热休克蛋白 90 抑制剂与癌症:在靶向治疗中的应用前景(综述)。
HSP90 inhibitors and cancer: Prospects for use in targeted therapies (Review).
机构信息
Department of Pharmacy, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310000, P.R. China.
出版信息
Oncol Rep. 2023 Jan;49(1). doi: 10.3892/or.2022.8443. Epub 2022 Nov 11.
Heat shock protein 90 (HSP90) is a vital chaperone protein, regulating signaling pathways and correcting misfolded proteins in cancer cells by interacting with oncogenic client proteins and co‑chaperones. The inhibition of HSP90 chaperone machinery has been demonstrated as a potential approach with which to inhibit tumor survival, proliferation, invasion and migration. Numerous HSP90 inhibitors have been reported and have exhibited value as cancer‑targeted therapies by interrupting the ATPase activity of HSP90, thus suppressing the oncogenic pathways in cancer cells. These inhibitors have been classified into three categories: i) N‑terminal domain (NTD) inhibitors; ii) C‑terminal domain (CTD) inhibitors; and iii) isoform‑selective inhibitors. However, none of these HSP90 inhibitors are used as clinical treatments. The major limiting factors can be summarized into drug resistance, dose‑limiting toxicity and poor pharmacokinetic profiles. Novel HSP90‑targeted compounds are constantly being discovered and tested for their antitumor efficacy in preclinical and clinical trials, highlighting the prospect of the use of HSP90 inhibitors as cancer‑targeted therapies. Additionally, improved antitumor effects have been observed when HSP90 inhibitors are used in combination with chemotherapy, targeted agents, or immunotherapy. In the present review, the effects of HSP90 inhibitors on the management of the cancer process are discussed and previous and novel HSP90‑based therapeutic strategies in cancer treatment are summarized. Furthermore, prospective HSP90‑targeting candidates are proposed for their future evaluation as cancer treatments.
热休克蛋白 90(HSP90)是一种重要的伴侣蛋白,通过与致癌客户蛋白和共伴侣相互作用,调节信号通路并纠正癌细胞中的错误折叠蛋白。抑制 HSP90 伴侣机制已被证明是一种潜在的方法,可以抑制肿瘤的存活、增殖、侵袭和迁移。已经报道了许多 HSP90 抑制剂,并通过中断 HSP90 的 ATP 酶活性,从而抑制癌细胞中的致癌途径,作为癌症靶向治疗具有价值。这些抑制剂分为三类:i)N-末端结构域(NTD)抑制剂;ii)C-末端结构域(CTD)抑制剂;和 iii)亚型选择性抑制剂。然而,这些 HSP90 抑制剂都没有被用作临床治疗。主要的限制因素可以概括为耐药性、剂量限制毒性和较差的药代动力学特征。新型 HSP90 靶向化合物不断被发现并在临床前和临床试验中测试其抗肿瘤功效,突出了 HSP90 抑制剂作为癌症靶向治疗的应用前景。此外,当 HSP90 抑制剂与化疗、靶向药物或免疫疗法联合使用时,观察到抗肿瘤效果得到改善。在本综述中,讨论了 HSP90 抑制剂对癌症过程管理的影响,并总结了癌症治疗中以前和新型 HSP90 为基础的治疗策略。此外,还提出了有前途的 HSP90 靶向候选物,以供未来评估作为癌症治疗。