Chandarlapaty Sarat, Sawai Ayana, Ye Qing, Scott Anisa, Silinski Melanie, Huang Ken, Fadden Pat, Partdrige Jeff, Hall Steven, Steed Paul, Norton Larry, Rosen Neal, Solit David B
Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York 10021, USA.
Clin Cancer Res. 2008 Jan 1;14(1):240-8. doi: 10.1158/1078-0432.CCR-07-1667.
The heat shock protein 90 (Hsp90) chaperone plays an important role in transformation by regulating the conformational maturation and stability of oncogenic kinases and transcription factors. Ansamycins, such as 17-(allylamino)-17-demethoxygeldanmycin (17-AAG), inhibit Hsp90 function; induce the degradation of Hsp90 client proteins such as HER2, and have shown activity in early clinical trials. However, the utility of these drugs has been limited by their hepatotoxicity, poor solubility, and poorly tolerated formulations.
We determined the pharmacodynamic and antitumor properties of a novel, synthetic Hsp90 inhibitor, SNX-2112, in cell culture and xenograft models of HER kinase-dependent cancers.
We show in a panel of tumor cell lines that SNX-2112 and its prodrug SNX-5542 are Hsp90 inhibitors with properties and potency similar to that of 17-AAG, including: degradation of HER2, mutant epidermal growth factor receptor, and other client proteins, inhibition of extracellular signal-regulated kinase and Akt activation, and induction of a Rb-dependent G(1) arrest with subsequent apoptosis. SNX-5542 can be administered to mice orally on a daily schedule. Following oral administration, SNX-5542 is rapidly converted to SNX-2112, which accumulates in tumors relative to normal tissues. A single dose of SNX-5542 causes HER2 degradation and inhibits its downstream signaling for up to 24 h, and daily dosing results in regression of HER2-dependent xenografts. SNX-5542 also shows greater activity than 17-AAG in a non-small cell lung cancer xenograft model expressing mutant EGFR.
These results suggest that Hsp90 inhibition with SNX-2112 (delivered as a prodrug) may represent a promising therapeutic strategy for tumors whose growth and survival is dependent on Hsp90 clients.
热休克蛋白90(Hsp90)伴侣蛋白通过调节致癌激酶和转录因子的构象成熟及稳定性,在肿瘤转化过程中发挥重要作用。安莎霉素类药物,如17-(烯丙胺基)-17-去甲氧基格尔德霉素(17-AAG),可抑制Hsp90功能;诱导Hsp90客户蛋白(如HER2)的降解,并在早期临床试验中显示出活性。然而,这些药物的效用因肝毒性、溶解度差和制剂耐受性差而受到限制。
我们在HER激酶依赖性癌症的细胞培养和异种移植模型中,确定了一种新型合成Hsp90抑制剂SNX-2112的药效学和抗肿瘤特性。
我们在一组肿瘤细胞系中表明,SNX-2112及其前药SNX-5542是具有与17-AAG相似特性和效力的Hsp90抑制剂,包括:HER2、突变型表皮生长因子受体及其他客户蛋白的降解,细胞外信号调节激酶和Akt激活的抑制,以及诱导Rb依赖性G(1)期阻滞并随后发生凋亡。SNX-5542可每日口服给药于小鼠。口服给药后,SNX-5542迅速转化为SNX-2112,其在肿瘤中的蓄积相对于正常组织更多。单剂量的SNX-5542可导致HER2降解并抑制其下游信号传导长达24小时,每日给药可使HER2依赖性异种移植瘤消退。在表达突变型EGFR的非小细胞肺癌异种移植模型中,SNX-5542也显示出比17-AAG更强的活性。
这些结果表明,用SNX-2112(以前药形式给药)抑制Hsp90可能是对生长和存活依赖于Hsp90客户蛋白的肿瘤有前景的治疗策略。