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Updated: Dec 9, 2025

Functionalized Spirocyclic Heterocycle Synthesis and Cytotoxicity Assay
Published on: February 9, 2021
Exploitation of dihydroorotate dehydrogenase (DHODH) and p53 activation as therapeutic targets: A case study in
Marcus J G W Ladds1, Gergana Popova2, Andrés Pastor-Fernández1
1Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden; SciLifeLab, Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden.
Abstract:
The tenovins are a frequently studied class of compounds capable of inhibiting sirtuin activity, which is thought to result in increased acetylation and protection of the tumor suppressor p53 from degradation. However, as we and other laboratories have shown previously, certain tenovins are also capable of inhibiting autophagic flux, demonstrating the ability of these compounds to engage with more than one target. In this study, we present two additional mechanisms by which tenovins are able to activate p53 and kill tumor cells in culture. These mechanisms are the inhibition of a key enzyme of the de novo pyrimidine synthesis pathway, dihydroorotate dehydrogenase (DHODH), and the blockage of uridine transport into cells. These findings hold a 3-fold significance: first, we demonstrate that tenovins, and perhaps other compounds that activate p53, may activate p53 by more than one mechanism; second, that work previously conducted with certain tenovins as SirT1 inhibitors should additionally be viewed through the lens of DHODH inhibition as this is a major contributor to the mechanism of action of the most widely used tenovins; and finally, that small changes in the structure of a small molecule can lead to a dramatic change in the target profile of the molecule even when the phenotypic readout remains static.
Insights
Tenovins activate tumor suppressor p53 through multiple mechanisms, including inhibiting dihydroorotate dehydrogenase (DHODH) and blocking uridine transport. This reveals new pathways for p53 activation and cancer cell death.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Tenovins are known to inhibit sirtuin activity, potentially increasing p53 acetylation and stability.
- Previous studies indicate some tenovins also inhibit autophagic flux, suggesting multiple molecular targets.
- The tumor suppressor p53 plays a critical role in cancer, and understanding its regulation is key to developing new therapies.
Purpose of the Study:
- To identify additional mechanisms by which tenovins activate p53 and induce tumor cell death.
- To investigate the role of dihydroorotate dehydrogenase (DHODH) and uridine transport in tenovin's mechanism of action.
- To provide a more comprehensive understanding of tenovin's molecular targets and their implications in cancer research.
Main Methods:
- Cell culture experiments to assess tumor cell viability.
- Enzyme inhibition assays to evaluate tenovin's effect on DHODH.
- Uridine uptake assays to measure tenovin's impact on uridine transport.
- Western blotting to analyze p53 levels and acetylation.
Main Results:
- Tenovins were found to inhibit dihydroorotate dehydrogenase (DHODH), a key enzyme in de novo pyrimidine synthesis.
- Tenovins were also shown to block uridine transport into cells.
- These actions contribute to the activation of p53 and subsequent tumor cell death.
- The study highlights that tenovins can activate p53 through multiple pathways beyond sirtuin inhibition.
Conclusions:
- Tenovins possess multiple mechanisms for activating p53, including DHODH inhibition and disruption of uridine transport.
- These findings necessitate a re-evaluation of previous studies on tenovins as sirtuin inhibitors, considering DHODH inhibition as a major contributing factor.
- Subtle structural modifications in small molecules can significantly alter their target profiles, even if the overall cellular effect appears consistent.
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