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Arsenic Trioxide Rescues Structural p53 Mutations through a Cryptic Allosteric Site

Cancer Cell. 2021-02; 
Shuo Chen, Jia-Le Wu, Ying Liang, Yi-Gang Tang, Hua-Xin Song, Li-Li Wu, Yang-Fei Xing, Ni Yan, Yun-Tong Li, Zheng-Yuan Wang, Shu-Jun Xiao, Xin Lu, Sai-Juan Chen, Min Lu
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摘要

TP53 is the most frequently mutated gene in cancer, yet these mutations remain therapeutically non-actionable. Major challenges in drugging p53 mutations include heterogeneous mechanisms of inactivation and the absence of broadly applicable allosteric sites. Here we report the identification of small molecules, including arsenic trioxide (ATO), an established agent in treating acute promyelocytic leukemia, as cysteine-reactive compounds that rescue structural p53 mutations. Crystal structures of arsenic-bound p53 mutants reveal a cryptic allosteric site involving three arsenic-coordinating cysteines within the DNA-binding domain, distal to the zinc-binding site. Arsenic binding stabilizes the DNA-binding loop-s... More

關鍵詞

arsenic trioxide; crystal structure; drug discovery; p53; patient stratification; precision medicine; tumor suppression
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