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瑞扎凋亡素:一种有前景的针对TP53突变肿瘤的小分子“重折叠剂”。

Rezatapopt: A promising small-molecule "refolder" specific for TP53 mutant tumors.

作者信息

Papavassiliou Kostas A, Vassiliou Alice G, Papavassiliou Athanasios G

机构信息

First University Department of Respiratory Medicine, 'Sotiria' Chest Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

First Department of Critical Care Medicine, 'Evangelismos' Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Neoplasia. 2025 Sep;67:101201. doi: 10.1016/j.neo.2025.101201. Epub 2025 Jun 20.

Abstract

Inactivation of p53 due to mutation is observed in approximately half of all human cancer cases, therefore, restoration of the tumor suppressor function of oncogenic p53 mutants represents an attractive and rational therapeutic approach. Currently, multiple mutant p53 reactivators have been developed, but only a handful have entered clinical trials [1]. PC14586 (rezatapopt) is an orally available small-molecule reactivator of the Y220C-mutant p53 protein that showed preliminary efficacy and a favorable safety profile in a phase I clinical trial [2] and is now undergoing evaluation in a phase II clinical trial in patients with advanced solid tumors harboring the TP53 mutation (NCT04585750). Although rezatapopt and other p53 mutant reactivators are under clinical assessment, there are still many knowledge gaps that need to be filled to unleash their full therapeutic potential. The preclinical data presented in a recently published research article by Puzio-Kuter et al. achieve to enhance our understanding of the mechanisms and effects of p53-Y220C reactivator compounds and underscore the potential of targeting p53 mutants in cancer therapy [3]. Through this spotlight article, we aim to summarize the findings and emphasize the clinical implications of the study by Puzio-Kutler et al.

摘要

在大约一半的人类癌症病例中都观察到由于突变导致的p53失活,因此,恢复致癌性p53突变体的肿瘤抑制功能是一种有吸引力且合理的治疗方法。目前,已经开发出多种突变型p53再激活剂,但只有少数进入了临床试验[1]。PC14586(rezatapopt)是一种口服可用的Y220C突变型p53蛋白小分子再激活剂,在I期临床试验中显示出初步疗效和良好的安全性[2],目前正在对携带TP53突变的晚期实体瘤患者进行II期临床试验评估(NCT04585750)。尽管rezatapopt和其他p53突变再激活剂正在进行临床评估,但仍有许多知识空白需要填补,以充分发挥其治疗潜力。Puzio-Kuter等人最近发表的一篇研究文章中呈现的临床前数据,有助于增强我们对p53-Y220C再激活剂化合物的机制和作用的理解,并强调了在癌症治疗中靶向p53突变体的潜力[3]。通过这篇重点文章,我们旨在总结这些发现,并强调Puzio-Kutler等人这项研究的临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ea/12221603/f15062d97d1d/gr1.jpg

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1
Rezatapopt: A promising small-molecule "refolder" specific for TP53 mutant tumors.
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本文引用的文献

1
Restoration of the Tumor Suppressor Function of Y220C-Mutant p53 by Rezatapopt, a Small-Molecule Reactivator.
Cancer Discov. 2025 Jun 3;15(6):1159-1179. doi: 10.1158/2159-8290.CD-24-1421.
2
Pharmacological reactivation of p53 in the era of precision anticancer medicine.
Nat Rev Clin Oncol. 2024 Feb;21(2):106-120. doi: 10.1038/s41571-023-00842-2. Epub 2023 Dec 15.
3
Drugging p53 in cancer: one protein, many targets.
Nat Rev Drug Discov. 2023 Feb;22(2):127-144. doi: 10.1038/s41573-022-00571-8. Epub 2022 Oct 10.
4
Targeting Mutant p53 for Cancer Treatment: Moving Closer to Clinical Use?
Cancers (Basel). 2022 Sep 16;14(18):4499. doi: 10.3390/cancers14184499.

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