PNC-27 is a 32-amino-acid hybrid peptide with two parts. The first part is residues 12-26 of p53 (a protein that tells damaged cells to self-destruct). This piece binds to a pocket on HDM-2/MDM2 (a protein that normally keeps p53 in check). The second part is a membrane residency peptide (MRP), taken from the Antennapedia homeodomain (a protein piece that sticks into cell membranes), which helps PNC-27 anchor in the cell membrane. The peptide takes advantage of an unusual feature of cancer cells. They show HDM-2 in their outer membrane, instead of keeping it inside the cell as normal cells do. When PNC-27 binds to HDM-2 in the membrane, PNC-27 molecules clump into ring-shaped structures about 1-2 micrometers wide. These rings form pores (holes) through the membrane, in a process called 'poptosis.' The holes let the cell's contents leak out quickly, and the cell dies by necrosis (death by bursting), typically within 4 hours. PNC-27 can also get inside cancer cells and damage their mitochondria (the cell's power plants), which gives it a second way to kill. In preclinical (animal or lab studies, not human trials) models (lab and animal studies), the targeting is described as absolute. Cells with HDM-2 in the membrane die rapidly by necrosis, while cells with HDM-2 only inside (normal cells) are left completely unharmed. This differs from apoptosis (the cell's orderly self-destruction) and bypasses many of the ways cancer cells become resistant to standard chemotherapy.