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MDM2 is an important negative regulator of the tumor suppressor p53. It functions as an E3 ubiquitin ligase that mediates the polyubiquitination of p53, targeting it for proteasomal degradation and inhibiting its transcriptional activity. Overexpression or amplification of MDM2 is observed in various human tumors, contributing to oncogenesis. It also interacts with other proteins and participates in DNA repair pathways independently of its role as an E3 ligase. Small-molecule antagonists targeting the p53-MDM2 interaction are under development as cancer therapeutics.
Small-molecule antagonists bind within the N-terminal pocket used for interaction with p53, preventing this interaction and reactivating wild-type p53 function.
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