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Nutlin-3a is a **small molecule inhibitor** targeting the interaction between **MDM2** (Mouse double minute 2 homolog) and the tumor suppressor protein **p53**. By binding to MDM2, Nutlin-3a prevents the ubiquitination and proteasomal degradation of p53, resulting in its **stabilization and activation of p53 signaling pathways**. This activates p53-dependent processes such as cell cycle arrest, apoptosis, and senescence, particularly in cancers that retain wild-type p53 function. Nutlin-3a displays efficacy in preclinical models across various pediatric and adult cancers, including **retinoblastoma, rhabdomyosarcoma, neuroblastoma, lymphoma, leukemia, and sarcoma**. It is characterized as a **nongenotoxic agent** with lower toxicity compared to conventional therapies, and demonstrates additive or synergistic effects when used in combination with DNA-damaging agents such as cisplatin. Additional preclinical research has indicated that Nutlin-3a may inhibit the efflux function of breast cancer resistance protein (BCRP), potentially sensitizing cancer cells to different chemotherapies[1][2][3][4][5][6][8].
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