4.6 Review

The Development of p53-Targeted Therapies for Human Cancers

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A Small Molecule Reacts with the p53 Somatic Mutant Y220C to Rescue Wild-type Thermal Stability

Keelan Z. Guiley et al.

Summary: The transcription factor and tumor suppressor protein p53 is frequently mutated and inactivated in cancer. This study successfully identified covalent compounds that selectively react with the p53 somatic mutant cysteine Y220C and restore wild-type thermal stability.

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Diverse rescue potencies of p53 mutations to ATO are predetermined by intrinsic mutational properties

Huaxin Song et al.

Summary: In this study, the authors evaluated the rescue abilities of 800 common p53 mutants using the compound arsenic trioxide (ATO). They found that the solvent accessibility and temperature sensitivity of mutated residues were key factors in determining if a mutation could be rescued. A total of 390 mutants were successfully rescued and classified into three types. ATO showed preferential inhibition on type 1 and type 2a mutants in both mouse trials and clinical trials. This study provides a valuable resource for the scientific and clinical communities and proposes a new strategy for targeting p53 based on individual mutant alleles.

SCIENCE TRANSLATIONAL MEDICINE (2023)

Article Oncology

Results from a First-in-Human Phase I Study of Siremadlin (HDM201) in Patients with Advanced Wild-Type TP53 Solid Tumors and Acute Leukemia

Eytan M. Stein et al.

Summary: This phase I study investigated the recommended dose for expansion of siremadlin, a p53-MDM2 inhibitor, in patients with wild-type TP53 advanced solid or hematologic cancers. The study found recommended doses/regimens for future combination studies. Patients with solid tumors and hematologic malignancies differed in terms of treatment-related adverse events.

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Co-Targeting of MDM2 and CDK4/6 with Siremadlin and Ribociclib for the Treatment of Patients with Well-Differentiated or Dedifferentiated Liposarcoma: Results from a Proof-of Concept, Phase Ib Study

Albiruni R. Abdul Razak et al.

Summary: This study investigated the feasibility of combining Siremadlin with Ribociclib in the treatment of locally advanced/metastatic WDLPS or DDLPS. The results showed that patients tolerated this treatment regimen well and exhibited early signs of antitumor activity.

CLINICAL CANCER RESEARCH (2022)

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Small-Molecule NSC59984 Induces Mutant p53 Degradation through a ROS-ERK2-MDM2 Axis in Cancer Cells

Shengliang Zhang et al.

Summary: This study identified an inducible ROS-ERK2-MDM2 axis as a vulnerability for mutant p53 degradation in cancer cells, which can be targeted by small-molecule compounds for cancer therapy.

MOLECULAR CANCER RESEARCH (2022)

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Repurposing antiparasitic antimonials to noncovalently rescue temperature-sensitive p53 mutations

Yigang Tang et al.

Summary: This study identified a drug (PAT) that can stabilize a specific mutant p53 through noncovalent binding, showing anti-tumor activity in vivo and rescuing the mutant p53 in patient-derived leukemia cells. Further investigation revealed the potential of this drug in precisely treating cancers with 65 different p53 mutations.

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Article Oncology

Mutant p53 Depletion by Novel Inhibitors for HSP40/J-Domain Proteins Derived from the Natural Compound Plumbagin

Mohamed Alalem et al.

Summary: The mutation of p53 tumor suppressor is common in human cancer, and the accumulation of mutant p53 is crucial for malignant progression. However, strategies to deplete mutant p53 have not been established. This study identified a potential DNAJA1 inhibitor, PLTFBH, which can reduce the levels of mutant p53 and inhibit cancer cell migration by targeting DNAJA1.

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DNAJA1-and conformational mutant p53-dependent inhibition of cancer cell migration by a novel compound identified through a virtual screen

Shigeto Nishikawa et al.

Summary: A compound called A11 was found to inhibit cancer cell migration by reducing the levels of DNAJA1 and conformational mutp53. This study provides a potential candidate drug for treating cancers expressing conformational mutp53.

CELL DEATH DISCOVERY (2022)

Article Oncology

Arsenic Trioxide Rescues Structural p53 Mutations through a Cryptic Allosteric Site

Shuo Chen et al.

Summary: The study identified small molecules, such as arsenic trioxide, as compounds that can rescue the structural mutations in p53, reactivating its tumor suppressive function. Arsenic binding stabilizes the DNA-binding loop-sheet-helix motif and overall beta-sandwich fold, providing a new strategy for cancer therapy targeting p53 mutations.

CANCER CELL (2021)

Article Oncology

Pharmacokinetic-pharmacodynamic guided optimisation of dose and schedule of CGM097, an HDM2 inhibitor, in preclinical and clinical studies

Sebastian Bauer et al.

Summary: The study aimed to assess the safety, MTD, PK/PD, and preliminary antitumor activity of CGM097 in advanced solid tumor patients. PK/PD models were used to guide dose regimen selection and predict response to CGM097. Despite limited activity, insights were provided on dosing optimization for next-generation HDM2 inhibitors to mitigate hematologic toxicity.

BRITISH JOURNAL OF CANCER (2021)

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Protein mimetic amyloid inhibitor potently abrogates cancer-associated mutant p53 aggregation and restores tumor suppressor function

L. Palanikumar et al.

Summary: This study successfully identifies a small molecule that can inhibit the aggregation of mutant p53 protein and restore its function, leading to inhibition of cancer cell proliferation and tumor growth.

NATURE COMMUNICATIONS (2021)

Article Oncology

First in class dual MDM2/MDMX inhibitor ALRN-6924 enhances antitumor efficacy of chemotherapy in TP53 wild-type hormone receptor-positive breast cancer models

Seyed Pairawan et al.

Summary: MDM2/MDMX proteins are often elevated in ER+ breast cancer. ALRN-6924 showed significant activity in WT-TP53 cancer cell lines, particularly in combination with chemotherapeutic agents such as paclitaxel. The combination of ALRN-6924 with chemotherapy demonstrated enhanced antitumor efficacy and increased p21 expression in ER+ breast cancer models.

BREAST CANCER RESEARCH (2021)

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Tumor-Targeted Delivery of the p53-Activating Peptide VIP116 with PEG-Stabilized Lipodisks

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NANOMATERIALS (2020)

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Neoantigen screening identifies broad TP53 mutant immunogenicity in patients with epithelial cancers

Parisa Malekzadeh et al.

JOURNAL OF CLINICAL INVESTIGATION (2019)

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p53 reactivation with induction of massive apoptosis-1 (PRIMA-1) inhibits amyloid aggregation of mutant p53 in cancer cells

Luciana P. Rangel et al.

JOURNAL OF BIOLOGICAL CHEMISTRY (2019)

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Mechanical cues control mutant p53 stability through a mevalonate-RhoA axis

Eleonora Ingallina et al.

NATURE CELL BIOLOGY (2018)

Article Oncology

The MDM2/MDMX-p53 Antagonist PM2 Radiosensitizes Wild-Type p53 Tumors

Diana Spiegelberg et al.

CANCER RESEARCH (2018)

Review Chemistry, Medicinal

An Update on MDMX and Dual MDM2/X Inhibitors

Margarida Espadinha et al.

CURRENT TOPICS IN MEDICINAL CHEMISTRY (2018)

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Advances in therapeutic use of a drug-stimulated translational readthrough of premature termination codons

Maciej Dabrowski et al.

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The interplay between mutant p53 and the mevalonate pathway

Alejandro Parrales et al.

CELL DEATH AND DIFFERENTIATION (2018)

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Mutant p53: a novel target for the treatment of patients with triple-negative breast cancer?

N. C. Synnott et al.

INTERNATIONAL JOURNAL OF CANCER (2017)

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Thiosemicarbazones Functioning as Zinc Metallochaperones to Reactivate Mutant p53

Xin Yu et al.

MOLECULAR PHARMACOLOGY (2017)

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Resistance mechanisms to TP53-MDM2 inhibition identified by in vivo piggyBac transposon mutagenesis screen in an Arf-/- mouse model

Emilie A. Chapeau et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2017)

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Molecularly targeted therapies for p53-mutant cancers

Dekuang Zhao et al.

CELLULAR AND MOLECULAR LIFE SCIENCES (2017)

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Putting p53 in Context

Edward R. Kastenhuber et al.

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Results of the Phase I Trial of RG7112, a Small-Molecule MDM2 Antagonist in Leukemia

Michael Andreeff et al.

CLINICAL CANCER RESEARCH (2016)

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Design and synthesis of a C7-aryl piperlongumine derivative with potent antimicrotubule and mutant p53-reactivating properties

Surendra R. Punganuru et al.

EUROPEAN JOURNAL OF MEDICINAL CHEMISTRY (2016)

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Effect of Mutation on an Aggregation-Prone Segment of p53: From Monomer to Dimer to Multimer

Atanu Das et al.

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DNAJA1 controls the fate of misfolded mutant p53 through the mevalonate pathway

Alejandro Parrales et al.

NATURE CELL BIOLOGY (2016)

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TP53: an oncogene in disguise

T. Soussi et al.

CELL DEATH AND DIFFERENTIATION (2015)

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Small-Molecule Reactivation of Mutant p53 to Wild-Type-like p53 through the p53-Hsp40 Regulatory Axis

Masatsugu Hiraki et al.

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Investigating the Intrinsic Aggregation Potential of Evolutionarily Conserved Segments in p53

Saikat Ghosh et al.

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Stapled Peptides with Improved Potency and Specificity That Activate p53

Christopher J. Brown et al.

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Chaperone-mediated autophagy degrades mutant p53

Helin Vakifahmetoglu-Norberg et al.

GENES & DEVELOPMENT (2013)

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Discovery of RG7388, a Potent and Selective p53-MDM2 Inhibitor in Clinical Development

Qingjie Ding et al.

JOURNAL OF MEDICINAL CHEMISTRY (2013)

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Small molecule induced reactivation of mutant p53 in cancer cells

Xiangrui Liu et al.

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Impaired epithelial differentiation of induced pluripotent stem cells from ectodermal dysplasia-related patients is rescued by the small compound APR-246/PRIMA-1MET

Ruby Shalom-Feuerstein et al.

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APR-246/PRIMA-1MET rescues epidermal differentiation in skin keratinocytes derived from EEC syndrome patients with p63 mutations

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Activation of the p53 pathway by small-molecule-induced MDM2 and MDMX dimerization

Bradford Graves et al.

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Cancer syndromes and therapy by stop-codon readthrough

Renata Bordeira-Carrico et al.

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A Pin1/Mutant p53 Axis Promotes Aggressiveness in Breast Cancer

Javier E. Girardini et al.

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Gain of function of mutant p53 by coaggregation with multiple tumor suppressors

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Mdm2-mediated ubiquitylation: p53 and beyond

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The missing Zinc: p53 misfolding and cancer

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PRIMA-1MET/APR-246 targets mutant forms of p53 family members p63 and p73

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PRIMA-1 Reactivates Mutant p53 by Covalent Binding to the Core Domain

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Small-molecule RETRA suppresses mutant p53-bearing cancer cells through a p73-dependent salvage pathway

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Cancer-derived p53 mutants suppress p53-target gene expression - potential mechanism for gain of function of mutant p53

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The diversity of the DnaJ/Hsp40 family, the crucial partners for Hsp70 chaperones

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Small-molecule MDM2 antagonists as a new therapy concept for neuroblastoma

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Modulating molecular chaperone Hsp90 functions through reversible acetylation

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HDAC6 regulates Hsp90 acetylation and chaperone-dependent activation of glucocorticoid receptor

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PRIMA-1MET synergizes with cisplatin to induce tumor cell apoptosis

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Small molecule RITA binds to p53, blocks p53-HDM-2 interaction and activates p53 function in tumors

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MDM2 promotes ubiquitination and degradation of MDMX

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Mdmx stabilizes p53 and Mdm2 via two distinct mechanisms

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The role of tetramerization in p53 function

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