The TP53 gene, which encodes the tumor suppressor protein p53, is mutated in approximately 50% of human cancers1,2. Such mutations not only abolish the tumor-suppressive functions of p53 but, in certain hotspot variants, also promote the formation of prion-like aggregates3,4. These aggregated forms of mutant p53 frequently acquire gain-of-function properties, including increased resistance to anticancer therapies5,6. Therefore, identifying which p53 hotspot mutations are prone to aggregation is critical for guiding the development of effective treatment strategies in p53-mutant cancers7,8.
In our previous studies, we observed that specific p53 mutations in head and neck squamous cell carcinoma (HNSCC) and breast cancer cell lines exhibit strong Thioflavin T (ThT) staining signals, indicating the presence of aggregated proteins. ThT is a benzothiazole dye that specifically binds to β-sheet-rich amyloid structures, producing enhanced fluorescence upon binding9. For example, the Detroit 562 HNSCC cell line, which carries the p53 R175H mutation, exhibited strong ThT fluorescence signals10. Similarly, two other HNSCC cell lines, TW01 and HONE-1, both harboring the p53 R280T mutation, also showed pronounced ThT staining11. In these cases, ThT signals colocalized with p53, supporting the presence of aggregated p5310,11.
In breast cancer cells, MDA-MB-231 (p53 R280K mutation) and T47D (p53 L194F mutation) likewise displayed strong ThT staining with clear p53/ThT co-localization12. By contrast, MCF7 cells, which express wild-type p53, and MDA-MB-468 cells (p53 R273H mutation) both showed only weak ThT signals12. Similarly, OECM-1 HNSCC cells with the p53 V173L mutation demonstrated low levels of ThT staining10.
Compared with other protein aggregation detection methods-such as filter trap assays, transmission electron microscopy (TEM), or immunostaining with aggregate-specific antibodies-ThT fluorescence analysis offers several advantages. It is non-destructive, rapid, and applicable to both live and fixed cells without extensive processing. While filter trap assays effectively capture insoluble aggregates, they require harsh denaturation and are unsuitable for live-cell use13. TEM provides direct visualization of fibril morphology but is labor-intensive and low-throughput14. Aggregate-specific immunostaining enables in situ detection using conformation-dependent antibodies, though antibody availability and specificity can be limiting15. In contrast, ThT fluorescence-especially when combined with multipoint plate reading-offers a simple, quantitative, and spatially reliable approach for detecting β-sheet-rich or amyloid-like structures.
Practical considerations are also key for reproducibility. ThT fluorescence correlates linearly with amyloid concentration across a wide concentration range (0.2-500 µM), and peak signal is typically achieved at 20-50 µM, depending on the protein-though ThT self-fluorescence can emerge at ≥5 µM, and higher concentrations may impact aggregation kinetics16. Therefore, a working ThT concentration around 10-20 µM is generally recommended to balance sensitivity while minimizing potential effects on aggregation processes16. In our protocol, the 1,000x ThT stock (12. mM) is diluted 1:1,000 to yield a working concentration of approximately 12. µM, which falls within this recommended range.
ThT preferentially binds to β-sheet-rich amyloid structures, which are characteristic of amyloid fibrils. This specificity arises from the dye's interaction with the cross-β architecture of amyloid fibrils, where the surfaces formed by β-strands provide binding sites for ThT. Consequently, ThT may not effectively detect other misfolded or non-amyloid aggregates that do not exhibit this β-sheet-rich structure17. Therefore, while ThT is a valuable tool for identifying amyloid fibrils, it is advisable to employ complementary validation methods-such as co-localization with p53 immunofluorescence or biophysical approaches-to verify the identity and specificity of the aggregates detected10,18.
Structural prediction studies suggest that the p53 V157F mutation adopts a conformation more prone to aggregation than the wild-type protein19. In this study, we compared ThT fluorescence signals between Hs578T breast cancer cells, which harbor the aggregation-prone p53 V157F mutation, and MCF7 breast cancer cells expressing wild-type p53. Using a multipoint plate reader-based ThT staining assay, we sought to assess the aggregation propensity of p53 V157F relative to wild-type p53.