Targeting heat shock protein 90 for the treatment of malignant pheochromocytoma

Alessio Giubellino1, Carole Sourbier, Min-Jung Lee

  • 1Program in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health & Human Development, National Institutes of Health, Bethesda, Maryland, United States of America. giubella@mail.nih.gov

Plos One
|March 5, 2013
PubMed

Insights

Targeting heat shock protein 90 (Hsp90) with inhibitors like ganetespib shows promise for treating advanced pheochromocytoma. These drugs reduced tumor growth and improved survival in preclinical models.

Area of Science:

  • Neuroendocrine Oncology
  • Molecular Oncology
  • Pharmacology

Background:

  • Metastatic pheochromocytoma is a significant challenge in neuroendocrine oncology.
  • Recent advances in molecular characterization offer new therapeutic avenues.
  • Heat shock protein 90 (Hsp90) is explored as a potential therapeutic target.

Purpose of the Study:

  • To investigate Hsp90 as a therapeutic target for advanced pheochromocytoma.
  • To evaluate the efficacy of Hsp90 inhibitors, 17-allylamino-17-demethoxygeldanamycin (17-AAG) and STA-9090 (ganetespib).

Main Methods:

  • Assessed proliferation and migration of pheochromocytoma cell lines using Hsp90 inhibitors.
  • Evaluated ganetespib's cytotoxicity in primary pheochromocytoma cells.
  • Utilized metastatic pheochromocytoma models to test drug efficacy.
  • Measured plasma Hsp70 as a biomarker for drug treatment.

Main Results:

  • Both 17-AAG and ganetespib inhibited pheochromocytoma cell proliferation and migration.
  • Hsp90 inhibitors induced degradation of key Hsp90 client proteins.
  • Ganetespib demonstrated dose-dependent cytotoxicity in primary cells.
  • In vivo studies showed reduced metastatic burden and increased survival with 17-AAG and ganetespib.
  • Plasma Hsp70 levels correlated with drug treatment.

Conclusions:

  • Targeting Hsp90 with inhibitors like ganetespib is a promising strategy for advanced pheochromocytoma.
  • Hsp90 inhibition effectively reduces tumor burden and improves survival in preclinical models.
  • Plasma Hsp70 can serve as a biomarker for Hsp90-targeted therapy.