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Updated: Feb 18, 2026

High-throughput Identification of Synergistic Drug Combinations by the Overlap2 Method
Published on: May 21, 2018
Detecting the Potential Pharmacological Synergy of Drug Combination by Viability Assays In Vitro
Benjamin K Gibbs1, Carole Sourbier2
1Urologic Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Abstract:
Heat shock protein 90 (HSP90) is a molecular chaperone necessary for the folding and proper function of multiple "client" proteins. HSP90 is involved in numerous biological processes and is critical to maintain proteostasis and to protect the cells from potentially harmful environmental stresses such as heat. However, in cancer, the role of HSP90, and other molecular chaperones, is corrupted as many of HSP90 clients are kinases and transcription factors whose aberrant activation or mutation drives tumor growth. Thus, developing a polytherapy, or combination therapy, that includes an HSP90 inhibitor in addition to targeting an oncogene or oncogenic pathway is an appealing therapeutic approach. This protocol will provide detailed methods on how to assess the potential synergy of polytherapy by viability assays in vitro.
Insights
Heat shock protein 90 (HSP90) is crucial for cancer cell survival. Combination therapies targeting HSP90 and oncogenic pathways show promise for cancer treatment by enhancing drug synergy.
Area of Science:
- Molecular biology
- Cancer biology
- Pharmacology
Background:
- Heat shock protein 90 (HSP90) is a molecular chaperone essential for protein folding and cellular proteostasis.
- HSP90 is vital for cell survival under stress but is often co-opted in cancer to support oncogenic proteins.
- Aberrant HSP90 activity in cancer drives tumor growth by stabilizing key oncogenic kinases and transcription factors.
Purpose of the Study:
- To outline a protocol for evaluating the synergistic potential of combination therapies involving HSP90 inhibitors.
- To provide methods for assessing in vitro drug synergy for cancer treatment strategies.
- To explore the therapeutic implications of targeting HSP90 in conjunction with oncogene-directed therapies.
Main Methods:
- Detailed methodology for in vitro viability assays.
- Protocols for assessing drug synergy in cancer cell lines.
- Experimental design for combination therapy studies.
Main Results:
- The protocol enables the quantitative assessment of polytherapy efficacy.
- Viability assays can determine synergistic, additive, or antagonistic drug interactions.
- This approach facilitates the identification of optimal combination treatment regimens.
Conclusions:
- Combination therapy incorporating HSP90 inhibitors offers a promising strategy for cancer treatment.
- Assessing drug synergy through in vitro viability assays is critical for therapeutic development.
- Targeting HSP90 alongside oncogenic pathways may overcome resistance and improve patient outcomes.
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