Repurposing antiparasitic antimonials to noncovalently rescue temperature-sensitive p53 mutations

Yigang Tang1, Huaxin Song1, Zhengyuan Wang1

  • 1Shanghai Institute of Hematology, State Key Laboratory of Medical Genomics, National Research Center for Translational Medicine at Shanghai, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

Cell Reports
|April 13, 2022
PubMed

Insights

Scientists repurposed the antiparasitic drug potassium antimony tartrate (PAT) to stabilize temperature-sensitive tumor suppressor p53 (mutant protein) in cancer cells. This approach shows promise for targeted cancer therapies.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • The tumor suppressor p53 is frequently inactivated by diverse mutations in cancer.
  • Developing targeted therapies to restore p53 function is crucial for cancer treatment.

Purpose of the Study:

  • To identify compounds that can pharmacologically rescue temperature-sensitive (TS) p53 mutations.
  • To evaluate the potential of repurposed drugs for precision cancer therapy.

Main Methods:

  • Rational drug screening using thermostability of TS p53 mutants as a readout.
  • Identification and characterization of drug candidates targeting p53 mutations.
  • Antitumor activity assessment in xenograft mouse models and patient-derived leukemia cells.

Main Results:

  • Potassium antimony tartrate (PAT), an antiparasitic drug, was identified to noncovalently stabilize a TS p53 mutant (p53-V272M).
  • PAT demonstrated antitumor activity in vivo and specifically rescued p53-V272M in patient-derived leukemia cells at therapeutic antimony doses.
  • 65 out of 815 frequent p53 missense mutations were identified as potentially treatable with PAT.

Conclusions:

  • Repurposing noncovalent antiparasitic antimonials like PAT offers a strategy for precision cancer treatment.
  • This approach provides a foundation for developing targeted therapies for cancers harboring specific p53 mutations.