PROTAC-Mediated Targeted Degradation of MDM2 Induces Tumor-Suppressive Signaling in Osteosarcoma Cells

Yeongji Kim1, Jin-Woo Kim2, Junwon Choi3

  • 1Department of Orthopaedic Surgery, CHA Bundang Medical Center, School of Medicine, CHA University, 335 Pangyo-ro, Bundang-gu, Seongnam-si 13488, Republic of Korea.

Cells
|March 14, 2026
PubMed

Insights

New proteolysis-targeting chimeras (PROTACs) effectively degrade MDM2, a key protein in osteosarcoma. This approach shows significant promise for treating this aggressive bone cancer by reactivating tumor suppressor pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Osteosarcoma is a prevalent bone cancer in young people with poor prognosis.
  • MDM2 protein suppresses the p53 tumor suppressor pathway, contributing to cancer progression.
  • Conventional MDM2 inhibitors can lead to resistance through compensatory MDM2 upregulation.

Purpose of the Study:

  • To evaluate the anticancer efficacy of novel MDM2-targeting PROTAC compounds, CL0144 and CL0174.
  • To investigate the mechanism of action of these PROTACs in osteosarcoma models.
  • To assess the therapeutic potential of MDM2-targeting PROTACs for osteosarcoma treatment.

Main Methods:

  • Utilized osteosarcoma cell lines (Saos-2, U2OS) and in vivo xenograft models.
  • Administered MDM2-targeting PROTAC compounds CL0144 and CL0174.
  • Assessed MDM2 degradation, p53/p73 activation, reactive oxygen species (ROS) production, apoptosis, cell viability, proliferation, colony formation, sphere formation, migration, and invasion.

Main Results:

  • Both PROTACs effectively induced MDM2 degradation in osteosarcoma cells.
  • PROTAC treatment activated p53/p73 signaling, increased ROS, induced apoptosis, and reduced cell viability.
  • Significant suppression of proliferation, colony formation, sphere formation, migration, and invasion was observed.
  • In vivo studies showed robust inhibition of osteosarcoma tumor growth.

Conclusions:

  • MDM2-targeting PROTACs demonstrate potent anticancer activity in osteosarcoma.
  • These PROTACs function by degrading MDM2 and disrupting oncogenic signaling pathways.
  • MDM2-targeting PROTACs represent a promising therapeutic strategy for osteosarcoma.

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