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Updated: Sep 14, 2025

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
The roles of mutant p53 in reprogramming and inflammation in breast cancers
Shivaani Kummar1, Marc Fellous2, Arnold J Levine3
1Division of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland, OR, USA.
Abstract:
Rezatapopt is an investigational small molecule p53 reactivator that binds specifically to the Y220C-mutant p53 protein without interacting with wild-type or other mutant p53 proteins. Upon binding, rezatapopt stabilizes the Y220C-mutant p53 protein in the wild-type conformation, reactivating p53 functions. The Phase 1 PYNNACLE trial assessed rezatapopt in solid tumors. One study participant with triple-negative breast cancer experiencing severe inflammation of the skin overlying the breast and left arm edema saw inflammation improve within 1 week of receiving rezatapopt and completely resolve shortly after. After 6 weeks of treatment, tumor volume had reduced 41%. The patient remains on study, with continued resolution of the skin inflammation and reduced tumor burden for greater than 24 months. There are several wild type Tp53 regulated pathways that could play a role in reversing the inflammatory response and tumor growth observed in this patient case. This perspective explores the signal transduction pathways involved in this cancer mediated inflammation and the extensive reduction of detectable tumor tissue.
Insights
Rezatapopt, a p53 reactivator, shows promise in treating triple-negative breast cancer by stabilizing Y220C-mutant p53. This led to significant tumor reduction and inflammation resolution in a patient case study.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- p53 protein is a tumor suppressor.
- Mutations in p53, such as Y220C, can lead to cancer.
- Targeting mutant p53 is a therapeutic strategy.
Purpose of the Study:
- To investigate the efficacy of rezatapopt, a novel p53 reactivator.
- To explore the potential of rezatapopt in treating solid tumors, specifically triple-negative breast cancer.
- To examine the impact of rezatapopt on tumor growth and cancer-related inflammation.
Main Methods:
- Phase 1 PYNNACLE trial.
- Administration of rezatapopt to a patient with triple-negative breast cancer.
- Monitoring of tumor volume, skin inflammation, and lymphedema.
Main Results:
- Rezatapopt specifically targets Y220C-mutant p53, stabilizing it to a wild-type conformation.
- A patient with triple-negative breast cancer experienced rapid resolution of severe skin inflammation and lymphedema within one week.
- Tumor volume decreased by 41% after six weeks of treatment, with sustained reduction and inflammation resolution for over 24 months.
Conclusions:
- Rezatapopt demonstrates potential as a therapeutic agent for Y220C-mutant p53 solid tumors.
- The drug may reverse cancer-mediated inflammation and reduce tumor burden.
- Further investigation into wild-type TP53-regulated pathways is warranted to understand the observed effects.
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