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Updated: Nov 11, 2025

Purification of Ubiquitinated p53 Proteins from Mammalian Cells
Published on: March 21, 2022
The ubiquitin ligase MDM2 sustains STAT5 stability to control T cell-mediated antitumor immunity
Jiajia Zhou1,2, Ilona Kryczek1,2, Shasha Li1,2
1Department of Surgery, University of Michigan Rogel Cancer Center, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Abstract:
Targeting the p53-MDM2 pathway to reactivate tumor p53 is a chemotherapeutic approach. However, the involvement of this pathway in CD8+ T cell-mediated antitumor immunity is unknown. Here, we report that mice with MDM2 deficiency in T cells exhibit accelerated tumor progression and a decrease in tumor-infiltrating CD8+ T cell survival and function. Mechanistically, MDM2 competes with c-Cbl for STAT5 binding, reduces c-Cbl-mediated STAT5 degradation and enhances STAT5 stability in tumor-infiltrating CD8+ T cells. Targeting the p53-MDM2 interaction with a pharmacological agent, APG-115, augmented MDM2 in T cells, thereby stabilizing STAT5, boosting T cell immunity and synergizing with cancer immunotherapy. Unexpectedly, these effects of APG-115 were dependent on p53 and MDM2 in T cells. Clinically, MDM2 abundance correlated with T cell function and interferon-γ signature in patients with cancer. Thus, the p53-MDM2 pathway controls T cell immunity, and targeting this pathway may treat patients with cancer regardless of tumor p53 status.
Insights
The p53-MDM2 pathway regulates CD8+ T cell immunity. Targeting this pathway with APG-115 enhances T cell function and cancer immunotherapy, regardless of tumor p53 status.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- The p53-MDM2 pathway is a target for cancer chemotherapy.
- The role of this pathway in CD8+ T cell-mediated antitumor immunity remains unclear.
Purpose of the Study:
- To investigate the role of the p53-MDM2 pathway in T cell-mediated antitumor immunity.
- To explore the potential of targeting this pathway for cancer immunotherapy.
Main Methods:
- Mice with T cell-specific MDM2 deficiency were used to study tumor progression and CD8+ T cell function.
- The effects of the p53-MDM2 inhibitor APG-115 on T cells and tumor immunity were evaluated.
- Correlation between MDM2 levels, T cell function, and interferon-gamma signature in cancer patients was analyzed.
Main Results:
- MDM2 deficiency in T cells led to accelerated tumor growth and impaired CD8+ T cell survival and function.
- MDM2 stabilizes STAT5 in CD8+ T cells by competing with c-Cbl for binding, thus preventing STAT5 degradation.
- APG-115 treatment enhanced T cell immunity, boosted STAT5 stability, and showed synergy with cancer immunotherapy, dependent on T cell p53 and MDM2.
- Clinical data showed MDM2 abundance correlates with T cell function and interferon-gamma signature in cancer patients.
Conclusions:
- The p53-MDM2 pathway is a critical regulator of CD8+ T cell-mediated antitumor immunity.
- Targeting the p53-MDM2 interaction with agents like APG-115 can enhance T cell immunity and synergize with cancer immunotherapy.
- This approach holds promise for treating cancer patients irrespective of their tumor's p53 status.
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