Mdm2 inhibitors, while effective in reactivating p53 in pre-clinical models, show serious toxicity in clinical trials. This study identifies the USP2-VPRBP axis as a crucial regulator of p53 and PD-L1. VPRBP, a p53 repressor, is stabilized by USP2. The combination of a USP2 inhibitor and anti-PD1 antibody leads to complete tumor regression in wild-type p53 tumors, without the toxicity observed with Mdm2 inhibitors. This USP2/VPRBP targeting strategy offers a promising p53-based cancer therapy.
Publisher
Nature Communications
Published On
Apr 06, 2023
Authors
Jingjie Yi, Omid Tavana, Huan Li, Donglai Wang, Richard J. Baer, Wei Gu
Tags
Mdm2 inhibitors
p53 reactivation
USP2-VPRBP axis
tumor regression
cancer therapy
toxicity reduction
anti-PD1 antibody
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