Evidence map›Paper›PMID 36734633›Full record

ArticleCancer discovery2023

Targeted MDM2 Degradation Reveals a New Vulnerability for p53-Inactivated Triple-Negative Breast Cancer.

Clare M Adams, Ramkrishna Mitra, Youcai Xiao, Peter Michener, Juan Palazzo, Allen Chao, Jitendra Gour, Joel Cassel, Joseph M Salvino, Christine M Eischen

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 96 citations in OpenAlex.

  1. Milademetan in Advanced Solid Tumors with MDM2 Amplification and Wild-type TP53: Preclinical and Phase II Clinical Trial Results.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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  16. Harnessing p53 for Proximity Killing.International journal of molecular sciences · 2026
    Review
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Clare M AdamsDepartment of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0002-9940-3795
Ramkrishna MitraDepartment of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0002-6181-9066
Youcai XiaoThe Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0003-4942-4501
Peter MichenerDepartment of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0002-2425-406X
Juan PalazzoDepartment of Pathology, Anatomy, and Cell Biology, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0003-4462-4790
Allen ChaoThe Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0002-8813-3072
Jitendra GourThe Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0003-0125-2253
Joel CasselThe Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0001-8465-8739
Joseph M SalvinoThe Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0002-2184-5980
Christine M EischenDepartment of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0003-4618-8996
The Wistar Institute · USSidney Kimmel Cancer Center · USThomas Jefferson University · US

Funding

X-Ray Crystallography and Macromolecular CharacterizationP30CA056036 · NCI · THOMAS JEFFERSON UNIVERSITY · PI Claudio Guillermo Giraudo · 1995 to 2026
$94.8M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Aaron Robert Goldman · 1985 to 2026
$75.9M
TRAINING PROGRAM IN BASIC CANCER RESEARCHT32CA009171 · NCI · WISTAR INSTITUTE · PI Alessandro Gardini · 1985 to 2026
$15.3M
Design of the First Mdm2 Targeting PROTACs for treatment of p53 Mutant or Deficient CancersR01CA272645 · NCI · WISTAR INSTITUTE · PI CHRISTINE M. EISCHEN, Joseph M Salvino · 2022 to 2026
$2.7M
Novel oncogenic functions of Mdm2 and MdmxR01CA181204 · NCI · VANDERBILT UNIVERSITY · PI EISCHEN, CHRISTINE M. · 2014 to 2018
$1.6M
Purchase of an Echo 650 acoustic liquid handler with Access workstationS10OD030245 · OD · WISTAR INSTITUTE · PI SALVINO, JOSEPH M · 2021 to 2021
$567k
NCI NIH HHS P30 CA010815NCI NIH HHS P30 CA056036NCI NIH HHS R01 CA181204NCI NIH HHS R01 CA272645NCI NIH HHS T32 CA009171NIH HHS S10 OD030245
6 · The paper itself

Abstract

Triple-negative breast cancers (TNBC) frequently inactivate p53, increasing their aggressiveness and therapy resistance. We identified an unexpected protein vulnerability in p53-inactivated TNBC and designed a new PROteolysis TArgeting Chimera (PROTAC) to target it. Our PROTAC selectively targets MDM2 for proteasome-mediated degradation with high-affinity binding and VHL recruitment. MDM2 loss in p53 mutant/deleted TNBC cells in two-dimensional/three-dimensional culture and TNBC patient explants, including relapsed tumors, causes apoptosis while sparing normal cells. Our MDM2-PROTAC is stable in vivo, and treatment of TNBC xenograft-bearing mice demonstrates tumor on-target efficacy with no toxicity to normal cells, significantly extending survival. Transcriptomic analyses revealed upregulation of p53 family target genes. Investigations showed activation and a required role for TAp73 to mediate MDM2-PROTAC-induced apoptosis. Our data, challenging the current MDM2/p53 paradigm, show MDM2 is required for p53-inactivated TNBC cell survival, and PROTAC-targeted MDM2 degradation is an innovative potential therapeutic strategy for TNBC and superior to existing MDM2 inhibitors. SIGNIFICANCE: p53-inactivated TNBC is an aggressive, therapy-resistant, and lethal breast cancer subtype. We designed a new compound targeting an unexpected vulnerability we identified in TNBC. Our MDM2-targeted degrader kills p53-inactivated TNBC cells, highlighting the requirement for MDM2 in TNBC cell survival and as a new therapeutic target for this disease. See related commentary by Peuget and Selivanova, p. 1043. This article is highlighted in the In This Issue feature, p. 1027.

Indexed as

Proteolysis Targeting ChimeraProto-Oncogene Proteins c-mdm2Triple Negative Breast NeoplasmsTumor Suppressor Protein p53AnimalsAntineoplastic AgentsApoptosisCell Line, TumorFemaleHeterograftsHumansMiceProteolysisSurvival AnalysisTumor Protein p73Up-RegulationAntineoplastic AgentsProteolysis Targeting ChimeraProto-Oncogene Proteins c-mdm2Tumor Protein p73Tumor Suppressor Protein p53

Identifiers

PMID36734633
PMCPMC10164114
OpenAlexW4319058454

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.