Target intelligence / Profile preview

MDM2–p53 protein–protein interaction (MDM2–p53)

Target
MDM2–p53
Molecular classification
Protein–protein interaction, E3 ubiquitin ligase–substrate interaction, Apoptosis regulator, MDM2 (E3 ubiquitin ligase), p53 (transcription factor)
01

Overview

The **MDM2–p53 protein–protein interaction** is a central regulatory node in cellular stress response and tumor suppression. MDM2 is an E3 ubiquitin ligase that binds to the N-terminal transactivation domain (TAD) of p53, inhibiting its transcriptional activity, blocking DNA binding, promoting its degradation via ubiquitination, and facilitating nuclear export[1][2][4][5]. This interaction forms a negative feedback loop: p53 transcriptionally upregulates MDM2, which then suppresses p53, maintaining regulated p53 levels under normal conditions. Overexpression or aberrant activation of MDM2—as seen in many cancers—leads to excessive p53 inactivation and enables malignant transformation. Therapeutic disruption of this interaction with small-molecule inhibitors is a major approach in drug development, aiming to release p53-mediated cell cycle arrest and apoptosis selectively in tumor cells[1][5]. Critical interface residues from p53 (Phe19, Trp23, Leu22, Leu26) and MDM2 (Lys51, Leu54, Tyr100, Tyr104) define the specificity of this binding[3][4][5].

Other names
MDM2–p53 interactionMDM2–p53 complexMDM2-p53 bindingMDM2–TP53 interaction
02

Mechanism of action

Inhibition of MDM2 binding to p53; Restoration of p53 transcriptional activity; Activation of p53 signaling for cell-cycle arrest and apoptosis in cancer cells.

03

Biological functions

Regulation of cell cycleApoptosisDNA repairCellular senescenceTumor suppressionTranscriptional regulation
04

Disease associations

CancerOther: While most relevant to cancer, may also play a role in diseases involving cellular stress and damage.
05

Safety considerations

Hematologic toxicity (e.g., neutropenia, thrombocytopenia; common in patients treated with MDM2 inhibitors)Potential for p53 pathway overactivation leading to unwanted cell death in normal tissuesResistance mechanisms (e.g., acquired TP53 mutations)
06

Interacting drugs

Nutlins (e.g., Nutlin-3)

3 more in the full profile.

07

Biomarkers

p53 mutational status (wild-type p53 status predicts efficacy of MDM2–p53 inhibitors)MDM2 expression levelsTumor p53 pathway activity

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