Chemotherapy and radiation therapy for cancer often have severe side effect
s that limit their efficacy. Because these effects are in part determined b
y p53-mediated apoptosis, temporary suppression of p53 has been suggested a
s a therapeutic strategy to prevent damage of normal tissues during treatme
nt of p53-deficient tumors. To test this possibility, a small molecule was
isolated for its ability to reversibly block p53-dependent transcriptional
activation and apoptosis. This compound, pifithrin-alpha, protected mice fr
om the Lethal genotoxic stress associated with anticancer treatment without
promoting the formation of tumors. Thus, inhibitors of p53 may be useful d
regs for reducing the side effects of cancer therapy and other types of str
ess associated with p53 induction.