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Updated: Jan 19, 2026

Translational Orthotopic Models of Glioblastoma Multiforme
Published on: February 17, 2023
MTBP regulates cell survival and therapeutic sensitivity in TP53 wildtype glioblastomas
Yifu Song1, Li Zhang1, Yang Jiang1,2
1Department of Neurosurgery, The First Hospital of China Medical University, Shenyang 110001, China.
Abstract:
Background: Glioblastoma (GBM) is highly proliferative and resistant to radio-chemotherapy. Loss of tumor suppressor gene TP53 function frequently occurs at protein level in GBMs. This inhibition is often mediated by other components within the p53 signaling axis, including MDM2, whose binding protein (MTBP) plays an important role in the regulation of MDM2 and p53 activity. We investigated the role of MTBP in the biology of TP53-wildtype (TP53wt) GBMs. Methods: MTBP expression was examined in TCGA and REMBRANDT datasets. MTBP was silenced or overexpressed in TP53wt GBM cells and glioma stem cells (GSCs). The effects on cell viability, apoptosis, and clonogenicity were assessed. The transcriptional regulation of MTBP was investigated. Results: Upregulation of MTBP was correlated with the Classical molecular subtype, and it predicted poor survival. In TP53wt GBM cells, the protein levels of MTBP were positively associated with those of MDM2 but negatively correlated with those of p53. MTBP knockdown promoted apoptosis and inhibited clonogenicity, while overexpression of this protein enhanced tumorigenicity in vitro and in vivo. The pro-survival effect of MTBP depended on the activity of MDM2 and p53. MTBP was transcriptionally regulated by c-myc, thereby forming a positive regulatory loop. Finally, MTBP silencing increased the sensitivity of TP53wt GSCs to radiation and TMZ treatment in vitro and in vivo. Conclusion: MTBP regulates the cell survival and treatment sensitivity of TP53wt GBMs through MDM2-dependent post-translational modification of p53. MTBP-targeting treatments are potentially useful in increasing patients' survival.
Insights
Myeloid-associated regulatory factor (MTBP) promotes glioblastoma (GBM) survival and treatment resistance by stabilizing p53 via MDM2. Targeting MTBP may improve outcomes for patients with TP53-wildtype GBM.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Glioblastoma (GBM) is an aggressive brain tumor characterized by high proliferation and resistance to standard therapies.
- TP53 tumor suppressor gene mutations or functional loss are common in GBM, often mediated by the p53 signaling axis.
- Myeloid-associated regulatory factor (MTBP) influences MDM2 and p53 activity, prompting investigation into its role in TP53-wildtype GBM.
Purpose of the Study:
- To investigate the role of MTBP in the biological behavior of TP53-wildtype GBM.
- To determine the impact of MTBP modulation on GBM cell viability, apoptosis, clonogenicity, and response to therapy.
- To elucidate the regulatory mechanisms of MTBP and its interaction with the p53-MDM2 pathway.
Main Methods:
- Analysis of MTBP expression in TCGA and REMBRANDT datasets.
- In vitro and in vivo studies involving MTBP knockdown or overexpression in TP53-wildtype GBM cells and glioma stem cells (GSCs).
- Assessment of cell viability, apoptosis, clonogenicity, and response to radiation and temozolomide (TMZ) treatment.
Main Results:
- MTBP upregulation correlated with the Classical molecular subtype and predicted poor GBM patient survival.
- MTBP positively associated with MDM2 and negatively with p53 protein levels in TP53wt GBM cells.
- MTBP knockdown induced apoptosis and reduced clonogenicity, while overexpression enhanced tumorigenicity; MTBP silencing sensitized GBM cells to radio-chemotherapy.
Conclusions:
- MTBP promotes glioblastoma cell survival and resistance to therapy by regulating p53 stability through MDM2.
- MTBP is transcriptionally regulated by c-myc, forming a positive feedback loop.
- Targeting MTBP presents a potential therapeutic strategy to improve survival rates in TP53-wildtype GBM patients.
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