Inhibition of HSP90 molecular chaperones: moving into the clinic

Summary Heat shock protein 90 (HSP90) is a molecular chaperone that is crucial for the stability and function of many proteins essential for cell survival. Many oncogenes, including tyrosine kinases, transcription factors, and cell-cycle regulatory proteins, are client proteins of HSP90. Inhibition...

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Veröffentlicht in:The lancet oncology 2013-08, Vol.14 (9), p.e358-e369
Hauptverfasser: Garcia-Carbonero, Rocio, MD, Carnero, Amancio, PhD, Paz-Ares, Luis, Dr
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container_issue 9
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container_title The lancet oncology
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creator Garcia-Carbonero, Rocio, MD
Carnero, Amancio, PhD
Paz-Ares, Luis, Dr
description Summary Heat shock protein 90 (HSP90) is a molecular chaperone that is crucial for the stability and function of many proteins essential for cell survival. Many oncogenes, including tyrosine kinases, transcription factors, and cell-cycle regulatory proteins, are client proteins of HSP90. Inhibition of HSP90 causes client protein degradation via the ubiquitin–proteasome pathway, and is a mechanism that might simultaneously downregulate several redundant pathways crucial for cell viability and tumour development. HSP90 inhibitors are currently being developed as anticancer agents, and have shown early promising results in molecularly defined subgroups of solid tumours (eg, ALK-rearranged non-small-cell lung cancer and HER2-amplified breast cancer) and some haematological malignancies (eg, multiple myeloma). Here, we review the current status of HSP90 inhibitors in clinical development, including geldanamycin derivatives, resorcinol derivatives, purine analogues, and other synthetic inhibitors. We also discuss novel strategies and future perspectives on how to optimise the therapeutic potential of this exciting new class of drugs.
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Many oncogenes, including tyrosine kinases, transcription factors, and cell-cycle regulatory proteins, are client proteins of HSP90. Inhibition of HSP90 causes client protein degradation via the ubiquitin–proteasome pathway, and is a mechanism that might simultaneously downregulate several redundant pathways crucial for cell viability and tumour development. HSP90 inhibitors are currently being developed as anticancer agents, and have shown early promising results in molecularly defined subgroups of solid tumours (eg, ALK-rearranged non-small-cell lung cancer and HER2-amplified breast cancer) and some haematological malignancies (eg, multiple myeloma). Here, we review the current status of HSP90 inhibitors in clinical development, including geldanamycin derivatives, resorcinol derivatives, purine analogues, and other synthetic inhibitors. 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subjects Androgens
Animals
Antineoplastic Agents - therapeutic use
Cancer therapies
Cytotoxicity
Drug dosages
Heat shock proteins
Hematology, Oncology and Palliative Medicine
HSP90 Heat-Shock Proteins - antagonists & inhibitors
Humans
Kinases
Leukemia
Medical prognosis
Metabolism
Metabolites
Molecular Chaperones - antagonists & inhibitors
Neoplasms - drug therapy
Toxicity
Tumors
title Inhibition of HSP90 molecular chaperones: moving into the clinic
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