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Heat shock protein 90 inhibition and multi-target approach to maximize cardioprotection in ischaemic injury
Shant Der Sarkissian1,2, Henry Aceros1,3, Pierre-Marc Williams3
1Centre de Recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Québec, Canada.
Insights
Ischaemic heart disease requires multifaceted treatments. A novel multi-target approach using heat shock protein 90 (HSP90) inhibitors shows promise for potent infarct-sparing effects in cardioprotection.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Pharmacology
Background:
- Ischaemic heart disease remains a leading cause of death despite medical advances.
- Current pharmacological interventions often fail to translate effectively into clinical practice.
- Complex disease pathophysiology necessitates a move beyond single-target treatments.
Purpose of the Study:
- To introduce a multi-target approach for cardioprotection.
- To investigate heat shock protein 90 (HSP90) as a therapeutic target.
- To evaluate a novel HSP90 inhibitor for its cardioprotective effects.
Main Methods:
- Development of a novel class of heat shock protein 90 (HSP90) inhibitors.
- Assessment of the pleiotropic activities of the identified HSP90 inhibitor.
- Evaluation of infarct-sparing efficacy in preclinical models of myocardial infarction.
Main Results:
- A novel HSP90 inhibitor demonstrated significant infarct-sparing effects.
- The inhibitor possesses pleiotropic activities beneficial for cardioprotection.
- The multi-target strategy shows potential for treating ischaemic heart disease.
Conclusions:
- A multi-target approach targeting HSP90 offers a promising strategy for cardioprotection.
- Novel HSP90 inhibitors may provide effective treatments for ischaemic heart disease.
- This approach moves beyond the limitations of single-target therapies.
Abstract:
Despite several advances in medicine, ischaemic heart disease remains a major cause of morbidity and mortality. The unravelling of molecular mechanisms underlying disease pathophysiology has revealed targets for pharmacological interventions. However, transfer of these pharmcological possibilities to clinical use has been disappointing. Considering the complexity of ischaemic disease at the cellular and molecular levels, an equally multifaceted treatment approach may be envisioned. The pharmacological principle of 'one target, one key' may fall short in such contexts, and optimal treatment may involve one or many agents directed against complementary targets. Here, we introduce a 'multi-target approach to cardioprotection' and propose heat shock protein 90 (HSP90) as a target of interest. We report on a member of a distinct class of HSP90 inhibitor possessing pleiotropic activity, which we found to exhibit potent infarct-sparing effects.
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