2014
DOI: 10.1021/jm501092z
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Small-Molecule Inhibitors of the MDM2–p53 Protein–Protein Interaction (MDM2 Inhibitors) in Clinical Trials for Cancer Treatment

Abstract: Design of small-molecule inhibitors (MDM2 inhibitors) to block the MDM2–p53 protein–protein interaction has been pursued as a new cancer therapeutic strategy. In recent years, potent, selective, and efficacious MDM2 inhibitors have been successfully obtained and seven such compounds have been advanced into early phase clinical trials for the treatment of human cancers. Here, we review the design, synthesis, properties, preclinical, and clinical studies of these clinical-stage MDM2 inhibitors.

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Cited by 392 publications
(323 citation statements)
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“…In 2004, the identification of Nutlin-3 as the first small molecule inhibitor of MDM2 spurred interest in this approach, which led to the development of several analogous compounds (5). Recent studies have demonstrated the antitumor capacity of small molecule MDM2 inhibitors both in vitro and in vivo, and several of these compounds have advanced to clinical trials (1,6).…”
Section: Introductionmentioning
confidence: 99%
“…In 2004, the identification of Nutlin-3 as the first small molecule inhibitor of MDM2 spurred interest in this approach, which led to the development of several analogous compounds (5). Recent studies have demonstrated the antitumor capacity of small molecule MDM2 inhibitors both in vitro and in vivo, and several of these compounds have advanced to clinical trials (1,6).…”
Section: Introductionmentioning
confidence: 99%
“…Mdm2 inhibition, which stabilizes p53 levels, is a main therapeutic strategy for treating a number of cancers. Mdm2 inhibitors that ablate Mdm2-p53 interaction are being used in clinical trials for treating cancer; however, the extent to which these drugs affect overall activity of Mdm2 is unclear (66). Based on our findings, such ongoing efforts of Mdm2 inhibition in cancer therapy would benefit by testing the effects of these compounds on cardiac GRK2 expression and βAR signaling.…”
Section: Discussionmentioning
confidence: 80%
“…Up to seven different inhibitors of MDM2 are currently in early phase I clinical trials (45). Encouragingly, in a number of cases, these compounds have been shown to induce TP53 expression in tumors, induction of apoptosis, and stabilization of disease.…”
Section: Clinical Targeting Of Mutant Tp53mentioning
confidence: 99%