Stress protein mortalin is a multifunctional protein and is highly expressed in cancers. It has been shown to interact with tumor suppressor protein-p53 (both wild and mutant types) and inactivates its transcriptional activation and apoptotic functions in cancer cells. In the present study, we found that, unlike most of the cancer cells, HepG2 hepatoma lacked mortalin-p53 interaction. We demonstrate that the mortalin-p53 interaction exists in cancer cells that are either physiologically stressed (frequently associated with p53 mutations) or treated with stress-inducing chemicals. Targeting mortalin-p53 interaction with either mortalin small hairpin RNA or a chemical or peptide inhibitor could induce p53-mediated tumor cell-specific apoptosis in hepatocellular carcinoma; p53-null hepatoma or normal hepatocytes remain unaffected. Cell Death and Differentiation (2011) 18, 1046-1056 doi:10.1038/cdd.2010; published online 14 January 2011The wild-type p53 is a key tumor suppressor protein that eliminates genetically unstable cells by inducing either cell cycle arrest or apoptosis through transcriptional regulation or direct interaction with apoptotic proteins. 1,2 Functional inactivation of p53, a frequent event in cancer cells, occurs by three main mechanisms: (i) mutations, (ii) post-translational modifications and (iii) cytoplasmic sequestration 3-5 by its binding proteins. Although several cellular proteins are shown to interact with p53, the mechanism of its inactivation still remains unclear. Furthermore, interaction of p53 with its binding partners is context dependent, and influenced by both intracellular and extracellular environment. Cellular stress response (intrinsic and extrinsic) has been shown to evoke p53 signaling 6 through its modifications, including phosphorylation (at serine and/or threonine), 7 acetylation, 8 sumoylation, 9 glycosylation, 10 ribosylation 11 or ubiquitylation. 12 Furthermore, it has been shown that p53 protein interacts with several stress proteins, including Hsp40, Hsp70, Hsp84, Hsp90, DnaK, DnaJ and GrpE in vivo, 13-15 that potentially modulate p53 activities. However, their roles in development and progression of cancer, physiologically a stressed condition, remain unclear.Mortalin/mthsp70/GRP75/PBP74, a member of the heat shock protein (Hsp) 70 family, is enriched in human cancer cells. [16][17][18] Overexpression of mortalin was sufficient to increase the malignancy of breast cancer cells in both in vitro and in vivo models. The underlying mechanism was shown to be the sequestration of wild-type p53 in the cytoplasm, leading to inhibition of its transcriptional activation and control of centrosome duplication functions. [19][20][21][22] A cationic inhibitor (MKT-077) of mortalin that releases p53 from mortalin-p53 complex was shown to cause activation of p53 and growth arrest of cancer cells. 23 Similarly, mortalin-binding p53 peptides caused nuclear translocation and activation of p53. 19 Mortalin was identified as a marker for hepatocellular carcinoma (HCC) metastasis and r...