Pharmacological reactivation of mutant p53: from protein structure to the cancer patient

K G Wiman1

  • 1Department of Oncology-Pathology, Cancer Center Karolinska, Karolinska Institutet, Stockholm, Sweden. klas.wiman@ki.se

Oncogene
|May 26, 2010
PubMed

Insights

Restoring function to mutant p53 protein, a common cancer driver, offers a promising new therapeutic strategy. Compounds like PRIMA-1 and APR-246 reactivate mutant p53, inducing cancer cell death.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • The p53 tumor suppressor pathway is crucial for preventing cancer by inducing apoptosis or senescence.
  • Mutations in p53 are prevalent in human cancers, impairing its tumor-suppressive functions.
  • Restoring wild-type p53 activity in tumors is a viable therapeutic strategy.

Purpose of the Study:

  • To explore pharmacological reactivation of mutant p53 as a novel cancer therapy.
  • To identify and characterize small molecules that can restore p53 function.

Main Methods:

  • Screening of chemical libraries and rational drug design were employed.
  • The compound PhiKan083 was identified, binding to the Y220C p53 mutation.
  • PRIMA-1 was found to restore wild-type p53 conformation and induce apoptosis.

Main Results:

  • PhiKan083 stabilizes mutant p53 by binding to a specific mutation site.
  • PRIMA-1 restores wild-type p53 conformation, leading to apoptosis in tumor cells.
  • The PRIMA-1 analog APR-246 is undergoing clinical trials.

Conclusions:

  • Pharmacological reactivation of mutant p53 is a promising anticancer strategy.
  • Small molecules targeting mutant p53 hold potential for significant impact in cancer treatment.

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