Idasanutlin (RG7388) is an orally bioavailable MDM2 inhibitor with an IC 50 of 6 nM. Idasanutlin disrupts MDM2 - p53 binding, stabilizes and activates p53 , triggering cell cycle arrest, apoptosis , and reduced cancer cell viability. Idasanutlin reduces EGFR protein expression and phosphorylation, suppresses downstream SHP2 , MEK1/2 , ERK1/2 , AKT , mTOR , p70(S6K1) , and S6 signaling. Idasanutlin induces mitochondrial ROS production, drives p38 MAPK phosphorylation, upregulates NOXA, and mediates caspase-3 -dependent apoptosis and gasdermin E-mediated pyroptosis . Idasanutlin can be used for the research of TP53-mutant non-small cell lung cancer , T-cell acute lymphoblastic leukemia, colorectal carcinoma, melanoma, diffuse large B-cell lymphoma, mantle cell lymphoma, non-Hodgkin lymphoma, severe fever with thrombocytopenia syndrome, neuroblastoma, acute lymphoblastic leukemia, relapsed or refractory acute myeloid leukemia, osteosarcoma, solid tumors, and hematological tumors.
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