Růcková E, Müller P, Vojtesek B
Masarykův onkologický ustav, Brno.
Klin Onkol. 2011;24(5):329-37.
Molecular chaperones help other proteins to achieve and maintain their proper conformation. Chaperones bind to newly synthesized or unfolded polypeptide chains, actively modify their conformation and participate on their transport or degradation. Chaperones play an important role in cancer cell, where their increased activity enables stabilization of many mutant proteins and overcoming the stress generated by genetic instability. Hsp90 represents a key chaperone in cancer cells. Growth factor receptors, steroid hormone receptors and signal proctor teins are among its substrates, so-called client proteins; many of them being targets for anti-cancer therapy. Adverse conditions of the tumor microenvironment, such as hypoxia and nutrient deficiency, contribute to destabilization of proteins and further escalate dependence on chaperones. This is why molecular chaperones, in particular Hsp90, may represent a promising target for anticancer therapy. Importantly also, tumour-based Hsp90 has a significantly higher sensitivity to inhibitors than that in normal cells, and Hsp90 activity inhibition in tumours leads to a suppression of cellular signaling in many different oncogenic pathways. Several inhibitors of Hsp90 are currently undergoing clinical evaluation and new agents with different mechanisms of action are continually being identified.
分子伴侣帮助其他蛋白质形成并维持其正确的构象。伴侣蛋白与新合成的或未折叠的多肽链结合,积极改变它们的构象,并参与其转运或降解。伴侣蛋白在癌细胞中发挥重要作用,其活性增加能够使许多突变蛋白稳定,并克服遗传不稳定性产生的应激。热休克蛋白90(Hsp90)是癌细胞中的一种关键伴侣蛋白。生长因子受体、类固醇激素受体和信号传导蛋白是其底物,即所谓的客户蛋白;其中许多是抗癌治疗的靶点。肿瘤微环境的不利条件,如缺氧和营养缺乏,会导致蛋白质不稳定,并进一步加剧对伴侣蛋白的依赖。这就是为什么分子伴侣,特别是Hsp90,可能是抗癌治疗的一个有前景的靶点。同样重要的是,肿瘤中的Hsp90对抑制剂的敏感性明显高于正常细胞,肿瘤中Hsp90活性的抑制会导致许多不同致癌途径中的细胞信号传导受到抑制。目前有几种Hsp90抑制剂正在进行临床评估,并且不断有具有不同作用机制的新药物被发现。