“…The p53-binding domains of MDM2 and MDM4 share similar peptide sequences and three-dimensional structures (Figure ). , To concurrently block MDM2/p53 and MDM4/p53 interactions, several peptide-based dual inhibitors have been reported, ,,,, while small molecules that simultaneously bind to MDM2/4 with high affinities (MDM2/4 dual inhibitors) are still limited. − ,, For example, 8 and 9 have low nM binding IC 50 values to MDM2, while they have a μM to sub-μM range when binding to MDM4. , Recently, H109 and 10 were reported as potent dual inhibitors of MDM2/4, with H109 exerting cellular activity in the μM range. ,, In addition, RO-5963 blocked MDM2/4 and p53 interactions with low nM IC 50 values and showed robust cellular antitumor activity . Interestingly, structural biology studies show that RO-5963 induced MDM4 dimerization.…”