE3A comes in several isoforms. Five mRNA subtypes have been isolated that are all expressed in cells, yet to varying degree, giving rise to three isoforms. Isoform I corresponds to the previously reported open reading frame for E6-AP while isoforms II and III have additional 20 and 23 amino acids, respectively, at their N-termini and utilize different initiation codons [
125]. No function has as yet been assigned to the different isoforms.
ARF-BP1 is with approximately 500 kD one of the largest proteins in the cell. It was identified as a protein that co-purified with overexpressed p14/p19
ARF protein, the alternative transcript of the Ink4a/ARF tumor suppressor locus [
87]. p14/p19
ARF exhibits tumor suppressive activities by stabilizing p53 in response to oncogenic stimuli. Oncogenes such as Myc or Ras induce the p14/p19
ARF protein resulting in nucleolar sequestration and degradation of MDM2 with the consequence of p53 stabilization and activation [
126]. In wild-type cells, ARF-BP1 binds directly to p53 and ubiquitinates p53, an activity that is inhibited by the p14/p19
ARF protein [
87]. Inactivation of ARF-BP1 is essential for p14/p19
ARF—mediated stabilization of p53 e.g., in response to oncogenic stimuli [
87]. Knock-down of ARF-BP1 also elevates the levels of endogenous p53, increases expression of its target genes and induces cell death. ARF-BP1-mediated cell death is p53-dependent and not seen in p53-negative HCT116 cells. Inactivation of ARF-BP1 during embryonic development resulted in p53-activation and embryonic lethality, however, mice where ARF-BP1 was only deleted in pancreatic β-cells were viable and displayed no obvious abnormality after birth, indicating that the regulation of p53 by ARF-BP1 is particularly powerful in a subset of cells and tissues [
88].
The U-box is a domain of about 70 amino acids that is present in proteins from yeast to man. The predicted structure of the U-box is similar to that of the RING domain, yet U-boxes lack the metal coordinating histidine and cysteine residues that are a hallmark of the RING domain [
127]. Like RING-domain E3s, U-box E3s lack a catalytic cysteine and rather act as a scaffold to orient the E2 and the target to allow efficient ubiquitination of the target protein. In mammals, there are six U-box proteins that mediate ubiquitination of target genes in conjunction with E1s and E2s [
127]. Two of them, CHIP and UBE4B are able to mediate ubiquitination and degradation of p53.
CHIP (carboxyl terminus of HSP70-interacting protein) is a protein that is highly expressed in adult striated muscle and in most cells in culture. It associates with the chaperones Hsc70 and Hsp70 and inhibits their activity [
128]. Most interestingly, CHIP not only mediates poly-ubiquitination and degradation of wild-type p53 but also of mutated p53 [
89]. Ubiquitination of wild-type and mutated p53 by CHIP was further enhanced by the presence of Hsc70 [
90]. CHIP seems not only to degrade proteins that associate with chaperones, it also appears to be particularly required for the degradation of proteins during senescence, a permanent cell cycle arrest [
129,
130]. The p53 protein is also highly linked to senescence as activation of p53 can lead to cell cycle arrest, apoptosis and senescence [
131]. Interestingly, p53 levels are high under pre-senescent conditions and decrease when cells reach senescence while the protein levels of CHIP show the opposite characteristic and are high in “late passage cells” [
91]. This behavior is clearly distinct to many other E3s for p53 including MDM2, COP2, PIRH2 or TOPORS that are either reduced with increasing age or not altered. CHIP is not only induced with aging, it also changes from an entirely cytoplasmic localization in young cells to a partly cytoplasmic/partly nuclear localization in senescent cells [
91]. These observations strongly point to a specific role of CHIP-mediated degradation of p53 in old and senescent cells, a hypothesis that is further supported by the observation that downregulation of e.g., MDM2 leads to high accumulation of p53 both in early and late passage cells while downregulation of CHIP stabilizes p53 only in late passage cells [
91]
UBE4B, a mammalian homolog of the UFD2 protein of
S. cerevisiae, is not only an E3 but also an E4, a protein that is in some cases required to ensure the proper formation of the ubiquitin chain [
132]. UBE4B is especially expressed in neuronal tissue and its genetic deletion leads to early embryonic death due to extensive apoptosis. Heterozygote mice survive but develop a neurological disorder [
133]. p53 can be ubiquitinated and degraded by UBE4B alone. However, UBE4B also interacts with MDM2 and the two proteins can form a ternary complex with p53 which boosts p53 polyubiquitination and degradation tremendously in comparison to ubiquitination and degradation of the tumor suppressor protein in the presence of the single E3 [
134]. Interestingly, while p53 was observed to be primarily monoubiquitinated or multi-monoubiquitinated by MDM2 in the absence of UBE4B, this was shifted to polyubiquitination in the presence of MDM2 and UBE4B. The increased polyubiquitination of p53 under these conditions was accompanied by a decrease in p53 levels and a decrease in transcription of the p53 target genes p21 and MDM2 [
134]. Similar to MDM2-mediated degradation of p53, UBE4B also enhanced p53 degradation mediated by PIRH2 and COP1 [
92]. Surprisingly, a mutated form of UBE4B that was unable to mediate p53 degradation was still able to reduce p53-dependent transactivation, suggesting that UBE4B may use several ways to control p53 activity [
134]. UBE4B is a target gene of p53 and this negative feed-back loop ensures low p53 levels [
93]. As UBE4B also binds to p53 phosphorylated at serine 15 and promotes its degradation, it is most likely also involved in the shut-off of the DNA damage response [
93].