A selective p53 activator and anticancer agent to improve colorectal cancer therapy

Helena Ramos1, Maria I L Soares2, Joana Silva3

  • 1LAQV/REQUIMTE, Laboratório de Microbiologia, Departamento de Ciências Biológicas, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal.

Cell Reports
|April 14, 2021
PubMed

Insights

A new drug, MANIO, reactivates the p53 pathway in cancer cells. This p53-activating drug shows efficacy against colorectal cancer with distinct p53 statuses, offering a promising targeted therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • The p53 pathway is frequently impaired in cancer, making its restoration a key therapeutic goal.
  • Targeting the p53 pathway offers a promising strategy for developing novel anticancer treatments.

Purpose of the Study:

  • To introduce MANIO, a novel small molecule designed to activate the p53 pathway.
  • To evaluate MANIO's efficacy and mechanism of action in human cancer cells and preclinical models.

Main Methods:

  • Assessed MANIO's effect on wild-type (WT) and mutant (mut) p53 activity in human cancer cells.
  • Investigated MANIO's direct binding to the p53 DNA-binding domain and its impact on protein stability and function.
  • Evaluated MANIO's anticancer efficacy in patient-derived colorectal cancer cells and xenograft mouse models.
  • Assessed MANIO's synergy with conventional chemotherapy and its pharmacokinetic properties.

Main Results:

  • MANIO selectively activates WTp53 and restores WT-like function to mutp53.
  • MANIO enhances p53 thermal stability, DNA-binding, and transcriptional activity.
  • MANIO demonstrated significant efficacy against colorectal cancer (CRC) in vitro and in vivo, irrespective of p53 status, with no observed side effects.
  • MANIO exhibits favorable drug-likeness and pharmacokinetic properties, synergizing with chemotherapy.

Conclusions:

  • MANIO is a potent p53-activating anticancer drug with broad applicability in cancers harboring WT or mutp53.
  • MANIO shows promise as a clinical candidate for targeted anticancer therapy, especially for colorectal cancer patients.
  • MANIO represents a significant advancement in p53-targeted cancer therapy.

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