A distinct p53 target gene set predicts for response to the selective p53–HDM2 inhibitor NVP-CGM097
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Biomarkers for patient selection are essential for the successful and rapid development of emerging targeted anti-cancer therapeutics. In this study, we report the discovery of a novel patient selection strategy for the p53–HDM2 inhibitor NVP-CGM097, currently under evaluation in clinical trials. By intersecting high-throughput cell line sensitivity data with genomic data, we have identified a gene expression signature consisting of 13 up-regulated genes that predicts for sensitivity to NVP-CGM097 in both cell lines and in patient-derived tumor xenograft models. Interestingly, these 13 genes are known p53 downstream target genes, suggesting that the identified gene signature reflects the presence of at least a partially activated p53 pathway in NVP-CGM097-sensitive tumors. Together, our findings provide evidence for the use of this newly identified predictive gene signature to refine the selection of patients with wild-type p53 tumors and increase the likelihood of response to treatment with p53–HDM2 inhibitors, such as NVP-CGM097.
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In a mouse model of human cancer, NVP-CGM097 exhibits favorable pharmacokinetic characteristics and impacted pharmacodynamic markers in human tumors, leading to tumor regression at well-tolerated dose levels.
“In a mouse model of human cancer, NVP-CGM097 exhibits favorable pharmacokinetic characteristics and impacted pharmacodynamic markers in human tumors, leading to tumor regression at well-tolerated dose levels.”
From Recent advances in targeting the “undruggable” proteins: from drug discovery to clinical trials (2023) · cites this paper as [390]
In human p53 wild-type tumor cells, NVP-CGM097 binds to human MDM2 protein with a Ki value of 1.3 nM, activating p53 in human cells and inducing p53-dependent cell cycle arrest and apoptosis.
“In human p53 wild-type tumor cells, NVP-CGM097 binds to human MDM2 protein with a Ki value of 1.3 nM, activating p53 in human cells and inducing p53-dependent cell cycle arrest and apoptosis.389,390”
From Recent advances in targeting the “undruggable” proteins: from drug discovery to clinical trials (2023) · cites this paper as [390]
Cells with wild-type MDM2 and wild-type TP53 have unpredictable sensitivity to MDM2 inhibitors in glioblastoma and other tumor cell types.
“However, cells with wild-type MDM2 and wild-type TP53 have unpredictable sensitivity to MDM2 inhibitors in GBM and other tumor cell types22.”
From Drug sensitivity of single cancer cells is predicted by changes in mass accumulation rate (2016) · cites this paper as [22]
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- Authors
- Jeay, S., Gaulis, S., Ferretti, S., Bitter, H., Ito, M., Valat, T., Murakami, M., Ruetz, S., Guthy, D. A., Rynn, C., Jensen, M. R., Wiesmann, M., Kallen, J., Furet, P., Gessier, F., Holzer, P., Masuya, K., Würthner, J., Halilovic, E., Hofmann, F., Sellers, W. R., & Graus Porta, D.
- Affiliations
- Novartis (Switzerland) (CH)
- Novartis Institutes for BioMedical Research (CH)
- Disease Area Oncology, Novartis Institutes for BioMedical Research, Basel, Switzerland
- Corresponding author
- Jeay, Sébastien
- ORCID
- Venue
- eLife
- Publisher
- eLife Sciences Publications, Ltd
- Published
- 2015-05-12
- Volume
- 4
- ISSN
- 2050-084X (ISSN-L)
- PMC
- PMC4468608
- OpenAlex
- W2176265001
- Cited by
- 85
- References
- 56
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 12 · 2020: 8 · 2019: 8 · 2018: 8 · 2017: 12 · 2016: 10 · 2015: 5
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Update notices
- correction (2016-11-17)
- Open access
- gold
- doi.org
- Licence
- Locations
- eLife (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Novartis
- Topics
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cancer Mechanisms and Therapy
- Keywords
- p53 target genes, predictive gene signature, patient selection biomarkers, cell line sensitivity, patient-derived xenografts, drug response prediction
- MeSH terms
- Humans, Isoquinolines, Neoplasms, Piperazines, Biomarkers, Gene Expression Regulation, Neoplastic, Tumor Suppressor Protein p53, Patient Selection, Oligonucleotide Array Sequence Analysis, Gene Expression Profiling, Fluorescence Resonance Energy Transfer, Cell Line, Tumor, Proto-Oncogene Proteins c-mdm2
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