We have developed a strategy for the design of miniature proteins that bind DNA [1][2][3] or protein surfaces [4][5][6][7] with high affinity and selectivity. This strategy, which is often called protein grafting, [8][9][10][11] involves dissecting a functional recognition epitope from its native a-helical or polyproline type II (PPII) helical context and presenting it on a small but structured protein scaffold (Figure 1 A). Here we describe the development and characterization of miniature proteins that bind the human double-minute 2 oncoprotein (hDM2) in the nanomolar concentration range, and inhibit its interaction with a peptide (p53AD [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] ) derived from the activation domain of p53 (p53AD). [12][13][14] hDM2 is the principal cellular antagonist of the tumor-suppressor protein p53.[15] Elevated hDM2 levels are found in many solid tumors that express wild-type p53 and there is considerable interest in hDM2 ligands that are capable of up-regulating p53 activity in vitro or in vivo.[16] The high-resolution structure of the p53AD-hDM2 complex has revealed a recognition epitope that is composed primarily of three p53AD residues (F19, W23, and L26); these are located on one face of a short a-helix.[14] Although the p53AD peptide possesses little a-helical structure in the absence of hDM2, [14,17] augmenting the level of intrinsic a-helix structure in p53AD by using constrained, unnatural amino acids dramatically increases affinity for hDM2 in vitro and activity in vivo. [18,19] In addition, several other scaffolds have been used to display the p53AD epitope, including large proteins, [20] cyclic b-hairpin peptides, [21] retro-inverso peptides, [22] and b-peptides. [13,23] The first highly active small-molecule inhibitors were reported in 2004 and had IC 50 values for inhibiting the p53-hDM2 interaction in the 100-300 nM range.[24] These molecules also resembled p53AD's primary recognition epitope. Since all these inhibitors appear to preorganize the p53AD epitope to some degree, we reasoned that protein grafting would be a logical route to developing miniature protein hDM2 ligands. In contrast with the previously reported molecules, miniature protein-based inhibitors would be both synthetically tractable and genetically encodable. This would facilitate their use as in vitro and in vivo tools for probing the intricate p53/hDM2 pathway.Avian pancreatic polypeptide (aPP, Figure 1 B) is a small, well-folded miniature protein that consists of an eight-residue PPII helix linked through a type I b-turn to an eighteen-residue a-helix.[25] Structure-guided alignment of the a-helical segments of p53AD and aPP (Figure 1 B) positions the three critical hDM2 contact residues (F22, W26, and L29 in the aPP-aligned sequence) and five residues important for aPP folding (L17, F20, L24, Y27, V30) on the solvent-exposed and solvent-sequestered faces, respectively, of the aPP a-helix. An M13 pIIIfusion library (library 1, Figure 1 B) based on this alignment was constructe...