Hsp90 inhibitors in breast cancer: a systematic review

Flora Zagouri1, Theodoros N Sergentanis, Dimosthenis Chrysikos

  • 1Department of Clinical Therapeutics, Alexandra Hospital, Medical School, University of Athens, Vas Sofias Ave & Lourou Str, Athens 11521, Greece.

Abstract

Insights

Heat shock protein 90 (Hsp90) inhibitors show promise for breast cancer treatment, particularly for HER2-positive, triple-negative, and resistant types. Further research is needed as no Hsp90 inhibitors are yet approved for clinical use.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Heat shock protein 90 (Hsp90) is a crucial molecular chaperone implicated in cancer cell survival and proliferation.
  • Targeting Hsp90 offers a promising therapeutic strategy for various cancers, including breast cancer.

Purpose of the Study:

  • To systematically review and synthesize existing data on the efficacy and safety of Hsp90 inhibitors in breast cancer treatment.
  • To evaluate the potential of Hsp90 inhibitors across different breast cancer subtypes.

Main Methods:

  • Systematic review conducted following PRISMA guidelines.
  • Searched MEDLINE and ClinicalTrials.gov databases for relevant studies.
  • Included articles using terms: "breast", "cancer", "Hsp90", "inhibitors".

Main Results:

  • Nineteen articles involving 190 patients were analyzed.
  • Hsp90 inhibitors demonstrated significant clinical activity in HER2-positive metastatic breast cancer.
  • Emerging data suggest potential roles in treating triple-negative and aromatase inhibitor-resistant breast cancer.

Conclusions:

  • Hsp90 inhibitor development has advanced rapidly in the past decade.
  • No Hsp90 inhibitor has yet been approved for clinical practice.
  • Phase III trials are currently lacking for Hsp90 inhibitors in breast cancer treatment.

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