p53 is a tumor suppressor protein that prevents oncogenic transformation
and maintains genomic stability by blocking proliferation of cells harboring
unrepaired or misrepaired DNA. A wide range of genotoxic stresses such as DNA
damaging anti-cancer drugs and ionizing radiation promote nuclear accumulation
of p53 and trigger its ability to activate or repress a number of downstream
target genes involved in various signaling pathways. This cascade leads to the
activation of multiple cell cycle checkpoints and subsequent cell cycle arrest,
allowing the cells to either repair the DNA or undergo apoptosis, depending on
the intensity of DNA damage. In addition, p53 has many transcription-independent
functions, including modulatory roles in DNA repair and recombination. This
chapter will focus on the role of p53 in regulating or influencing the repair of
DNA double-strand breaks that mainly includes homologous recombination repair
(HRR) and non-homologous end joining (NHEJ). Through this discussion, we will
try to establish that p53 acts as an important linchpin between upstream DNA
damage signaling cues and downstream cellular events that include repair,
recombination, and apoptosis.