MDM2 inhibitors for cancer therapy
Abstract
The tumor suppressor p53 is a powerful antitumoral molecule frequently inactivated by mutations or deletions in cancer. However, half of all human tumors express wild-type p53, and its activation by antagonizing its negative regulator murine double minute 2 (MDM2) might offer a new therapeutic strategy. Proof-of-concept experiments have demonstrated the feasibility of this approach in vitro but the development of pharmacological inhibitors has been challenging. Recently, potent and selective small-molecule MDM2 inhibitors have been identified. Studies with these compounds have strengthened the concept that selective, non-genotoxic p53 activation is a viable alternative to current cytotoxic chemotherapy but clinical validation is still pending. Here, the new developments in the quest for pharmacological p53 activators are reviewed with an emphasis on small-molecule inhibitors of the p53-MDM2 interaction.
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Restoration of p53 blocks cell-cycle progression and induces apoptosis in the presence of MDM2-p53 interaction antagonists.
“Restoration of p53 is known to block cell-cycle progression and induces apoptosis in the presence of MDM2-p53 interaction antagonists [43–45].”
From Restoration of p53 using the novel MDM2-p53 antagonist APG115 suppresses dedifferentiated papillary thyroid cancer cells (2017) · cites this paper as [45]
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- Authors
- Vassilev, L. T.
- Corresponding author
- Vassilev, Lyubomir T.
- Venue
- Trends in Molecular Medicine
- Publisher
- Elsevier BV
- Published
- 2007-01
- Volume
- 13
- Issue
- 1
- Pages
- 23-31
- ISSN
- 1471-4914 (ISSN-L)
- OpenAlex
- W1994852323
- Cited by
- 532
- References
- 87
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 10 · 2023: 28 · 2022: 14 · 2021: 8 · 2020: 19 · 2019: 12 · 2018: 13 · 2017: 22 · 2016: 18 · 2015: 23 · 2014: 33 · 2013: 50 · 2012: 36
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heat shock proteins research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- MDM2 inhibitors, p53 activation, p53-MDM2 interaction, small molecule inhibitors, p53 tumor suppressor, cancer therapy, TP53 mutation
- MeSH terms
- Benzodiazepines, Humans, Imidazoles, Models, Biological, Models, Molecular, Neoplasms, Piperazines, Protein Binding, Spiro Compounds, Molecular Structure, Gene Expression Regulation, Neoplastic, Tumor Suppressor Protein p53, Oligonucleotides, Antisense, Ubiquitin-Protein Ligases, Proto-Oncogene Proteins c-mdm2
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