1998-2000
The Computational Genesis
When computers designed cancer's worst nightmare
The story begins in a modest computer lab at SUNY Downstate Medical Center. Using the medical center's supercomputer—a significant investment at the time—Dr. Matthew Pincus began modeling the three-dimensional structure of p53's MDM-2 binding domain. The p53 tumor suppressor protein was well-known, but no one had successfully weaponized its cancer-fighting properties.
The key insight came from understanding a fundamental difference between cancer cells and normal cells: cancer cells aberrantly express HDM-2 (the human homolog of MDM-2) on their cell membranes. Normal cells keep this protein safely inside. This provided a unique target that could distinguish cancer from healthy tissue.
