Evidence map›Paper›PMID 41976281›Full record

ReviewCancers2026

MDM4 at the Crossroads: Beyond p53 and MDM2.

Dipesh Thapa, Allison St John, Alejandro Parrales, Atul Ranjan, Tomoo Iwakuma

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dipesh ThapaSection of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children's Mercy Research Institute, Kansas City, MO 64108, USA.ORCID 0009-0006-8441-763X
Allison St JohnSection of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children's Mercy Research Institute, Kansas City, MO 64108, USA.ORCID 0009-0000-5478-1760
Alejandro ParralesSection of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children's Mercy Research Institute, Kansas City, MO 64108, USA.
Atul RanjanSection of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children's Mercy Research Institute, Kansas City, MO 64108, USA.
Tomoo IwakumaSection of Hematology, Oncology, and Bone Marrow Transplant, Department of Pediatrics, Children's Mercy Research Institute, Kansas City, MO 64108, USA.ORCID 0000-0001-7249-7958

Funding

Transgenic & Gene-Targeting Shared ResourceP30CA168524 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ROY A. JENSEN · 2012 to 2026
$40.1M
Simultaneous ROS production and DDR inhibition to trigger p53 synthetic lethalityR01CA285616 · NCI · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Tomoo Iwakuma · 2025 to 2026
$1.1M
Big Slick No numberMasonic Cancer Alliance No numberNCI NIH HHS NIH P30 CA168524NCI NIH HHS P30 CA168524NCI NIH HHS R01 CA285616NCI NIH HHS R01 CA285616-01A1
6 · The paper itself

Abstract

MDM4 (Murine Double Minute 4), also known as MDMX, is a crucial negative regulator of the tumor suppressor p53. MDM4 heterodimerizes with MDM2 to enhance MDM2-mediated ubiquitination and degradation of p53, thereby promoting tumorigenesis. Beyond its canonical role in inhibiting p53 activity, recent studies have revealed diverse p53-independent functions. MDM4 interacts with various proteins, including p73, E2F1, casein kinase 1α, PPARα, and TRIM21 to regulate cell cycle progression, β-catenin-mediated pre-leukemic progression, and ferroptosis independent of p53. In addition, MDM4 functions independently of both p53 and MDM2 by interacting with proteins, such as SMAD family members 3/4, retinoblastoma protein (pRB), p21, Nbs1 (also known as Nibrin), mTOR complex 1 (mTORC1), and the Polycomb Repressive Complexes (PRCs) complex, to control cell proliferation and survival, as well as protein degradation, double-strand break (DSB) repair, and replication fork progression. Intriguingly, multiple studies suggest that MDM4 exhibits oncogenic activity independent of p53; however, other reports highlight a potential tumor-suppressive role for MDM4 in the absence of p53. Thus, MDM4's functions extend well beyond the canonical p53-MDM2 axis. A deeper understanding of MDM4 biology may facilitate the development of novel targeted therapies for various cancers.

Indexed as

ferroptosisindependentMDM2MDM4p53replication fork progressiontumorigenesis

Identifiers

PMID41976281
PMCPMC13072321

What OpenQuestion holds

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Registered trials

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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.