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Updated: Jun 18, 2026

Y-90 Radioembolization and PD-1 Inhibitor as Neoadjuvant Treatment in Hepatocellular Carcinoma
Published on: May 24, 2024
Hsp90 inhibitors as promising agents for radiotherapy
Alexander E Kabakov1, Vladimir A Kudryavtsev, Vladimir L Gabai
1Department of Radiation Biochemistry, Medical Radiology Research Center, Obninsk, Russia. aekabakov@hotmail.com
Abstract:
The 90-kD heat shock protein (Hsp90) is an abundant molecular chaperone catalyzing maturation and activation of client proteins. A number of the Hsp90 client proteins are components of cancer cell-associated signaling pathways that ensure unlimited growth of tumors and their resistance to chemotherapy and radiotherapy. Upon inhibition of the Hsp90 chaperone function, such client proteins are destabilized and degraded which disrupts multiple pathways essential for tumor cell survival; hence, pharmacological Hsp90 inhibitors could be applied in anticancer therapy. Several Hsp90-inhibiting compounds are currently tested in preclinical or phase I-III clinical trials as single anticancer agents or in combination with conventional drugs and radiation. The present review summarizes the data characterizing Hsp90 inhibitors as agents that sensitize human tumors to irradiation which may improve the outcome of radiotherapy. We also discuss molecular mechanisms of the Hsp90 inhibition-induced radiosensitization and its selectivity toward cancer cells.
Insights
Heat shock protein 90 (Hsp90) inhibitors destabilize cancer cell proteins, enhancing tumor sensitivity to radiation therapy. This review explores Hsp90 inhibitors for improved radiotherapy outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Heat shock protein 90 (Hsp90) is a molecular chaperone crucial for cancer cell survival and drug resistance.
- Hsp90 client proteins are involved in signaling pathways promoting tumor growth and therapeutic resistance.
Purpose of the Study:
- To review the role of Hsp90 inhibitors in sensitizing human tumors to radiotherapy.
- To discuss the molecular mechanisms and selectivity of Hsp90 inhibition-induced radiosensitization.
Main Methods:
- Review of preclinical and clinical data on Hsp90 inhibitors.
- Analysis of molecular mechanisms underlying Hsp90 inhibition and radiosensitization.
Main Results:
- Hsp90 inhibition leads to destabilization and degradation of client proteins essential for tumor cell survival.
- Hsp90 inhibitors demonstrate potential in sensitizing tumors to irradiation, improving radiotherapy efficacy.
Conclusions:
- Pharmacological Hsp90 inhibitors represent a promising strategy to enhance radiotherapy outcomes in cancer treatment.
- Further research into Hsp90 inhibition mechanisms can optimize its application in combination cancer therapies.
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