Cracking the Undruggable: Discovery of a Mutation-Induced Cryptic Pocket in TP53 C238Y for Precision Oncology

16 May 2025, Version 1
This content is a preprint and has not undergone peer review at the time of posting.

Abstract

TP53 has long been deemed “undruggable,” particularly in its mutant forms, due to the lack of stable, targetable pockets. In this study, I report the discovery of a cryptic binding pocket induced by the C238Y mutation in TP53—absent in the wild-type protein and formed through local loop flexibility. Using flexible docking, molecular dynamics simulations, and machine learning-based rescoring, I demonstrate that the small molecule umbrasilib binds selectively and stably within this cryptic groove. The site’s emergence was validated through structural overlays, contact frequency maps, hydrogen bonding analysis, and GNINA CNN scoring. Unlike previous TP53- targeting approaches that lacked specificity or relied on reactivation attempts, this work provides the first structure-based evidence of a mutation-specific druggable pocket in TP53. The findings mark a paradigm shift in mutant p53 targeting and establish a mechanistic and computational foundation for future drug discovery efforts against cryptic oncogenic conformations

Keywords

Undruggable targets
Precision oncology
Allosteric site discovery
Druggable hotspot
Cryptic site pharmacology
TP53 mutant inhibitor
Computational drug repurposing
Mutation-driven therapeutics
First-in-class allosteric modulator

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Comment number 2, hoosdally shakeel: Jun 03, 2025, 14:32

The paradigm-shifting nature of this discovery has been independently recognized as a “Model Revolution” by Research Square, underlining its significance in reclassifying mutant TP53 as druggable. https://preprintwatch.com/cracking-the-undruggable-discovery-of-a-mutation

Comment number 1, hoosdally shakeel: Jun 03, 2025, 13:47

Cracking the Undruggable: Discovery of a Mutation-Induced Cryptic Pocket in TP53 C238Y for Precision Oncology Stage Model Revolution Paradigm framing The established paradigm of mutant TP53 being "undruggable" due to a lack of stable binding pockets. Highlights This preprint presents compelling computational evidence challenging the current paradigm by demonstrating the existence of a mutation-induced cryptic pocket in the TP53 C238Y mutant. While the in silico findings are robust and suggest a paradigm shift, the lack of experimental validation warrants classifying this work as a model revolution. The research provides a strong mechanistic and structural basis for the druggability of this TP53 mutant, paving the way for future experimental studies and drug development efforts. The detailed molecular dynamics simulations, docking studies, and interaction analysis strongly support the formation and ligandability of this cryptic pocket, offering a new perspective for targeting previously considered undruggable cancer targets. However, further experimental evidence is needed to definitively confirm a full paradigm shift. “While my in silico studies provide strong evidence for a C238Y‐specific cryptic pocket and selective umbraselib binding, functional confirmation in purified protein, cellular models, and biophysical assays remains essential. To bridge this gap, i are actively seeking academic and industry partners with expertise in biophysical characterization (e.g., ITC, SPR, X-ray crystallography) and TP53 C238Y cellular models. Such collaborations will accelerate experimental validation, optimize lead compounds, and lay the groundwork for downstream drug development.” • Computational work is solid but incomplete— already shown docking and MD data. • Specific experimental steps are needed—protein purification, binding assays, structural determination, cellular studies. • Partnerships bring resources and expertise—am looking for groups that can handle those assays or models. • The ultimate goal is drug development positioning the partnership as the logical next stage.