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Updated: May 8, 2026

Malachite Green Assay for the Discovery of Heat-Shock Protein 90 Inhibitors
Published on: January 20, 2023
Hsp90 inhibitors promote p53-dependent apoptosis through PUMA and Bax
Kan He1,2, Xingnan Zheng1,2, Lin Zhang3,2
1Department of Pathology, University of Pittsburgh School of Medicine, 5117 Centre Ave., Pittsburgh, PA 15213, USA.
Abstract:
Hsp90 is widely overexpressed in cancer cells and believed to be essential for the maintenance of malignant phenotypes. Targeting Hsp90 by small molecules has shown promise in solid and hematologic malignancies, which likely involves degradation of client oncoproteins in a cell-type-specific manner. In this study, we found that structurally unrelated Hsp90 inhibitors induce DNA damage and apoptosis via p53-dependent induction of PUMA, which indirectly triggers Bax activation and mitochondrial dysfunction in colon cancer cells. Deficiency in PUMA, BAX, or p53, at lesser extent, abrogated 17-allylamino-17-demethoxygeldanamycin (17-AAG)-induced apoptosis and mitochondrial dysfunction, and enhanced clonogenic cell survival. Furthermore, suppression of p53-dependent p21 induction or enhanced p53 activation synergized with 17-AAG to induce PUMA-dependent apoptosis. Finally, PUMA was found to mediate apoptotic and therapeutic responses to the 17-AAG analog 17-DMAG in xenografts. These results show an important role of the p53/PUMA/Bax axis in Hsp90 inhibitor-induced killing of p53 wild-type cells, and have important implications for their clinical applications.
Insights
Hsp90 inhibitors trigger colon cancer cell death by activating the p53/PUMA/Bax pathway, leading to DNA damage and apoptosis. This mechanism is crucial for the therapeutic effects of Hsp90 inhibitors in p53 wild-type cancers.
Area of Science:
- Molecular Biology
- Cancer Research
- Cellular Biology
Background:
- Heat shock protein 90 (Hsp90) is overexpressed in cancer cells, maintaining malignant phenotypes.
- Hsp90 inhibitors show promise in treating various cancers by degrading client oncoproteins.
Purpose of the Study:
- To investigate the molecular mechanisms by which Hsp90 inhibitors induce apoptosis in colon cancer cells.
- To elucidate the role of the p53 pathway in mediating the anti-cancer effects of Hsp90 inhibitors.
Main Methods:
- Treatment of colon cancer cells with structurally unrelated Hsp90 inhibitors, including 17-allylamino-17-demethoxygeldanamycin (17-AAG).
- Assessment of DNA damage, apoptosis, mitochondrial dysfunction, and clonogenic survival.
- Evaluation of the roles of p53, PUMA, and BAX using gene-deficient cells and xenograft models.
Main Results:
- Hsp90 inhibitors induced DNA damage and apoptosis via p53-dependent PUMA induction, leading to Bax activation and mitochondrial dysfunction.
- Deficiency in PUMA, BAX, or p53 impaired 17-AAG-induced apoptosis and enhanced cell survival.
- PUMA mediated the apoptotic and therapeutic responses to 17-AAG and its analog 17-DMAG in vivo.
Conclusions:
- The p53/PUMA/Bax axis is critical for Hsp90 inhibitor-induced apoptosis in p53 wild-type colon cancer cells.
- These findings highlight the importance of the p53 pathway in the efficacy of Hsp90 inhibitors and have implications for clinical applications.
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