The present invention includes formula (I) compound, wherein group R1To R4、R7, A, D, E, F, V, W, X, Y, n, r and q it is as defined in claim 1, the purposes of its inhibitor as MDM2 p53 interactions, the pharmaceutical composition of such compound is included, as drug, especially as treating and/or prevent the purposes of the medicament of tumor disease and synthetic intermediate.