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Hsp90 ATP 结合抑制剂在癌症治疗中的异质反应和同工型补偿导致治疗窗口狭窄。

Heterogeneous Responses and Isoform Compensation the Dim Therapeutic Window of Hsp90 ATP-Binding Inhibitors in Cancer.

机构信息

Department of Dermatology and the Norris Comprehensive Cancer Center, University of Southern Californiagrid.42505.36 Keck Medical Center, Los Angeles, California, USA.

Department of Molecular Microbiology & Immunology, University of Southern Californiagrid.42505.36 Keck Medical Center, Los Angeles, California, USA.

出版信息

Mol Cell Biol. 2022 Feb 17;42(2):e0045921. doi: 10.1128/MCB.00459-21. Epub 2021 Dec 6.

Abstract

The rare capacity for heat shock protein 90 (Hsp90) chaperones to support almost the entire cellular signaling network was viewed as a potential breakthrough to combat tumor resistance to single-oncogene-based therapeutics. Over 2 decades, several generations of Hsp90 ATP binding inhibitors have entered numerous cancer clinical trials, but few have advanced to FDA approval for treatment of human cancers. Herein, we report that Hsp90 expression varies dramatically, especially among different types of noncancer cells and organs. The highly variable levels of Hsp90, from as low as 1.7% to as high as 9% of their total cellular proteins, were responsible for either an extreme sensitivity or an extreme resistance to a classical Hsp90 ATP-binding inhibitor. Among randomly selected cancer cell lines, the same client proteins for regulation of cell growth exhibited unexpectedly heterogenous reactions in response to an Hsp90 ATP-binding inhibitor, inconsistent with the current understanding. Finally, a minimum amount (<10%) of Hsp90β was still required for client protein stability and cell survival even in the presence of full Hsp90α. These new findings of Hsp90 expression in host and isoform compensation in tumor cells could complicate biomarker selection, toxicity readout, and clinical efficacy of Hsp90-ATP-binding inhibitors in cancer clinical trials.

摘要

热休克蛋白 90(Hsp90)伴侣具有罕见的能力,可以支持几乎整个细胞信号网络,这被视为对抗肿瘤对基于单癌基因治疗药物的耐药性的潜在突破。在过去的 20 多年中,已有几代 Hsp90 ATP 结合抑制剂进入了许多癌症临床试验,但很少有药物能获得 FDA 批准用于治疗人类癌症。在此,我们报告称,Hsp90 的表达差异很大,尤其是在不同类型的非癌细胞和器官中。Hsp90 的水平变化很大,从总细胞蛋白的 1.7%到 9%不等,这使其对经典的 Hsp90 ATP 结合抑制剂表现出极高的敏感性或极高的耐药性。在随机选择的癌细胞系中,相同的调控细胞生长的客户蛋白对 Hsp90 ATP 结合抑制剂的反应出人意料地不同,这与当前的认识不一致。最后,即使存在完整的 Hsp90α,客户蛋白的稳定性和细胞存活仍需要最小量(<10%)的 Hsp90β。宿主中的 Hsp90 表达和肿瘤细胞中同工型补偿的这些新发现可能会使生物标志物选择、毒性读数和 HSP90-ATP 结合抑制剂在癌症临床试验中的临床疗效复杂化。

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