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.

Neurobiology of Disease
|November 23, 2025
PubMed

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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