“…Structure-based design has also led to the development of several other molecules that target MDM2's hydrophobic cleft using various chemical scaffolds, such as methylbenzo-amines (Dudgeon et al, 2010), imidazole-indoles (Czarna et al, 2010), isoindolinones (Hardcastle et al, 2006; Hardcastle et al, 2011; Riedinger et al, 2011), pyrrolopyrimidines (Lee et al, 2011), sulphonamides (Galatin & Abraham, 2004), and benzodiazepines (Z. Yu et al, 2014; Zhuang et al, 2011), which all demonstrate nanomolar binding affinities to MDM2 and with one pyrrolidinone exhibiting dual MDM2/MDMX activity (Zhuang et al, 2012) and one pyrrolopyrazole seemingly active against both MDM2 and the NF-κB complex (Zhuang et al, 2014), a different cancer-related pathway (DiDonato, Mercurio, & Karin, 2012). Perhaps most promising are a series of piperidonones (AM-8553, AM-7209, AMG 232) and morpholinones (AM-8735) developed from Amgen laboratories that exhibit exceptional pharmacokinetic properties, such as low clearance rate, long half-life, and high oral bioavailability (Gonzalez-Lopez de Turiso et al, 2013; Gonzalez, Eksterowicz, et al, 2014; Rew et al, 2012; Rew et al, 2014; Sun et al, 2014).…”