ZCCHC10 is a tumor suppressor that converges on p53 stabilization and telomerase repression to restrain cancer cell proliferation and invasion (PMID:31138778, PMID:31404068). It directly binds p53 and competitively disrupts the p53–MDM2 interaction, blocking MDM2-mediated ubiquitination and degradation and thereby stabilizing p53 protein; this activity is strictly dependent on wild-type p53, as ZCCHC10 has no effect in p53-null or p53-mutant lung cancer cells (PMID:31138778). Independently, ZCCHC10 interacts with the homeodomain transcription factor PITX1 through PITX1's homeodomain, and the resulting complex cooperatively represses transcription from the hTERT promoter (PMID:31404068). ZCCHC10 expression is itself subject to negative regulation: miR-410-3p directly targets its 3′UTR to lower ZCCHC10 protein, and loss of ZCCHC10 derepresses NF-κB signaling to drive epithelial–mesenchymal transition, migration, and invasion in colorectal cancer cells (PMID:33517196); in acute myeloid leukemia, the lncRNA SNHG1 silences ZCCHC10 by recruiting DNMT1 and DNMT3B to its promoter CpG island for hypermethylation, and restoring ZCCHC10 raises p53 levels, suppresses proliferation, and sensitizes cells to venetoclax (PMID:37052262). The biochemical activity of the ZCCHC10 protein itself beyond these binding-mediated functions has not been characterized in the available corpus.