MDMX/MDM4 is highly expressed and contributes to cell growth and survival in anaplastic large cell lymphoma

Vaios Sinatkas1, Konstantina Stathopoulou2, Ioanna Xagoraris2

  • 1Department of Pathology, University of Crete, Medical School, Heraklion, Greece.

Leukemia & Lymphoma
|February 11, 2021
PubMed

Insights

Murine double minute X (MDMX) is highly expressed in anaplastic large cell lymphoma (ALCL) and targeting it activates p53 signaling. Inhibiting MDMX offers a potential new therapy for ALCL patients with wild-type p53.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Anaplastic large cell lymphoma (ALCL) often exhibits dysfunctional p53 signaling despite non-mutated TP53 (wt-p53).
  • Murine double minute X (MDMX) is a known negative regulator of p53.

Purpose of the Study:

  • To investigate the role of MDMX in wt-p53 ALCL.
  • To evaluate MDMX as a therapeutic target in ALCL.

Main Methods:

  • Western blot and immunohistochemistry to assess MDMX expression in ALCL.
  • Fluorescence in situ hybridization (FISH) to detect MDMX gene amplification.
  • Pharmacologic inhibition and siRNA-mediated silencing of MDMX in ALCL cell lines.

Main Results:

  • MDMX was highly expressed in ALK-positive ALCL and variably in ALK-negative ALCL.
  • High MDMX levels were significantly more frequent in ALK-positive ALCL.
  • MDMX inhibition or silencing activated p53 signaling, inhibited growth, and induced apoptosis in wt-p53 ALCL cells.

Conclusions:

  • MDMX is frequently overexpressed in ALCL and contributes to p53 pathway dysfunction.
  • Targeting MDMX represents a promising therapeutic strategy for wt-p53 ALCL patients.