Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy

The tumor suppressor p53 is believed to be the mostly studied molecule in modern biomedical research. Although p53 interacts with hundreds of molecules to exert its biological functions, there are only a few modulators regulating its expression and function, with murine double minute 2 (MDM2) playin...

Full description

Bibliographic Details
Main Authors: Wei Wang, Atif Zafar, Mehrdad Rajaei, Ruiwen Zhang
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/5/1176
_version_ 1797568489835200512
author Wei Wang
Atif Zafar
Mehrdad Rajaei
Ruiwen Zhang
author_facet Wei Wang
Atif Zafar
Mehrdad Rajaei
Ruiwen Zhang
author_sort Wei Wang
collection DOAJ
description The tumor suppressor p53 is believed to be the mostly studied molecule in modern biomedical research. Although p53 interacts with hundreds of molecules to exert its biological functions, there are only a few modulators regulating its expression and function, with murine double minute 2 (MDM2) playing a key role in this regard. MDM2 also contributes to malignant transformation and cancer development through p53-dependent and -independent mechanisms. There is an increasing interest in developing MDM2 inhibitors for cancer prevention and therapy. We recently demonstrated that the nuclear factor of activated T cells 1 (NFAT1) activates MDM2 expression. NFAT1 regulates several cellular functions in cancer cells, such as cell proliferation, migration, invasion, angiogenesis, and drug resistance. Both NFAT isoforms and MDM2 are activated and overexpressed in several cancer subtypes. In addition, a positive correlation exists between NFAT1 and MDM2 in tumor tissues. Our recent clinical study has demonstrated that high expression levels of NFAT1 and MDM2 are independent predictors of a poor prognosis in patients with hepatocellular carcinoma. Thus, inhibition of the NFAT1-MDM2 pathway appears to be a novel potential therapeutic strategy for cancer. In this review, we summarize the potential oncogenic roles of MDM2 and NFAT1 in cancer cells and discuss the efforts of discovery and the development of several newly identified MDM2 and NFAT1 inhibitors, focusing on their potent in vitro and in vivo anticancer activities. This review also highlights strategies and future directions, including the need to focus on the development of more specific and effective NFAT1-MDM2 dual inhibitors for cancer therapy.
first_indexed 2024-03-10T19:57:37Z
format Article
id doaj.art-9a0b7a77760448f7b7e8f6a16f16bb49
institution Directory Open Access Journal
issn 2073-4409
language English
last_indexed 2024-03-10T19:57:37Z
publishDate 2020-05-01
publisher MDPI AG
record_format Article
series Cells
spelling doaj.art-9a0b7a77760448f7b7e8f6a16f16bb492023-11-19T23:52:31ZengMDPI AGCells2073-44092020-05-0195117610.3390/cells9051176Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer TherapyWei Wang0Atif Zafar1Mehrdad Rajaei2Ruiwen Zhang3Department of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USADepartment of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USADepartment of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USADepartment of Pharmacological and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, TX 77204, USAThe tumor suppressor p53 is believed to be the mostly studied molecule in modern biomedical research. Although p53 interacts with hundreds of molecules to exert its biological functions, there are only a few modulators regulating its expression and function, with murine double minute 2 (MDM2) playing a key role in this regard. MDM2 also contributes to malignant transformation and cancer development through p53-dependent and -independent mechanisms. There is an increasing interest in developing MDM2 inhibitors for cancer prevention and therapy. We recently demonstrated that the nuclear factor of activated T cells 1 (NFAT1) activates MDM2 expression. NFAT1 regulates several cellular functions in cancer cells, such as cell proliferation, migration, invasion, angiogenesis, and drug resistance. Both NFAT isoforms and MDM2 are activated and overexpressed in several cancer subtypes. In addition, a positive correlation exists between NFAT1 and MDM2 in tumor tissues. Our recent clinical study has demonstrated that high expression levels of NFAT1 and MDM2 are independent predictors of a poor prognosis in patients with hepatocellular carcinoma. Thus, inhibition of the NFAT1-MDM2 pathway appears to be a novel potential therapeutic strategy for cancer. In this review, we summarize the potential oncogenic roles of MDM2 and NFAT1 in cancer cells and discuss the efforts of discovery and the development of several newly identified MDM2 and NFAT1 inhibitors, focusing on their potent in vitro and in vivo anticancer activities. This review also highlights strategies and future directions, including the need to focus on the development of more specific and effective NFAT1-MDM2 dual inhibitors for cancer therapy.https://www.mdpi.com/2073-4409/9/5/1176NFAT1MDM2p53dual inhibitorscancer therapy
spellingShingle Wei Wang
Atif Zafar
Mehrdad Rajaei
Ruiwen Zhang
Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
Cells
NFAT1
MDM2
p53
dual inhibitors
cancer therapy
title Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
title_full Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
title_fullStr Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
title_full_unstemmed Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
title_short Two Birds with One Stone: NFAT1-MDM2 Dual Inhibitors for Cancer Therapy
title_sort two birds with one stone nfat1 mdm2 dual inhibitors for cancer therapy
topic NFAT1
MDM2
p53
dual inhibitors
cancer therapy
url https://www.mdpi.com/2073-4409/9/5/1176
work_keys_str_mv AT weiwang twobirdswithonestonenfat1mdm2dualinhibitorsforcancertherapy
AT atifzafar twobirdswithonestonenfat1mdm2dualinhibitorsforcancertherapy
AT mehrdadrajaei twobirdswithonestonenfat1mdm2dualinhibitorsforcancertherapy
AT ruiwenzhang twobirdswithonestonenfat1mdm2dualinhibitorsforcancertherapy