P23, historically known as a
heat shock protein 90 (HSP90) co-chaperone, exerts some of its critical functions in an HSP90-independent manner, particularly when it translocates into the nucleus. The molecular nature underlying how this HSP90-independent
p23 function is achieved remains as a
biological mystery. Here, we found that
p23 is a previously unidentified
transcription factor of COX-2, and its nuclear localization predicts the poor clinical outcomes. Intratumor
succinate promotes
p23 succinylation at K7, K33, and K79, which drives its nuclear translocation for COX-2 transcription and consequently fascinates
tumor growth. We then identified M16 as a potent
p23 succinylation inhibitor from 1.6 million compounds through a combined virtual and
biological screening. M16 inhibited
p23 succinylation and nuclear translocation, attenuated COX-2 transcription in a p23-dependent manner, and markedly suppressed
tumor growth. Therefore, our study defines
p23 as a
succinate-activated
transcription factor in
tumor progression and provides a rationale for inhibiting
p23 succinylation as an anticancer
chemotherapy.