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MDM2 in the signaling pathways related to neurological diseases
Caizhen Shi1, Yajuan Xue1, Jiawen Li1
1Yan'an Medical College of Yan'an University, Yan'an, Shaanxi, China.
Abstract:
Mouse double minute 2 homolog (MDM2) is a key negative regulator of the p53 pathway, functioning through its E3 ubiquitin ligase activity to control cell-cycle progression, DNA damage response, and apoptosis. Recent findings reveal that MDM2 also plays multifaceted roles in the central nervous system (CNS), extending beyond its canonical oncogenic functions. Increasingly, MDM2 has been implicated in the pathogenesis and progression of neurodegenerative diseases, brain injury, neuroinflammation, and cognitive dysfunction.This review integrates current advances on the non-canonical roles of MDM2 in CNS disorders, focusing on its involvement in mitochondrial homeostasis, autophagy regulation, synaptic plasticity, immune modulation, and metabolic signaling. Unlike previous reviews that addressed MDM2 mainly in oncogenesis or single neurological conditions, this work establishes a stage- and cell-type-specific framework of MDM2 regulation within the CNS. It distinguishes p53-dependent stress-surveillance mechanisms from p53-independent repair and metabolic pathways and introduces a therapeutic-window concept that balances neuroprotection with adaptive stress responses.Together, these perspectives position MDM2 as a dynamic molecular switch orchestrating neuronal fate, providing conceptual foundations for context-specific therapeutic strategies in neurological disease.
Insights
Mouse double minute 2 homolog (MDM2) regulates the p53 pathway and has emerging roles in the central nervous system (CNS). This review explores MDM2
Area of Science:
- Neuroscience
- Molecular Biology
- Cell Biology
Background:
- Mouse double minute 2 homolog (MDM2) is a key regulator of the p53 pathway, controlling cell cycle, DNA damage response, and apoptosis.
- Emerging evidence highlights MDM2's non-canonical functions in the central nervous system (CNS), implicating it in neurodegenerative diseases, brain injury, neuroinflammation, and cognitive dysfunction.
Purpose of the Study:
- To review the multifaceted, non-canonical roles of MDM2 in CNS disorders.
- To establish a stage- and cell-type-specific framework for MDM2 regulation within the CNS.
- To introduce a therapeutic-window concept for balancing neuroprotection and adaptive stress responses.
Main Methods:
- Literature review integrating current advances on MDM2 in CNS disorders.
- Focus on MDM2's involvement in mitochondrial homeostasis, autophagy, synaptic plasticity, immune modulation, and metabolic signaling.
- Distinguishing p53-dependent and p53-independent pathways regulated by MDM2.
Main Results:
- MDM2 plays diverse roles in the CNS beyond its oncogenic functions.
- MDM2 is implicated in the pathogenesis and progression of various neurological conditions.
- A framework distinguishing p53-dependent and -independent MDM2 functions in the CNS is presented.
Conclusions:
- MDM2 acts as a dynamic molecular switch influencing neuronal fate.
- Understanding context-specific MDM2 regulation is crucial for neurological disease therapeutics.
- MDM2 offers potential for developing targeted therapeutic strategies in neurological disorders.
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