摘要
癌症是世界范围内死亡的主要原因。当细胞周期调节基因由于环境和/或内部因素失去功能时,它就产生了。肿瘤抑制蛋白p53被称为基因组的守护者,在维持细胞基因组稳定性方面发挥着核心作用。超过50%的人类癌症中发现了TP53的突变,通常是由于负调控蛋白MDM2的过表达引起的。因此,通过阻断the murine double minute 2 (MDM2)与肿瘤抑制蛋白p53之间的蛋白-蛋白相互作用来重新激活p53已成为肿瘤学中最有前景的治疗策略。几种小分子已经被鉴定为有效的、选择性的和有效的p53-MDM2抑制剂。本文中,我们综述了p53-MDM2抑制剂的可给药性及其优化方法,以及按骨架类型分类的临床候选药物。
关键词: 癌症,肿瘤抑制蛋白p53,突变,p53-MDM2蛋白质相互作用,小分子抑制剂,p53重激活。
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ClinicalTrials.gov identifiers for AMG 232: NCT0-
1723020, NCT02016729, NCT02110355 and NCT030-
31730.,, 2013.