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Resistance mechanisms to inhibitors of p53-MDM2 interactions in cancer therapy: can we overcome them
L. Haronikova, O. Bonczek, P. Zatloukalova, F. Kokas-Zavadil, M. Kucerikova, PJ. Coates, R. Fahraeus, B. Vojtesek
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, přehledy
Grantová podpora
19-18177Y
grantová agentura české republiky
CZ.02.1.01/0.0/0.0/16_019/0000868
european regional development fund
MMCI, 00209805
ministerstvo zdravotnictví ceské republiky
1900073
cancerfonden
NLK
BioMedCentral
od 2006-01-03
BioMedCentral Open Access
od 2006
Directory of Open Access Journals
od 2013
PubMed Central
od 2006
Europe PubMed Central
od 2006
ProQuest Central
od 2016-01-01
Health & Medicine (ProQuest)
od 2016-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2006
Springer Nature OA/Free Journals
od 2006-03-01
- MeSH
- bakteriální léková rezistence účinky léků fyziologie MeSH
- cílená molekulární terapie metody MeSH
- klinické zkoušky jako téma MeSH
- lidé MeSH
- nádorový supresorový protein p53 antagonisté a inhibitory genetika metabolismus MeSH
- nádory farmakoterapie MeSH
- protinádorové látky farmakologie MeSH
- protoonkogenní proteiny c-mdm2 antagonisté a inhibitory genetika metabolismus MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Since the discovery of the first MDM2 inhibitors, we have gained deeper insights into the cellular roles of MDM2 and p53. In this review, we focus on MDM2 inhibitors that bind to the p53-binding domain of MDM2 and aim to disrupt the binding of MDM2 to p53. We describe the basic mechanism of action of these MDM2 inhibitors, such as nutlin-3a, summarise the determinants of sensitivity to MDM2 inhibition from p53-dependent and p53-independent points of view and discuss the problems with innate and acquired resistance to MDM2 inhibition. Despite progress in MDM2 inhibitor design and ongoing clinical trials, their broad use in cancer treatment is not fulfilling expectations in heterogenous human cancers. We assess the MDM2 inhibitor types in clinical trials and provide an overview of possible sources of resistance to MDM2 inhibition, underlining the need for patient stratification based on these aspects to gain better clinical responses, including the use of combination therapies for personalised medicine.
Department of Medical Biosciences Umea University 901 87 Umea Vasterbotten Sweden
RECAMO Masaryk Memorial Cancer Institute Zluty kopec 7 656 53 Brno Czech Republic
Citace poskytuje Crossref.org
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- $a Since the discovery of the first MDM2 inhibitors, we have gained deeper insights into the cellular roles of MDM2 and p53. In this review, we focus on MDM2 inhibitors that bind to the p53-binding domain of MDM2 and aim to disrupt the binding of MDM2 to p53. We describe the basic mechanism of action of these MDM2 inhibitors, such as nutlin-3a, summarise the determinants of sensitivity to MDM2 inhibition from p53-dependent and p53-independent points of view and discuss the problems with innate and acquired resistance to MDM2 inhibition. Despite progress in MDM2 inhibitor design and ongoing clinical trials, their broad use in cancer treatment is not fulfilling expectations in heterogenous human cancers. We assess the MDM2 inhibitor types in clinical trials and provide an overview of possible sources of resistance to MDM2 inhibition, underlining the need for patient stratification based on these aspects to gain better clinical responses, including the use of combination therapies for personalised medicine.
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