MDMX reprograms glycolysis of hepatocellular carcinoma via 14-3-3γ/FOXO1

Han Chen1, Qilong Pan1, Meiqi Mao1

  • 1Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Fujian Medical University, Fuzhou, China.

Cell Death Discovery
|November 7, 2025
PubMed

Insights

MDMX promotes hepatocellular carcinoma (HCC) progression by increasing glycolysis in p53-mutated tumors. Targeting MDMX could be a therapeutic strategy for HCC patients with poor prognosis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • MDMX (also known as MDM4) is a key regulator of the tumor suppressor p53.
  • The specific role and mechanism of MDMX in hepatocellular carcinoma (HCC) are not fully understood.
  • p53 mutations are common in HCC, influencing disease progression and treatment response.

Purpose of the Study:

  • To investigate the biological functions and molecular mechanisms of MDMX in HCC.
  • To determine the correlation between MDMX expression and patient prognosis in HCC, particularly in tumors with p53 mutations.
  • To elucidate how MDMX influences cellular metabolism in HCC.

Main Methods:

  • Analysis of MDMX expression levels in HCC patient samples.
  • Correlation analysis between MDMX expression, p53 mutation status, and patient prognosis.
  • Investigation of MDMX's effects on protein degradation pathways, including 14-3-3γ and FOXO1.
  • Assessment of metabolic changes, such as glucose uptake, lactate production, and ATP levels, in response to MDMX modulation.

Main Results:

  • MDMX is overexpressed in HCC, and high MDMX levels correlate with poor prognosis in HCC patients with mutant p53.
  • MDMX inhibits 14-3-3γ degradation and promotes FOXO1 degradation via the 14-3-3γ/FOXO1 axis.
  • MDMX overexpression leads to decreased RPIA, increased PCK1, elevated glucose uptake, lactate secretion, and ATP production, indicating promotion of glycolysis.

Conclusions:

  • MDMX promotes glycolysis in p53-mutated HCC by regulating the 14-3-3γ/FOXO1 axis.
  • MDMX overexpression is linked to a metabolic shift favoring increased glucose utilization and ATP production in HCC.
  • MDMX represents a potential therapeutic target for treating HCC, especially in cases with p53 mutations.