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Inhibitors of MDM2 and MDMX: a structural perspective
Christiane Riedinger1, James M McDonnell
1Laboratory of Molecular Biophysics, Department of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK. christiane.riedinger@bioch.ox.ac.uk
Abstract:
p53 is a potent tumor suppressor with a crucial role in preventing uncontrolled cell proliferation and is therefore frequently deleted or mutated in cancer. For tumors with wild-type p53, its function can be overcome by overactive cellular antagonists, such as the ubiquitin ligase murine double minute clone 2 (MDM2). Restoring p53 activity by inhibiting MDM2 in such cancers can eradicate tumors. Consequently, the MDM2-p53 interaction has been extensively targeted for inhibition by small molecules. In recent years, MDM2-like protein (MDMX), another key downregulator of p53, has gained increasing importance as an additional target for drug development, in order to provide a complementary approach to MDM2 inhibition. In this review, we describe how detailed structural knowledge of the MDM2-p53 interface and, more recently, of the MDMX-p53 interaction have helped advance the development of inhibitors against the two targets. We present a summary of the functional biochemistry of MDM2, MDMX and p53 as well as their interactions and examine recent progress in the development of inhibitors of MDM2 and MDMX.
Insights
Inhibiting MDM2 and MDMX, which counteract the tumor suppressor p53, offers a promising cancer treatment strategy. Structural insights guide the development of small molecule inhibitors targeting these interactions.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- p53 is a critical tumor suppressor frequently inactivated in cancer.
- MDM2 and MDMX are key antagonists that inhibit p53 function.
- Targeting the MDM2-p53 interaction is a validated therapeutic strategy.
Purpose of the Study:
- To review the structural basis for inhibiting MDM2-p53 and MDMX-p53 interactions.
- To summarize the functional biochemistry of p53, MDM2, and MDMX.
- To examine recent advancements in developing inhibitors for MDM2 and MDMX.
Main Methods:
- Analysis of structural data for MDM2-p53 and MDMX-p53 complexes.
- Review of functional biochemistry studies.
- Survey of recent literature on small molecule inhibitor development.
Main Results:
- Structural knowledge of the MDM2-p53 interface has facilitated inhibitor design.
- Emerging structural data for MDMX-p53 interactions are advancing inhibitor development.
- Dual inhibition of MDM2 and MDMX presents a complementary therapeutic approach.
Conclusions:
- Targeting MDM2 and MDMX is crucial for restoring p53 tumor suppressor activity.
- Structural biology plays a vital role in developing novel cancer therapeutics.
- Further development of MDM2 and MDMX inhibitors holds significant therapeutic potential for cancer treatment.
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