Stapled α− helical peptide drug development: A potent dual inhibitor of MDM2 and MDMX for p53-dependent cancer therapy

YS Chang, B Graves, V Guerlavais… - Proceedings of the …, 2013 - National Acad Sciences
YS Chang, B Graves, V Guerlavais, C Tovar, K Packman, KH To, KA Olson, K Kesavan…
Proceedings of the National Academy of Sciences, 2013National Acad Sciences
Stapled α− helical peptides have emerged as a promising new modality for a wide range of
therapeutic targets. Here, we report a potent and selective dual inhibitor of MDM2 and
MDMX, ATSP-7041, which effectively activates the p53 pathway in tumors in vitro and in
vivo. Specifically, ATSP-7041 binds both MDM2 and MDMX with nanomolar affinities, shows
submicromolar cellular activities in cancer cell lines in the presence of serum, and
demonstrates highly specific, on-target mechanism of action. A high resolution (1.7-Å) X-ray …
Stapled α−helical peptides have emerged as a promising new modality for a wide range of therapeutic targets. Here, we report a potent and selective dual inhibitor of MDM2 and MDMX, ATSP-7041, which effectively activates the p53 pathway in tumors in vitro and in vivo. Specifically, ATSP-7041 binds both MDM2 and MDMX with nanomolar affinities, shows submicromolar cellular activities in cancer cell lines in the presence of serum, and demonstrates highly specific, on-target mechanism of action. A high resolution (1.7-Å) X-ray crystal structure reveals its molecular interactions with the target protein MDMX, including multiple contacts with key amino acids as well as a role for the hydrocarbon staple itself in target engagement. Most importantly, ATSP-7041 demonstrates robust p53-dependent tumor growth suppression in MDM2/MDMX-overexpressing xenograft cancer models, with a high correlation to on-target pharmacodynamic activity, and possesses favorable pharmacokinetic and tissue distribution properties. Overall, ATSP-7041 demonstrates in vitro and in vivo proof-of-concept that stapled peptides can be developed as therapeutically relevant inhibitors of protein–protein interaction and may offer a viable modality for cancer therapy.
National Acad Sciences