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PRIMA-1 与 PRIMA-1(APR-246):从突变型/野生型 p53 再激活到其在联合疗法中强大抗肿瘤作用背后的意外机制

PRIMA-1 and PRIMA-1 (APR-246): From Mutant/Wild Type p53 Reactivation to Unexpected Mechanisms Underlying Their Potent Anti-Tumor Effect in Combinatorial Therapies.

作者信息

Perdrix Anne, Najem Ahmad, Saussez Sven, Awada Ahmad, Journe Fabrice, Ghanem Ghanem, Krayem Mohammad

机构信息

Laboratory of Oncology and Experimental Surgery, Institut Jules Bordet, Université Libre de Bruxelles, 1 rue Heger-Bordet, 1000 Brussels, Belgium.

Clinical Laboratory, Department of Biopathology, Henri Becquerel Centre, 76038 Rouen, France.

出版信息

Cancers (Basel). 2017 Dec 16;9(12):172. doi: 10.3390/cancers9120172.

DOI:10.3390/cancers9120172
PMID:29258181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5742820/
Abstract

p53 protects cells from genetic assaults by triggering cell-cycle arrest and apoptosis. Inactivation of p53 pathway is found in the vast majority of human cancers often due to somatic missense mutations in TP53 or to an excessive degradation of the protein. Accordingly, reactivation of p53 appears as a quite promising pharmacological approach and, effectively, several attempts have been made in that sense. The most widely investigated compounds for this purpose are PRIMA-1 (p53 reactivation and induction of massive apoptosis )and PRIMA-1 (APR-246), that are at an advanced stage of development, with several clinical trials in progress. Based on publications referenced in PubMed since 2002, here we review the reported effects of these compounds on cancer cells, with a specific focus on their ability of p53 reactivation, an overview of their unexpected anti-cancer effects, and a presentation of the investigated drug combinations.

摘要

p53通过触发细胞周期停滞和凋亡来保护细胞免受基因攻击。在绝大多数人类癌症中都发现p53通路失活,这通常是由于TP53中的体细胞错义突变或该蛋白的过度降解所致。因此,重新激活p53似乎是一种非常有前景的药理学方法,实际上已经在这方面进行了多次尝试。为此目的研究最广泛的化合物是PRIMA-1(p53重新激活和诱导大量凋亡)和PRIMA-1(APR-246),它们正处于开发的后期阶段,有多项临床试验正在进行。基于自2002年以来PubMed中引用的出版物,我们在此回顾这些化合物对癌细胞的报道作用,特别关注它们重新激活p53的能力、对其意外抗癌作用的概述以及对所研究药物组合的介绍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16c/5742820/a3b71bdf2d4b/cancers-09-00172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16c/5742820/a3b71bdf2d4b/cancers-09-00172-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16c/5742820/a3b71bdf2d4b/cancers-09-00172-g001.jpg

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PRIMA-1 and PRIMA-1 (APR-246): From Mutant/Wild Type p53 Reactivation to Unexpected Mechanisms Underlying Their Potent Anti-Tumor Effect in Combinatorial Therapies.PRIMA-1 与 PRIMA-1(APR-246):从突变型/野生型 p53 再激活到其在联合疗法中强大抗肿瘤作用背后的意外机制
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The p53 reactivator PRIMA-1 synergises with 5-fluorouracil to induce apoptosis in pancreatic cancer cells.p53 再激活剂 PRIMA-1 与 5-氟尿嘧啶协同诱导胰腺癌细胞凋亡。
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本文引用的文献

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P53 and MITF/Bcl-2 identified as key pathways in the acquired resistance of NRAS-mutant melanoma to MEK inhibition.P53和MITF/Bcl-2被确定为NRAS突变型黑色素瘤对MEK抑制产生获得性耐药的关键途径。
Eur J Cancer. 2017 Sep;83:154-165. doi: 10.1016/j.ejca.2017.06.033. Epub 2017 Jul 21.
2
Inhibiting the system x/glutathione axis selectively targets cancers with mutant-p53 accumulation.抑制系统 x/谷胱甘肽轴选择性地针对积聚有突变型 p53 的癌症。
Nat Commun. 2017 Mar 28;8:14844. doi: 10.1038/ncomms14844.
3
Hypoxic resistance of KRAS mutant tumor cells to 3-Bromopyruvate is counteracted by Prima-1 and reversed by N-acetylcysteine.
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Int J Mol Sci. 2025 Jun 10;26(12):5559. doi: 10.3390/ijms26125559.
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study of the potential of curcumin and its derivatives for increasing wild-type p53 expression and improving the function of p53 mutant R273H.姜黄素及其衍生物提高野生型p53表达和改善p53突变体R273H功能潜力的研究。
Vet World. 2025 Mar;18(3):715-730. doi: 10.14202/vetworld.2025.715-730. Epub 2025 Mar 31.
5
BRCA2 Status Alters the Effect of the P53 Reactivator HO-3867 in Ovarian Cancer Cells.BRCA2状态改变p53激活剂HO - 3867对卵巢癌细胞的作用。
J Cancer Sci Clin Ther. 2023;7(2):86-92. doi: 10.26502/jcsct.5079197. Epub 2023 Apr 27.
6
Neuroblastoma response to RAS-MAPK inhibitors and APR-246 (eprenetapopt) co-treatment is dependent on SLC7A11.神经母细胞瘤对RAS-MAPK抑制剂和APR-246(依普萘妥凋亡素)联合治疗的反应取决于溶质载体家族7成员11(SLC7A11)。
Front Oncol. 2024 Dec 6;14:1433256. doi: 10.3389/fonc.2024.1433256. eCollection 2024.
7
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Targeting apoptotic pathways for cancer therapy.针对癌症治疗的凋亡途径。
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BMC Cancer. 2016 Nov 18;16(1):902. doi: 10.1186/s12885-016-2930-9.
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PRIMA-1Met suppresses colorectal cancer independent of p53 by targeting MEK.PRIMA-1Met通过靶向MEK抑制结直肠癌,且不依赖于p53。
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PRIMA-1 induces caspase-mediated apoptosis in acute promyelocytic leukemia NB4 cells by inhibition of nuclear factor-κB and downregulation of Bcl-2, XIAP, and c-Myc.PRIMA-1通过抑制核因子-κB以及下调Bcl-2、XIAP和c-Myc,诱导急性早幼粒细胞白血病NB4细胞发生半胱天冬酶介导的凋亡。
Anticancer Drugs. 2017 Jan;28(1):51-58. doi: 10.1097/CAD.0000000000000426.
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PRIMA-1 targets the vulnerability of multiple myeloma of deregulated protein homeostasis through the perturbation of ER stress via p73 demethylation.PRIMA-1通过p73去甲基化对内质网应激的干扰,靶向作用于蛋白质稳态失调的多发性骨髓瘤的脆弱性。
Oncotarget. 2016 Sep 20;7(38):61806-61819. doi: 10.18632/oncotarget.11241.
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Sensitivity to PRIMA-1MET is associated with decreased MGMT in human glioblastoma cells and glioblastoma stem cells irrespective of p53 status.对PRIMA-1MET的敏感性与人类胶质母细胞瘤细胞和胶质母细胞瘤干细胞中MGMT的减少有关,而与p53状态无关。
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TP53 Variations in Human Cancers: New Lessons from the IARC TP53 Database and Genomics Data.人类癌症中的TP53变异:来自国际癌症研究机构TP53数据库和基因组数据的新认识
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J Ovarian Res. 2016 May 14;9(1):27. doi: 10.1186/s13048-016-0239-6.