Related Experiment Video
Updated: Aug 10, 2026

Cell Death Associated with Abnormal Mitosis Observed by Confocal Imaging in Live Cancer Cells
Published on: August 21, 2013
Bypass of abnormal MDM2 inhibition of p53-dependent growth suppression
1Laboratory of Molecular Oncology and Cell Cycle Regulation, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
Abstract:
Oncoprotein MDM2 inhibits p53-dependent cell cycle arrest and apoptosis. MDM2-overexpressing human cancer cell lines (n = 3) were found to be resistant to growth inhibition after infection by p53-expressing adenovirus (Ad-p53), as compared to low MDM2-expressing tumors (n = 3), in vitro. The growth of MDM2-overexpressing tumors, however, was inhibited by p21-expressing adenovirus (Ad-p21) infection, and the cyclin-dependent kinase-inhibitory region of p21 was sufficient to bypass the MDM2-p53 feedback loop. The phosphorylation state of Rb correlated with the response to either p53 or p21 gene therapy. MDM2-overexpressing cancer cells infected by Ad-p21 also developed a quiescent large-cell morphology. The results suggest that MDM2-mediated resistance to p53 may be bypassed by p21 and that the Rb phosphorylation state may predict the effects on growth after Ad-p53 or Ad-p21 infection.
Insights
MDM2 oncoprotein hinders p53
Area of Science:
- Oncology
- Molecular Biology
- Gene Therapy
Background:
- MDM2 oncoprotein inhibits p53-dependent cell cycle arrest and apoptosis.
- MDM2 overexpression confers resistance to p53-based gene therapy in cancer cells.
Purpose of the Study:
- To investigate if p21 can bypass MDM2-mediated resistance to p53.
- To determine if Rb phosphorylation state predicts response to Ad-p53 or Ad-p21 gene therapy.
Main Methods:
- In vitro studies using MDM2-overexpressing and low MDM2-expressing human cancer cell lines.
- Infection with p53-expressing adenovirus (Ad-p53) and p21-expressing adenovirus (Ad-p21).
- Assessment of tumor growth inhibition, cell morphology, and Rb phosphorylation state.
Main Results:
- MDM2-overexpressing cells were resistant to Ad-p53 but sensitive to Ad-p21.
- The cyclin-dependent kinase-inhibitory region of p21 was sufficient to overcome MDM2-p53 feedback loop.
- Rb phosphorylation state correlated with treatment response; Ad-p21 induced quiescent large-cell morphology.
Conclusions:
- p21 can effectively bypass MDM2-mediated resistance to p53 in cancer.
- Rb phosphorylation status may serve as a predictive biomarker for Ad-p53 or Ad-p21 gene therapy outcomes.
Related Concept Videos
Negative Regulator Molecules
DNA Damage can Stall the Cell Cycle
Inhibition of Cdk Activity
Abnormal Proliferation
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
DNA Damage Can Stall the Cell Cycle

