The EACR’s ‘Highlights in Cancer Research’ is a regular summary of the most interesting and impactful recent papers in cancer research, curated by the Board of the European Association for Cancer Research (EACR).
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2. Characterization of the generic mutant p53-rescue compounds in a broad range of assays
Xiao, S., Shi, F., Song, H., Cui, J. et al. Cancer Cell. 42 (3): 325-327 (2024).
doi: 10.1016/j.ccell.2024.01.008.
Summary of the findings
The tumor suppressor p53 is the most studied protein (gene) in biology. It is the most frequently mutated protein in cancer, producing thousands of diverse and inactivated mutants. Pharmacological targeting mutant p53 requires a strategy that challengingly restores rather than traditionally inhibits protein function. Over the past decades, approximately 70-100 research groups have reported the identification of small-molecule compounds capable of restoring the tumor-suppressive function to p53 mutants, and 7 of these compounds have entered 23 phase I-III clinical trials covering over 1000 cancer patients.
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In this article, the authors employed 10 widely used p53 assays and evaluated 14 representative generic mutant p53 rescue compounds side-by-side (including all of the 6 commercially available compounds that have entered the clinical trials). Thousands of independent biological samples were generated in the evaluation. However, with the exception of ATO and its analogue PAT, they did not detect any reliable rescue in any of the 10 assays for the evaluated compounds. This result recapitulates the findings in the Cancer Cell paper that first reported rescue of mutant p53 by ATO in 2021.
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a. Many mutations hit the structure-maintaining amino acids of p53, causing the melting temperature (Tm) of p53 to be < 37 °C, resulting in p53 melting (unfolding) and losing transactivation function. b-d. In the indicated three key assays determining the Tm, folding state, and transactivation function of p53 structural mutants, ATO (and its analogues) is the only compound that can effectively rescue mutant p53. The similar results in the other 7 assays are not shown.
Future impact
In the field of targeted oncology, the fervor surrounding p53 rescue drugs may be comparable to the fervor surrounding room-temperature superconductors in physics. The surprising findings call for a systematic, head-to-head evaluation of the 70-100 mutant p53 rescue compounds that have been reported, especially those are being trialed in cancer patients.
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The Cancer Researcher is an online magazine for the cancer research community from the European Association for Cancer Research.
The EACR, a registered charity, is a global community for those working and studying in cancer research. Our mission is “The advancement of cancer research for the public benefit: from basic research to prevention, treatment and care.”