Inhibition of HSP90 molecular chaperones: moving into the clinic

Rocio Garcia-Carbonero1, Amancio Carnero, Luis Paz-Ares

  • 1Laboratorio de Oncología Molecular y Nuevas Terapias, Instituto de Biomedicina de Sevilla (HUVR/CSIC/Universidad de Sevilla), Sevilla, Spain.

The Lancet. Oncology
|July 31, 2013
PubMed

Insights

Heat shock protein 90 (HSP90) inhibitors target oncogenic proteins crucial for cancer cell survival. This review explores their development as anticancer agents, showing promise in specific solid tumors and blood cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Heat shock protein 90 (HSP90) is a vital molecular chaperone.
  • HSP90 stabilizes numerous client proteins, including oncogenes like tyrosine kinases and transcription factors.
  • Inhibition of HSP90 leads to the degradation of these client proteins via the ubiquitin-proteasome pathway.

Purpose of the Study:

  • To review the current clinical development status of HSP90 inhibitors as anticancer agents.
  • To discuss various classes of HSP90 inhibitors, including geldanamycin, resorcinol derivatives, and purine analogues.
  • To explore novel strategies and future perspectives for optimizing HSP90 inhibitor therapy.

Main Methods:

  • Review of existing literature on HSP90 inhibitors in clinical development.
  • Analysis of promising results in specific cancer types.
  • Discussion of different chemical classes of HSP90 inhibitors.

Main Results:

  • HSP90 inhibitors demonstrate potential by downregulating multiple oncogenic pathways simultaneously.
  • Early clinical trials show promising results in molecularly defined subgroups, such as ALK-rearranged non-small-cell lung cancer and HER2-amplified breast cancer.
  • Positive outcomes have also been observed in hematological malignancies like multiple myeloma.

Conclusions:

  • HSP90 inhibitors represent a promising new class of anticancer drugs.
  • Their ability to target multiple oncogenic pathways offers a unique therapeutic strategy.
  • Further research and novel strategies are needed to optimize their therapeutic potential and clinical application.

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