Inhibition of Hsp90: a multitarget approach to radiosensitization

Kevin Camphausen1, Philip J Tofilon

  • 1Radiation Oncology Branch, National Cancer Institute, Bethesda, Maryland, USA.

Insights

Inhibiting heat shock protein 90 (Hsp90) can increase tumor cell radiosensitivity by disrupting DNA repair and cell cycle checkpoints. This approach shows promise for tumor-selective radiosensitization, sparing normal cells.

Area of Science:

  • Oncology
  • Molecular Biology
  • Radiotherapy

Background:

  • Heat shock protein 90 (Hsp90) is a molecular chaperone regulating critical cellular proteins.
  • Hsp90 clients include proteins that confer radioresistance to tumor cells.
  • Hsp90 inhibitors are clinically relevant and affect tumor cell stability.

Purpose of the Study:

  • To review preclinical data on Hsp90 inhibition and its effects on cellular radiosensitivity.
  • To explore the potential of Hsp90 inhibition as a strategy for tumor radiosensitization.

Main Methods:

  • Exposure of solid tumor cell lines to Hsp90 inhibitors.
  • Assessment of changes in radioresponse-associated proteins.
  • Evaluation of DNA damage response, cell cycle checkpoint activation, and DNA double-strand break repair.
  • Analysis of ErbB3 expression as a predictive marker.

Main Results:

  • Hsp90 inhibition leads to the loss of radioresistance proteins and increased tumor cell radiosensitivity.
  • Radiosensitization is associated with impaired DNA damage response and repair.
  • ErbB3 expression may predict resistance to Hsp90 inhibition's radiosensitizing effects.
  • Normal fibroblast radiosensitivity is unaffected, suggesting tumor selectivity.

Conclusions:

  • Hsp90 inhibition offers a multitarget approach to enhance tumor radiosensitivity.
  • The potential for tumor-selective radiosensitization warrants further clinical investigation.
  • Targeting Hsp90 could be a valuable strategy in cancer radiotherapy.