Department of Chemistry, University of New South Wales, Sydney, NSW 2052, Australia.
Bioorg Med Chem Lett. 2013 Apr 1;23(7):1923-8. doi: 10.1016/j.bmcl.2013.02.014. Epub 2013 Feb 13.
The heat shock proteins are essential players in the development of cancer and they are prime therapeutic targets. Targeting multiple hsps in dual therapies decreases the likelihood of drug resistance compared to utilizing mono-therapies. Further, employing an hsp inhibitor in combination with another therapy has proven clinically successful. Examples of efficacious strategies include the inhibition of hsp27, which prevents protein aggregation, controlling hsp40's role as an ATPase modulator, and inhibiting hsp70 from acting as a molecular chaperone. While hsp40 therapies are just in the beginning stages, hsp27 and hsp70 therapies have been successfully used in dual inhibition treatments with hsp90 inhibitors and in combinational therapy with antineoplastic drugs. Both dual and combinatorial therapies show encouraging results when used in treating chemotherapeutically resistant diseases.
热休克蛋白是癌症发展过程中的重要参与者,也是主要的治疗靶点。与单一疗法相比,双重疗法靶向多种 HSPs 可降低耐药性的可能性。此外,将 HSP 抑制剂与另一种疗法联合使用已被证明在临床上是成功的。有效的策略包括抑制 HSP27,防止蛋白聚集,控制 HSP40 作为 ATP 酶调节剂的作用,以及抑制 HSP70 作为分子伴侣。虽然 HSP40 疗法还处于起步阶段,但 HSP27 和 HSP70 疗法已成功用于 HSP90 抑制剂的双重抑制治疗以及与抗肿瘤药物的联合治疗。在治疗化疗耐药性疾病时,双重和联合治疗均显示出令人鼓舞的结果。