CDK4 inhibition diminishes p53 activation by MDM2 antagonists

Anusha Sriraman1, Antje Dickmanns1, Zeynab Najafova2

  • 1Institute of Molecular Oncology, Göttingen Center of Molecular Biosciences (GZMB), University Medical Center Göttingen, D-37077, Göttingen, Germany.

Cell Death & Disease
|September 13, 2018
PubMed

Insights

Combining MDM2 and CDK4 inhibitors for sarcoma treatment may be counterproductive. CDK4 inhibition unexpectedly reduces the p53 response, hindering MDM2 inhibitor effectiveness and revealing a new role for CDK4 in p53 regulation.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • MDM2 and CDK4 genes are often co-amplified in sarcomas.
  • Inhibitors targeting MDM2 and CDK4 are in clinical development for cancer therapy.

Purpose of the Study:

  • To investigate the combined effects of MDM2 and CDK4 inhibition on sarcoma cells.
  • To elucidate the molecular mechanisms underlying the interaction between MDM2 and CDK4 pathways.

Main Methods:

  • Utilized siRNA to co-deplete MDM2 and CDK4.
  • Assessed p53-responsive gene induction and p53 binding.
  • Analyzed the recruitment of RNA Polymerase II to gene promoters.

Main Results:

  • MDM2 and CDK4 inhibitors showed antagonistic cytotoxicity in sarcoma cells.
  • CDK4 inhibition attenuated p53-responsive gene induction and p53 response upon MDM2 inhibition.
  • CDK4 inhibition reduced RNA Polymerase II recruitment, not p53 binding or histone acetylation.

Conclusions:

  • Combined CDK4 and MDM2 inhibition requires careful consideration for sarcoma patient treatment.
  • CDK4 and Cyclin D1 play a previously unrecognized role in maintaining p53 activity.
  • Direct physical association between p53/MDM2 and CDK4/Cyclin D1 complexes suggests cross-regulation.

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