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The heat shock proteins as targets for radiosensitization and chemosensitization in cancer
David M Guttmann1, Constantinos Koumenis
1Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Abstract:
The heat shock proteins (HSPs) represent a class of proteins which are induced under physiologic stress to promote cell survival in the face of endogenous or exogenous injury. HSPs function predominantly as molecular chaperones, maintaining their "client" proteins in the correct conformational state in order to withstand a biologic stressor. Elevated HSP expression is also found in a range of pathologic conditions, notably malignancy. Cancer cells exploit the pro-survival phenotype endowed by HSPs to bolster their proliferative potential. Consequently, developing means of abrogating HSP expression may provide a way to render cancer cells more susceptible to radiation or chemotherapy. Here, we review the members of the HSP class and their roles in malignancy. We focus on attempts to target these proteins, particularly the small HSPs, in developing potent radiation and chemotherapy sensitizers, as well as proposed mechanisms for this sensitization effect.
Insights
Heat shock proteins (HSPs) aid cancer cell survival and proliferation. Targeting HSPs, especially small HSPs, may enhance radiation and chemotherapy effectiveness by sensitizing cancer cells.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- Heat shock proteins (HSPs) are crucial for cell survival under stress, acting as molecular chaperones.
- Elevated HSP expression is common in malignancies, supporting cancer cell proliferation and survival.
- Cancer cells leverage HSPs' pro-survival functions to enhance their proliferative capacity.
Purpose of the Study:
- To review HSPs' roles in malignancy.
- To explore strategies targeting HSPs, particularly small HSPs, as sensitizers for cancer therapy.
- To discuss proposed mechanisms of HSP-mediated sensitization.
Main Methods:
- Literature review of HSPs in cancer biology.
- Analysis of studies investigating HSP inhibition in preclinical cancer models.
- Examination of proposed mechanisms for HSP-targeted therapy.
Main Results:
- HSPs are implicated in various cancers, promoting tumor growth and resistance to therapy.
- Targeting HSPs, especially small HSPs, shows promise in sensitizing cancer cells to radiation and chemotherapy.
- Inhibition of HSPs can disrupt cancer cell survival pathways, increasing treatment efficacy.
Conclusions:
- HSPs are significant contributors to cancer cell survival and therapeutic resistance.
- Targeting HSPs represents a viable strategy to enhance the efficacy of existing cancer treatments.
- Further research into HSP-targeted therapies, particularly small HSPs, is warranted to develop potent sensitizers.
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