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Fortifying p53 – beyond Mdm2 inhibitors

Authors: Sriraman, Anusha; Li, Yizhu; Dobbelstein, Matthias;

Fortifying p53 – beyond Mdm2 inhibitors

Abstract

The tumor suppressor p53 is mutated in roughly 50% of all human malignancies. However, in the other 50% of tumors which retain wildtype p53, it appears insufficiently active to confer tumor suppression, through cell cycle arrest or apoptosis. Much of this p53-inactivation occurs through the Mdm2 oncoprotein, the product of a p53-inducible gene. Mdm2 is an E3 ubiquitin-ligase that targets p53 for proteasomal degradation. In 2004, a small-molecule antagonist of Mdm2 was identified, known as Nutlin-3a or Nutlin. It binds to Mdm2 at the p53 binding pocket, thereby leading to activation of p53 and its target genes [2]. Recently, similar Mdm2 antagonists were taken to clinical trials, such as RG7388 ({"type":"clinical-trial","attrs":{"text":"NCT02633059","term_id":"NCT02633059"}}NCT02633059, {"type":"clinical-trial","attrs":{"text":"NCT02407080","term_id":"NCT02407080"}}NCT02407080, {"type":"clinical-trial","attrs":{"text":"NCT02828930","term_id":"NCT02828930"}}NCT02828930, {"type":"clinical-trial","attrs":{"text":"NCT02670044","term_id":"NCT02670044"}}NCT02670044, {"type":"clinical-trial","attrs":{"text":"NCT02545283","term_id":"NCT02545283"}}NCT02545283, {"type":"clinical-trial","attrs":{"text":"NCT02624986","term_id":"NCT02624986"}}NCT02624986), HDM201 ({"type":"clinical-trial","attrs":{"text":"NCT02780128","term_id":"NCT02780128"}}NCT02780128, {"type":"clinical-trial","attrs":{"text":"NCT02143635","term_id":"NCT02143635"}}NCT02143635), and MI-773 ({"type":"clinical-trial","attrs":{"text":"NCT01636479","term_id":"NCT01636479"}}NCT01636479), but the results regarding their efficacy have not been reported so far. Thus, delivering a wake-up call to dormant p53 in tumors remains a tempting but currently not proven option for cancer therapy.

Country
Germany
Keywords

Antineoplastic Agents, Proto-Oncogene Proteins c-mdm2, Protein Phosphatase 2C, Editorial, Neoplasms, Animals, Humans, Enzyme Inhibitors, Tumor Suppressor Protein p53, Signal Transduction

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Top 10%
Green
gold
Related to Research communities
Cancer Research