Activation of p53 by the MDM2 inhibitor RG7112 impairs thrombopoiesis.

Abstract:

:The tumor suppressor p53 is thought to play a role in megakaryocyte (MK) development. To assess the influence of the p53 regulatory pathway further, we studied the effect of RG7112, a small molecule MDM2 antagonist that activates p53 by preventing its interaction with MDM2, on normal megakaryocytopoiesis and platelet production. This drug has been previously been evaluated in clinical trials of cancer patients where thrombocytopenia was one of the major dose-limiting toxicities. In this study, we demonstrated that administration of RG7112 in vivo in rats and monkeys results in thrombocytopenia. In addition, we identified two distinct mechanisms by which RG7112-mediated activation of p53 affected human megakaryocytopoiesis and platelet production in vitro. RG7112 promoted apoptosis of MK progenitor cells, resulting in a reduction of their numbers and RG7112 affected mature MK by blocking DNA synthesis during endomitosis and impairing platelet production. Together, the disruption of these events provides an explanation for RG7112-induced thrombocytopenia and insight into the role of the p53-MDM2 auto-regulatory loop in normal megakaryocytopoiesis.

journal_name

Exp Hematol

journal_title

Experimental hematology

authors

Iancu-Rubin C,Mosoyan G,Glenn K,Gordon RE,Nichols GL,Hoffman R

doi

10.1016/j.exphem.2013.11.012

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

137-45.e5

issue

2

eissn

0301-472X

issn

1873-2399

pii

S0301-472X(13)00921-1

journal_volume

42

pub_type

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