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Published on: December 30, 2025
Small-molecule RETRA suppresses mutant p53-bearing cancer cells through a p73-dependent salvage pathway
J E Kravchenko1, G V Ilyinskaya, P G Komarov
1Lerner Research Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Abstract:
Identification of unique features of cancer cells is important for defining specific and efficient therapeutic targets. Mutant p53 is present in nearly half of all cancer cases, forming a promising target for pharmacological reactivation. In addition to being defective for the tumor-suppressor function, mutant p53 contributes to malignancy by blocking a p53 family member p73. Here, we describe a small-molecule RETRA that activates a set of p53-regulated genes and specifically suppresses mutant p53-bearing tumor cells in vitro and in mouse xenografts. Although the effect is strictly limited to the cells expressing mutant p53, it is abrogated by inhibition with RNAi to p73. Treatment of mutant p53-expressing cancer cells with RETRA results in a substantial increase in the expression level of p73, and a release of p73 from the blocking complex with mutant p53, which produces tumor-suppressor effects similar to the functional reactivation of p53. RETRA is active against tumor cells expressing a variety of p53 mutants and does not affect normal cells. The results validate the mutant p53-p73 complex as a promising and highly specific potential target for cancer therapy.
Insights
A novel compound, RETRA, specifically targets and suppresses cancer cells with mutant p53 by reactivating the tumor suppressor p73. This targeted approach shows promise for cancer therapy without affecting normal cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Mutant p53 is prevalent in cancers, impairing tumor suppression and promoting malignancy by inhibiting p73.
- Targeting mutant p53 offers a promising strategy for cancer therapy.
Purpose of the Study:
- To identify and characterize a small molecule that specifically targets and suppresses mutant p53-bearing cancer cells.
- To investigate the mechanism of action of the small molecule RETRA involving the p53-p73 pathway.
Main Methods:
- In vitro and in vivo (mouse xenograft) studies were conducted to evaluate the efficacy of RETRA.
- RNA interference (RNAi) was used to inhibit p73 and assess its role in RETRA's mechanism.
- Gene expression analysis and protein complex studies were performed to understand RETRA's effects on p53, p73, and downstream targets.
Main Results:
- RETRA selectively suppressed tumor cells expressing various forms of mutant p53.
- RETRA treatment increased p73 expression and released it from the inhibitory complex with mutant p53.
- The therapeutic effect of RETRA was dependent on p73 and did not impact normal cells.
Conclusions:
- The small molecule RETRA effectively targets mutant p53 cancer cells by reactivating tumor suppressor functions via the p73 pathway.
- The mutant p53-p73 complex represents a highly specific and promising therapeutic target for a significant proportion of human cancers.
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