Human glioblastoma multiforme: p53 reactivation by a novel MDM2 inhibitor

PLoS One. 2013 Aug 19;8(8):e72281. doi: 10.1371/journal.pone.0072281. eCollection 2013.

Abstract

Cancer development and chemo-resistance are often due to impaired functioning of the p53 tumor suppressor through genetic mutation or sequestration by other proteins. In glioblastoma multiforme (GBM), p53 availability is frequently reduced because it binds to the Murine Double Minute-2 (MDM2) oncoprotein, which accumulates at high concentrations in tumor cells. The use of MDM2 inhibitors that interfere with the binding of p53 and MDM2 has become a valid approach to inhibit cell growth in a number of cancers; however little is known about the efficacy of these inhibitors in GBM. We report that a new small-molecule inhibitor of MDM2 with a spirooxoindolepyrrolidine core structure, named ISA27, effectively reactivated p53 function and inhibited human GBM cell growth in vitro by inducing cell cycle arrest and apoptosis. In immunoincompetent BALB/c nude mice bearing a human GBM xenograft, the administration of ISA27 in vivo activated p53, inhibited cell proliferation and induced apoptosis in tumor tissue. Significantly, ISA27 was non-toxic in an in vitro normal human cell model and an in vivo mouse model. ISA27 administration in combination with temozolomide (TMZ) produced a synergistic inhibitory effect on GBM cell viability in vitro, suggesting the possibility of lowering the dose of TMZ used in the treatment of GBM. In conclusion, our data show that ISA27 releases the powerful antitumor capacities of p53 in GBM cells. The use of this MDM2 inhibitor could become a novel therapy for the treatment of GBM patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects
  • Brain Neoplasms / drug therapy*
  • Brain Neoplasms / genetics
  • Brain Neoplasms / metabolism
  • Brain Neoplasms / pathology
  • Cell Proliferation / drug effects
  • Female
  • Gene Expression Regulation, Neoplastic*
  • Glioblastoma / drug therapy*
  • Glioblastoma / genetics
  • Glioblastoma / metabolism
  • Glioblastoma / pathology
  • Humans
  • Indoles / pharmacology*
  • Inhibitory Concentration 50
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Protein Binding / drug effects
  • Proto-Oncogene Proteins c-mdm2 / antagonists & inhibitors*
  • Proto-Oncogene Proteins c-mdm2 / genetics
  • Proto-Oncogene Proteins c-mdm2 / metabolism
  • Signal Transduction
  • Small Molecule Libraries / pharmacology*
  • Spiro Compounds / pharmacology*
  • Tumor Burden / drug effects
  • Tumor Suppressor Protein p53 / agonists*
  • Tumor Suppressor Protein p53 / genetics
  • Tumor Suppressor Protein p53 / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • 6-(4-chlorobenzyl)-1H-spiro(imidazo(1,5-c)thiazole-3,3'-indoline)-2',5,7(6H,7aH)-trione
  • Antineoplastic Agents
  • Indoles
  • Small Molecule Libraries
  • Spiro Compounds
  • Tumor Suppressor Protein p53
  • MDM2 protein, human
  • Proto-Oncogene Proteins c-mdm2

Grants and funding

Funding for this study was provided by the Italian Ministry of University and Scientific Research (PRIN2009-prot. 20098SJX4F). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.