While a number of p53-MDM2 inhibitors have progressed
into clinical
trials for the treatment of cancer, their progression has been hampered
by a variety of problems, including acquired drug resistance, dose-dependent
toxicity, and limited clinical efficiency. To make more progress,
we integrated the advantages of MDM2 inhibitors and platinum drugs
to construct novel PtIV-RG7388 (a selective MDM2 inhibitor)
complexes. Most complexes, especially 5a and 5b, displayed greatly improved antiproliferative activity against both
wild-type and mutated p53 cancer cells. Remarkably, 5a exhibited potent in vivo tumor growth inhibition
in the A549 xenograft model (66.5%) without apparent toxicity. It
arrested the cell cycle at both the S phase and the G2/M phase and
efficiently induced apoptosis via the synergistic effects of RG7388
and cisplatin. Altogether, PtIV-RG7388 complex 5a exhibited excellent in vitro and in vivo antitumor activities, highlighting the therapeutic potential of
PtIV-RG7388 complexes as antitumor agents.