The RING domain ubiquitin E3 ligase MDM2 is a key regulator of p53 degradation and a mediator of signals that stabilize p53. The current understanding of the mechanisms by which MDM2 posttranslational modifications and protein binding cause p53 stabilization remains incomplete. Here we present evidence that the MDM2 central acidic region is critical for activating RING domain E3 ligase activity. A 30-amino-acid minimal region of the acidic domain binds to the RING domain through intramolecular interactions and stimulates the catalytic function of the RING domain in promoting ubiquitin release from charged E2. The minimal activation sequence is also the binding site for the ARF tumor suppressor, which inhibits ubiquitination of p53. The acidic domain-RING domain intramolecular interaction is modulated by ATM-mediated phosphorylation near the RING domain or by binding of ARF. These results suggest that MDM2 phosphorylation and association with protein regulators share a mechanism in inhibiting the E3 ligase function and stabilizing p53 and suggest that targeting the MDM2 autoactivation mechanism may be useful for therapeutic modulation of p53 levels.A unique feature of the p53 tumor suppressor is its stabilization after exposure to many stress signals. This leads to the induction of numerous transcriptional targets that inhibit cell cycle progression, induce apoptosis, and regulate energy metabolism (1). The MDM2 and MDMX proteins are responsible for establishing the dynamic features of the p53 pathway. MDM2 is a RING domain ubiquitin (Ub) E3 ligase for p53 that promotes p53 degradation (2, 3). Mouse models provided strong evidence that MDM2 is indispensable for controlling p53 activity at all stages of life (4-6). The stabilization of p53 by small-molecule inhibitors that disrupt p53-MDM2 binding also confirmed that MDM2 is a major regulator of p53 turnover (7,8). MDM2-p53 disruptors have antitumor activity in animal models, and their potential as cancer drugs is currently being tested in the clinic (9).Numerous stress signals have been shown to cause p53 accumulation, mainly by inhibiting its degradation. MDM2 promotes p53 degradation by forming a stable complex through N-terminal domains. The MDM2 C-terminal RING domain recruits ubiquitin-conjugating enzyme E2, which performs a covalent modification of p53 lysine residues (10, 11). The major E2 isoforms involved in MDM2-mediated p53 ubiquitination in cells belong to the UbcH5 family (12). The MDM2-UbcH5 combination promotes the synthesis of mainly K48-linked polyubiquitin chains on p53 that target p53 for degradation by the 26S proteasome. MDM2-mediated ubiquitination of p53 is inhibited by multiple mechanisms. Phosphorylation of the p53 N terminus after DNA damage reduces MDM2 binding and contributes to p53 activation (13,14). DNA damage also induces ATM-dependent phosphorylation of MDM2, which inhibits RING domain dimerization and p53 polyubiquitination (15-17). Oncogene activation induces the expression of ARF, which binds to MDM2 and inhibits p53 ubiquitina...