bims-midomi Biomed News
on MDM2 and mitochondria
Issue of 2026–03–22
two papers selected by
Gavin McStay, Liverpool John Moores University



  1. Int J Biol Macromol. 2026 Mar 16. pii: S0141-8130(26)01318-8. [Epub ahead of print] 151392
      The mouse double minute 2 homolog (MDM2) - p53 interaction inactivates p53, a key tumor suppressor, and has been validated as a target for cancer therapy. Four triazolyl-thio-oxazines 4(a-d) were rationally designed based on a three-finger pharmacophore model, which parallels the binding conformation of p53 to suppress this oncogenic interaction. All compounds were characterized by 1H/13C NMR, IR, and mass spectrometry, whereas 4a was characterized by X-ray crystallography. All compounds bound to the MDM2 binding site at key residues (Leu54, Leu57, Ile61, Met62, Phe86, and Tyr100) with similar binding affinities (-7.88 to -8.75 kcal/mol). Further 200 ns molecular dynamics simulations and MM-GBSA analyses were performed to determine the precise differences. Complex 4a demonstrated better binding stability (RMSD <2.0 Å) and MM-GBSA Binding Score ΔGbind (-172.718 kcal/mol) than either Nutlin-3a or the p53 peptide. Its fluorobenzene dives further into the MDM2 cleft than the chlorobenzene ring in Nutlin-3a, resulting in stronger π-π stacking and hydrophobic interactions. SwissADME profiling also predicted that 4a has a good balance of pharmacokinetic properties. This was evident from the cytotoxicity studies (MCF-7 breast cancer cells), which revealed 4a to be the most potent (IC₅₀ = 4.379 μM). Further western blot analysis showed significant upregulation of p53 and p21 in MCF-7 cells upon treatment with 4(a-d). In contrast, no significant induction of p53 or p21 was observed in MDA-MB-468 cells, confirming the upregulation of wild-type p53. These results suggest that 4a is a promising candidate for further biological evaluation as an MDM2-p53 interaction inhibitor.
    Keywords:  Binding free energy calculations; Molecular dynamic simulation; Triazoloyl-thio-oxazines; Wild type p53 upregulation; X-ray crystallography; p53-MDM2 inhibition
    DOI:  https://doi.org/10.1016/j.ijbiomac.2026.151392
  2. Nat Commun. 2026 Mar 19.
      Preclinical studies have evaluated murine double minue 2 (MDM2) inhibitors as a treatment for adenoid cystic carcinoma (ACC), but clinical trials are lacking. This phase I trial (NCT03781986) assesses the safety and antitumor activity of an oral MDM2 inhibitor, alrizomadlin (APG-115), +/- carboplatin in TP53 wild type unresectable recurrent/metastatic salivary gland cancers (R/M SGC) with a planned 1:1 randomization to carboplatin chemotherapy. The co-primary endpoints are determination of dose-limiting toxicity (DLT) and response rate (RR) for alrizomadlin monotherapy +/- carboplatin. Secondary endpoints include safety, survival, and RR by tumor histology. After enrollment of 4 patients to combination therapy, the trial was modified to a single arm study of alrizomadlin monotherapy due to excess toxicity. 1 DLT was seen in the combination arm, all patients had ≥ G3 treatment related adverse events (TRAE). 37 patients were enrolled to alrizomadlin monotherapy. 3 DLTs were encountered, 67% of patients had ≥ G3 TRAE. The RR was 15% with median progression free survival 10.5 months. These findings demonstrate encouraging tolerability of alrizomadlin monotherapy with antitumor activity in patients with TP53 wild type SGC, especially ACC.
    DOI:  https://doi.org/10.1038/s41467-026-70653-3