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热休克蛋白90作为新型治疗靶点从癌症到神经退行性疾病的转化性转变:阿尔茨海默病和帕金森病治疗中的新趋势

Translational Shift of HSP90 as a Novel Therapeutic Target from Cancer to Neurodegenerative Disorders: An Emerging Trend in the Cure of Alzheimer's and Parkinson's Diseases.

作者信息

Alam Qamre, Alam Mohammad Zubair, Sait Khalid Hussain Wali, Anfinan Nisreen, Noorwali Abdul Wahab, Kamal Mohammad Amjad, Khan Mohd Sajjad Ahmad, Haque Absarul

机构信息

King Fahd Medical Research Center, King Abdulaziz University, Jeddah. Saudi Arabia.

Gynecology Oncology Unit, Obstetrics and Gynecology, Department, Faculty of Medicine, King Abdulaziz University Hospital, Jeddah, 21589. Saudi Arabia.

出版信息

Curr Drug Metab. 2017;18(9):868-876. doi: 10.2174/1389200218666170728115606.

Abstract

BACKGROUND

Despite having extensive research, the apparent pathogenic mechanism of Alzheimer's disease (AD), Parkinson's disease (PD) and other neurodegenerative diseases (NDs) have not yet fully understood. The Heat Shock Protein 90 (HSP90), a ubiquitous molecular chaperone, found to have an important role in averting protein misfolding and aggregation through inhibition of apoptotic activity in neuro-inflammatory diseases. Various researchers have confirmed its role in maintaining aberrant neuronal protein's functional stability to a great capacity. It is also involved in regulating the activity of the heat shock factor-1 (HSF-1), a vital regulator of the heat shock response mechanism that cells employ to protect themselves against stress conditions. This quality makes the HSP90 an ideal candidate for novel inhibitory target for therapeutic modality in NDs.

METHODS

An extensive literature search was conducted for relevant studies on PubMed, ScienceDirect, Springer- Link etc. The articles were carefully read in their entirety to determine whether they contained information on the topic of interest. Additionally, the reference sections of these articles were searched manually to get more relevant and eligible studies.

RESULTS

We have taken an attempt to reveal how HSP90 play important roles with key neuronal proteins involved in supporting the AD and PD pathology. We have further on structure-function relationship of HSP90 to understand its efficacy as a new target in AD and PD by utilizing new generation of HSP90 inhibitors such as geldanamycin and its derivatives, 17-AAG, 17-DMAG, IPI-504, radicicol and its derivatives. HSP90 inhibition leads to suppress atypical neuronal activity by assisting in improving protein aggregation and its related toxicity. Further, the formation of neuronal aggregates is also influenced by HSP90 inhibitors and provides protection from toxicity of protein through HSF-1 activation and HSP70 induction in AD.

CONCLUSION

HSP90 inhibition has emerged as a potential target in treating diverse array of diseases especially NDs. In spite of a large amount of research in this direction, the clear cut molecular mechanisms of HSPs associated with neuroprotection are still poorly elucidated and hence more focus is needed toward HSPs and its inhibitory mechanism. The development of HSP90 inhibitors that induce heat-shock response without cytotoxicity for treatment of NDs are still in its early stage. A panel of novel designed research and clinical trial studies are greatly needed to establish the therapeutic reliability and efficacy of HSPs in order to provide best cure for NDs.

摘要

背景

尽管进行了广泛研究,但阿尔茨海默病(AD)、帕金森病(PD)和其他神经退行性疾病(NDs)的明显致病机制尚未完全明确。热休克蛋白90(HSP90)是一种普遍存在的分子伴侣,发现在神经炎症性疾病中通过抑制凋亡活性在防止蛋白质错误折叠和聚集方面发挥重要作用。众多研究人员已证实其在很大程度上维持异常神经元蛋白质功能稳定性的作用。它还参与调节热休克因子-1(HSF-1)的活性,HSF-1是细胞用于保护自身免受应激条件影响的热休克反应机制的重要调节因子。这种特性使HSP90成为神经退行性疾病治疗新模式中新型抑制靶点的理想候选者。

方法

在PubMed、ScienceDirect、Springer-Link等数据库中对相关研究进行了广泛的文献检索。仔细通读这些文章以确定它们是否包含感兴趣主题的信息。此外,手动搜索这些文章的参考文献部分以获取更多相关且符合条件的研究。

结果

我们试图揭示HSP90如何与参与AD和PD病理过程的关键神经元蛋白发挥重要作用。我们进一步研究了HSP90的结构-功能关系,通过利用新一代HSP90抑制剂如格尔德霉素及其衍生物、17-AAG、17-DMAG、IPI-504、放线菌酮及其衍生物来了解其作为AD和PD新靶点的功效。抑制HSP90通过协助改善蛋白质聚集及其相关毒性来抑制非典型神经元活动。此外,神经元聚集体的形成也受HSP90抑制剂影响,并通过AD中HSF-1激活和HSP70诱导提供对蛋白质毒性的保护。

结论

抑制HSP90已成为治疗多种疾病尤其是神经退行性疾病的潜在靶点。尽管在这个方向上进行了大量研究,但与神经保护相关的热休克蛋白的明确分子机制仍未得到充分阐明,因此需要更多地关注热休克蛋白及其抑制机制。诱导热休克反应而无细胞毒性的HSP90抑制剂用于治疗神经退行性疾病的开发仍处于早期阶段。非常需要一系列新设计的研究和临床试验研究来确立热休克蛋白的治疗可靠性和疗效,以便为神经退行性疾病提供最佳治疗方法。

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