Evidence map›Paper›PMID 40264676›Full record

ArticleFrontiers in pharmacology2025

MDM2 inhibitor induces apoptosis in colon cancer cells through activation of the CHOP-DR5 pathway, independent of p53 phenotype.

Manman Lu, Yingli Ren, Sijia Feng, Shenggen Wang, Weiyue Xia, Baoru Gu, Yuhou Shen, Aimin Yue, Na Li, Yongxi Zhang and 1 more

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Manman LuDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Yingli RenCollege of Medicine, Henan Polytechnic University, Jiaozuo, China.
Sijia FengHenan Province Engineering Technology Research Center of Tumor Diagnostic Biomarkers and RNA Interference Drugs, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Shenggen WangDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Weiyue XiaDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Baoru GuDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Yuhou ShenDepartment of Abdominal Surgical Oncology Ward 2, Xinxiang Central Hospital, Xinxiang, China.
Aimin YueDepartment of Abdominal Surgical Oncology Ward 2, Xinxiang Central Hospital, Xinxiang, China.
Na LiDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Yongxi ZhangDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Jiateng ZhongDepartment of Oncology, The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Murine double minute 2 (MDM2), a key negative regulator of p53, forms a feedback loop with p53 to drive tumor progression, including colorectal cancer. Nutlin-3a, an MDM2 inhibitor, induces apoptosis in wild-type p53 tumors, but its effects on p53-mutated cancers and potential p53-independent apoptotic mechanisms remain unclear. Methods: We investigated Nutlin-3a's effects on colon cancer cells with varying p53 phenotypes. Endoplasmic reticulum (ER) stress-associated CHOP was detected and knocked down to explore mechanisms. In vitro and in vivo experiments assessed Nutlin-3a's synergy with 5-fluorouracil and TRAIL. Results: Nutlin-3a activated caspase-8-dependent extrinsic apoptosis in colon cancer cells via DR5 upregulation, independent of p53 status. ER stress and CHOP activation mediated DR5 induction, driven by calcium release. Combined Nutlin-3a treatment enhanced sensitivity to 5-fluorouracil and TRAIL Discussion: These findings reveal a novel p53-independent apoptotic mechanism of Nutlin-3a involving ER stress and death receptor signaling. This pathway highlights Nutlin-3a's potential as an adjuvant therapy for colon cancer, even in p53-mutated tumors, by enhancing chemotherapeutic efficacy through extrinsic apoptosis.

Indexed as

apoptosiscolorectal cancerER stressextrinsic apoptotic pathwaynutlin-3a

Identifiers

PMID40264676
PMCPMC12011796

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.