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PMID: 21209413 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Review

The p53 pathway as a target in cancer therapeutics: obstacles and promise.

Science translational medicine ·Vol. 3 ·No. 64 ·2011-01-05 ·Pages 64rv1

Mandinova A, Lee SW

Abstract

A large fraction of human tumors carry p53 mutations, which allow tumor initiation and progression; furthermore, it is now clear that restoration or reactivation of wild-type p53 function prompts rapid elimination of tumors. The discovery and design of compounds that reactivate or enhance the p53 pathway has resulted in the identification of promising drug candidates that have now entered clinical trials for anticancer strategies. However, some of these agents appear to elicit undesirable toxic effects on normal cells and tissues and therefore are restricted in the dose that can be applied in tumors. In this Review, we discuss the concerns about and promise of these p53 activators and propose ways to expand and optimize screening strategies to identify such molecules.

MeSH Terms
Antineoplastic Agents/therapeutic use Humans Models, Biological Neoplasms/drug therapy,metabolism Signal Transduction/drug effects Tumor Suppressor Protein p53/metabolism
Chemicals
Antineoplastic Agents Tumor Suppressor Protein p53
Authors & Affiliations
2 authors, click to expand affiliations / ORCID
Mandinova Anna
Cutaneous Biology Research Center, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA.
Lee Sam W
References (58)
58 references, click to expand
  1. Small molecule RITA binds to p53, blocks p53-HDM-2 interaction and activates p53 function in tumors.
    Nat Med. 2004 Dec;10(12):1321-8 PMID: 15558054
  2. Blinded by the Light: The Growing Complexity of p53.
    Cell. 2009 May 1;137(3):413-31 PMID: 19410540
  3. Outcomes of p53 activation--spoilt for choice.
    J Cell Sci. 2006 Dec 15;119(Pt 24):5015-20 PMID: 17158908
  4. Acetylation of p53 augments its site-specific DNA binding both in vitro and in vivo.
    Proc Natl Acad Sci U S A. 2004 Feb 24;101(8):2259-64 PMID: 14982997
  5. Hzf Determines cell survival upon genotoxic stress by modulating p53 transactivation.
    Cell. 2007 Aug 24;130(4):624-37 PMID: 17719541
  6. p53 controls cancer cell invasion by inducing the MDM2-mediated degradation of Slug.
    Nat Cell Biol. 2009 Jun;11(6):694-704 PMID: 19448627
  7. Transcriptional regulation by p53: one protein, many possibilities.
    Cell Death Differ. 2006 Jun;13(6):951-61 PMID: 16575405
  8. Discovery and cocrystal structure of benzodiazepinedione HDM2 antagonists that activate p53 in cells.
    J Med Chem. 2005 Feb 24;48(4):909-12 PMID: 15715460
  9. The Mdm2-p53 relationship evolves: Mdm2 swings both ways as an oncogene and a tumor suppressor.
    Genes Dev. 2010 Aug 1;24(15):1580-9 PMID: 20679392
  10. The promise and obstacle of p53 as a cancer therapeutic agent.
    Curr Mol Med. 2002 Jun;2(4):329-45 PMID: 12108946
  11. Awakening guardian angels: drugging the p53 pathway.
    Nat Rev Cancer. 2009 Dec;9(12):862-73 PMID: 19935675
  12. Restoration of p53 function leads to tumour regression in vivo.
    Nature. 2007 Feb 8;445(7128):661-5 PMID: 17251932
  13. The first 30 years of p53: growing ever more complex.
    Nat Rev Cancer. 2009 Oct;9(10):749-58 PMID: 19776744
  14. Restoration of the tumor suppressor function to mutant p53 by a low-molecular-weight compound.
    Nat Med. 2002 Mar;8(3):282-8 PMID: 11875500
  15. Discovery of an inhibitor of a transcription factor using small molecule microarrays and diversity-oriented synthesis.
    J Am Chem Soc. 2003 Jul 16;125(28):8420-1 PMID: 12848532
  16. Regulation of the specific DNA binding function of p53.
    Cell. 1992 Nov 27;71(5):875-86 PMID: 1423635
  17. Targeted rescue of a destabilized mutant of p53 by an in silico screened drug.
    Proc Natl Acad Sci U S A. 2008 Jul 29;105(30):10360-5 PMID: 18650397
  18. Genetic selection of intragenic suppressor mutations that reverse the effect of common p53 cancer mutations.
    EMBO J. 1998 Apr 1;17(7):1847-59 PMID: 9524109
  19. Dissecting roles of ubiquitination in the p53 pathway.
    Ernst Schering Found Symp Proc. 2008;(1):127-36 PMID: 19202598
  20. The dark side of a tumor suppressor: anti-apoptotic p53.
    Cell Death Differ. 2008 Jun;15(6):959-76 PMID: 18356920
  21. p53 in health and disease.
    Nat Rev Mol Cell Biol. 2007 Apr;8(4):275-83 PMID: 17380161
  22. Characterization of the p53-rescue drug CP-31398 in vitro and in living cells.
    Oncogene. 2002 Mar 28;21(14):2119-29 PMID: 11948395
  23. In vivo activation of the p53 pathway by small-molecule antagonists of MDM2.
    Science. 2004 Feb 6;303(5659):844-8 PMID: 14704432
  24. Living with p53, dying of p53.
    Cell. 2007 Aug 24;130(4):597-600 PMID: 17719538
  25. p53 induction of heparin-binding EGF-like growth factor counteracts p53 growth suppression through activation of MAPK and PI3K/Akt signaling cascades.
    EMBO J. 2001 Apr 17;20(8):1931-9 PMID: 11296226
  26. The MDM2 gene amplification database.
    Nucleic Acids Res. 1998 Aug 1;26(15):3453-9 PMID: 9671804
  27. Cancer cells suppress p53 in adjacent fibroblasts.
    Oncogene. 2009 Feb 12;28(6):933-6 PMID: 19060923
  28. p53: traffic cop at the crossroads of DNA repair and recombination.
    Nat Rev Mol Cell Biol. 2005 Jan;6(1):44-55 PMID: 15688066
  29. Cancer genes and the pathways they control.
    Nat Med. 2004 Aug;10(8):789-99 PMID: 15286780
  30. Structure-based design of spiro-oxindoles as potent, specific small-molecule inhibitors of the MDM2-p53 interaction.
    J Med Chem. 2006 Jun 15;49(12):3432-5 PMID: 16759082
  31. Prospective therapeutic applications of p53 inhibitors.
    Biochem Biophys Res Commun. 2005 Jun 10;331(3):726-36 PMID: 15865929
  32. Mutations in the p53 gene occur in diverse human tumour types.
    Nature. 1989 Dec 7;342(6250):705-8 PMID: 2531845
  33. Adenovirus p53 gene therapy.
    Expert Opin Biol Ther. 2006 Jan;6(1):55-61 PMID: 16370914
  34. Thiol and disulfide metabolites of the radiation protector and potential chemopreventive agent WR-2721 are linked to both its anti-cytotoxic and anti-mutagenic mechanisms of action.
    Carcinogenesis. 1995 Apr;16(4):767-74 PMID: 7728953
  35. TP53 status and response to chemotherapy in breast cancer.
    Pathobiology. 2008;75(2):132-9 PMID: 18544968
  36. Mammalian sirtuins--emerging roles in physiology, aging, and calorie restriction.
    Genes Dev. 2006 Nov 1;20(21):2913-21 PMID: 17079682
  37. When mutants gain new powers: news from the mutant p53 field.
    Nat Rev Cancer. 2009 Oct;9(10):701-13 PMID: 19693097
  38. An MDM2 antagonist (MI-319) restores p53 functions and increases the life span of orally treated follicular lymphoma bearing animals.
    Mol Cancer. 2009 Dec 03;8:115 PMID: 19958544
  39. p53 ubiquitination: Mdm2 and beyond.
    Mol Cell. 2006 Feb 3;21(3):307-15 PMID: 16455486
  40. Discovery, in vivo activity, and mechanism of action of a small-molecule p53 activator.
    Cancer Cell. 2008 May;13(5):454-63 PMID: 18455128
  41. Transcriptional activation by wild-type but not transforming mutants of the p53 anti-oncogene.
    Science. 1990 Aug 31;249(4972):1049-51 PMID: 2144364
  42. The p53 orchestra: Mdm2 and Mdmx set the tone.
    Trends Cell Biol. 2010 May;20(5):299-309 PMID: 20172729
  43. NMR indicates that the small molecule RITA does not block p53-MDM2 binding in vitro.
    Nat Med. 2005 Nov;11(11):1135-6; author reply 1136-7 PMID: 16270059
  44. PRIMA-1 reactivates mutant p53 by covalent binding to the core domain.
    Cancer Cell. 2009 May 5;15(5):376-88 PMID: 19411067
  45. SCH529074, a small molecule activator of mutant p53, which binds p53 DNA binding domain (DBD), restores growth-suppressive function to mutant p53 and interrupts HDM2-mediated ubiquitination of wild type p53.
    J Biol Chem. 2010 Apr 2;285(14):10198-212 PMID: 20124408
  46. p53 Activation: a case against Sir.
    Cancer Cell. 2008 May;13(5):377-8 PMID: 18455119
  47. The inherent instability of mutant p53 is alleviated by Mdm2 or p16INK4a loss.
    Genes Dev. 2008 May 15;22(10):1337-44 PMID: 18483220
  48. Does control of mutant p53 by Mdm2 complicate cancer therapy?
    Genes Dev. 2008 May 15;22(10):1259-64 PMID: 18483214
  49. Identification and characterization of the first small molecule inhibitor of MDMX.
    J Biol Chem. 2010 Apr 2;285(14):10786-96 PMID: 20080970
  50. mdm2 expression is induced by wild type p53 activity.
    EMBO J. 1993 Feb;12(2):461-8 PMID: 8440237
  51. Pharmacological rescue of mutant p53 conformation and function.
    Science. 1999 Dec 24;286(5449):2507-10 PMID: 10617466
  52. Senescence and tumour clearance is triggered by p53 restoration in murine liver carcinomas.
    Nature. 2007 Feb 8;445(7128):656-60 PMID: 17251933
  53. Modeling the therapeutic efficacy of p53 restoration in tumors.
    Cell. 2006 Dec 29;127(7):1323-34 PMID: 17182091
  54. Definition of a consensus binding site for p53.
    Nat Genet. 1992 Apr;1(1):45-9 PMID: 1301998
  55. Small-molecule inhibitor of p53 binding to mitochondria protects mice from gamma radiation.
    Nat Chem Biol. 2006 Sep;2(9):474-9 PMID: 16862141
  56. Small-molecule MDM2 antagonists reveal aberrant p53 signaling in cancer: implications for therapy.
    Proc Natl Acad Sci U S A. 2006 Feb 7;103(6):1888-93 PMID: 16443686
  57. Modes of p53 regulation.
    Cell. 2009 May 15;137(4):609-22 PMID: 19450511
  58. Tumorigenic potential associated with enhanced expression of a gene that is amplified in a mouse tumor cell line.
    EMBO J. 1991 Jun;10(6):1565-9 PMID: 2026149
Article Info
Journal
Science translational medicine
Abbr.
Sci Transl Med
ISSN
1946-6242
Published
2011-01-05
Pages
64rv1
Language
English
Region
United States
NLM ID
101505086
PMCID
PMC3763710
Subset
IM
Grants
NCI NIH HHS · 1R01CA149477 · United States
NCI NIH HHS · R01 CA149477 · United States
NCI NIH HHS · 5P01 CA80058 · United States
NCI NIH HHS · R01 CA142805 · United States
NCI NIH HHS · 5R01CA127247 · United States
NCI NIH HHS · P01 CA080058 · United States
NCI NIH HHS · 2R01CA085681 · United States
NCI NIH HHS · R01 CA140615 · United States
NCI NIH HHS · R01 CA127247 · United States
NCI NIH HHS · 5R01CA140615 · United States
NCI NIH HHS · R01 CA140615-03 · United States
NCI NIH HHS · R01 CA085681 · United States
NCI NIH HHS · 1R01CA142805 · United States
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