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Updated: Mar 26, 2026

Studies of Chaperone-Cochaperone Interactions using Homogenous Bead-Based Assay
Published on: July 21, 2021
Blocking the survival of the nastiest by HSP90 inhibition
Paul Workman1, Paul A Clarke1, Bissan Al-Lazikani1
1Cancer Research UK Cancer Therapeutics Unit, Division of Cancer Therapeutics, The Institute of Cancer Research, London, UK.
Abstract:
It is now recognised that genetic, epigenetic and phenotypic heterogeneity within individual human cancers is responsible for therapeutic resistance - knowledge that is having a profound impact on current thinking and experimentation. There has been concern that molecularly targeted therapy is doomed to failure, with resistant clones emerging in response to the Darwinian selective pressure of any drug treatment. However, two studies have shown that the evolution of drug resistance can be restrained by co-administration of a pharmacologic inhibitor of the HSP90 molecular chaperone.
Insights
Cancer cells evolve resistance to targeted therapies due to genetic and epigenetic heterogeneity. Inhibiting HSP90 molecular chaperone alongside targeted drugs can restrain this drug resistance evolution.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cancer genetic, epigenetic, and phenotypic heterogeneity drives therapeutic resistance.
- Emergence of resistant clones under drug treatment poses a significant challenge to molecularly targeted therapy.
- Darwinian selective pressure contributes to the development of drug resistance in cancer.
Purpose of the Study:
- To investigate strategies for restraining the evolution of drug resistance in cancer.
- To evaluate the efficacy of co-administering HSP90 inhibitors with molecularly targeted therapies.
Main Methods:
- Utilized pharmacologic inhibitors targeting the HSP90 molecular chaperone.
- Co-administered HSP90 inhibitors with existing molecularly targeted therapies in cancer models.
- Assessed the impact on the emergence and evolution of drug-resistant clones.
Main Results:
- Co-administration of HSP90 inhibitors significantly restrained the evolution of drug resistance.
- HSP90 inhibition proved effective in counteracting the emergence of resistant clones under selective pressure.
- Demonstrated a viable strategy to overcome therapeutic resistance in heterogeneous cancers.
Conclusions:
- Targeting the HSP90 molecular chaperone is a promising strategy to overcome therapeutic resistance in heterogeneous cancers.
- Combined inhibition of HSP90 and targeted therapy can prevent the emergence of resistant clones.
- This approach offers a potential solution to enhance the efficacy of molecularly targeted cancer treatments.
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