Summary The present study represents a continuation of previous works in which we observed that lung carcinomas co-expressing MDM2 protein and p53 mutants (mt p53) exhibited more aggressive behaviour. In the above studies, we suggested a 'gain of function' mechanism of mt p53 proteins based on the fact that the MDM2 gene possesses a p53-responsive element (MDM2-p53RE). In this study, to prove our hypothesis, we selected 12 cases from a series of 51 bronchogenic carcinomas. In these 12 cases, we examined the ability of the expressed mt p53 to bind the MDM2-p53RE and correlated the findings with MDM2 expression. Furthermore, we constructed four of these p53 mutants and studied their transactivation properties by co-transfecting them with a reporter plasmid carrying MDM2-p53RE in the p53 null non-smallcell lung carcinoma cell line (NSCLC) H1299. We observed mutant p53 protein DNA-binding activity, which depended on the nature and the position of the amino acid substitution. The fact that the cases with DNA-binding activity were accompanied with MDM2 protein isoforms' overexpression is indicative of a 'gain of function' phenotype. This hypothesis was enforced by the findings of the transfection experiments, which revealed that certain p53 mutants enhanced the expression of the luciferase reporter gene either directly or indirectly via a dominant positive effect on the wild-type p53. In conclusion, this work is one first attempt to examine if the deregulation of the p53/MDM2 autoregulatory feedback loop is due to novel properties of certain p53 mutants in the specific environment of a subset of bronchogenic carcinomas.Keywords: p53 mutations; p53-responsive element; MDM2 gene; MDM2 isoforms; lung cancer The p53 oncosuppressor gene is mapped to chromosomal region 17pl3 and encodes a 393 amino acid (aa), 53-kDa nuclear phosphoprotein. The protein is divided into three main structural and functional domains. The first 42 amino acids at the N-terminus constitute the transactivation domain, the residues between amino acids 120 and 290 make up the sequence-specific DNA binding domain, whereas residues 310-393 at the C-terminus contain the nuclear localization signals, the tetramerization domain and the extreme carboxy-terminus that allosterically regulates p53 specific DNA binding. p53 protein is involved in vital aspects of the cell life, such as control of cell cycle checkpoints G, and G2, maintaining genomic integrity, DNA repair, replication, transcription, programmed cell death (apoptosis) and differentiation. Functional loss of p53, mostly via mutations, is considered the most common genetic lesion in human cancer (Greenblatt et al, 1994). Therefore, an understanding of the functions of p53 may help elucidate key steps in carcinogenesis. The cellular effects of p53 are mediated either by protein-protein interaction or by binding to DNA regulatory elements. In the first case, p53 interacts with factors of the replication, transcription and repair machinery (reviewed by: