Invasive cervical cancer is very highly correlated with the presence o
f high-risk human papillomavirus (HPV) types 16 and 18, Two viral prot
eins, E6 and E7, act in concert to subvert growth control of infected
cells by inactivating the tumor suppressor proteins, p53 and Rb, respe
ctively. E6 is thought to abrogate p53 function by stimulating its deg
radation via ubiquitin-mediated proteolysis in reaction requiring E6AP
(EB-Associated Protein), Here we evaluate the in vivo role of E6AP in
p53 degradation in normal and HPV-infected cell types using antisense
phosphorothioate oligodeoxynucleotides (S-ODNs). This study shows tha
t reduction of E6AP in viva in high-risk HPV-infected cells leads to a
n elevation of p53, confirming the function of E6AP predicted by in vi
tro experiments. Further, we demonstrate that reduction of E6AP in nor
mal cells has no effect on p53 levels, indicative of an E6AP-indpenden
t mechanism for p53 degradation. These experiments show that inhibitio
n of intermediate proteins in the ubiquitin-mediated proteolysis pathw
ay (ubiquitin-conjugating enzymes or associated recognition proteins)
can result in specific inhibition of substrate degradation. We propose
that modulation of p53 levels by elimination of E6AP function may hav
e therapeutic potential for cervical cancer.