热休克蛋白90(Hsp90)及亚型选择性抑制剂作为癌症免疫治疗的增敏剂
Hsp90 and Isoform-Selective Inhibitors as Sensitizers for Cancer Immunotherapy.
作者信息
Jia Shiying, Maurya Neeraj, Blagg Brian S J, Lu Xin
机构信息
Department of Biological Sciences, Boler-Parseghian Center for Rare Diseases, Harper Cancer Research Institute, University of Notre Dame, Notre Dame, IN 46556, USA.
Department of Chemistry and Biochemistry, Warren Center for Drug Discovery, University of Notre Dame, Notre Dame, IN 46556, USA.
出版信息
Pharmaceuticals (Basel). 2025 Jul 10;18(7):1025. doi: 10.3390/ph18071025.
The 90 kDa heat shock proteins (Hsp90) are molecular chaperones that regulate the stability and maturation of numerous client proteins implicated in the regulation of cancer hallmarks. Despite the potential of -Hsp90 inhibitors as anticancer therapeutics, their clinical development has been hindered by on-target toxicities, particularly ocular and cardiotoxic effects, as well as the induction of pro-survival, compensatory heat shock responses. Together, these and other complications have prompted the development of isoform-selective Hsp90 inhibitors. In this review, we discuss the molecular bases for Hsp90 function and inhibition and emphasize recent advances in isoform-selective targeting. Importantly, we highlight how Hsp90 inhibition can sensitize tumors to cancer immunotherapy by enhancing antigen presentation, reducing immune checkpoint expression, remodeling the tumor microenvironment, and promoting innate immune activation. Special focus is given to Hsp90β-selective inhibitors, which modulate immunoregulatory pathways without eliciting the deleterious effects observed with pan-inhibition. Preclinical and early clinical data support the integration of Hsp90 inhibitors with immune checkpoint blockade and other immunotherapeutic modalities to overcome resistance mechanisms in immunologically cold tumors. Therefore, the continued development of isoform-selective Hsp90 inhibitors offers a promising avenue to potentiate cancer immunotherapy with improved efficacy.
90 kDa热休克蛋白(Hsp90)是分子伴侣,可调节众多与癌症特征调控相关的客户蛋白的稳定性和成熟度。尽管Hsp90抑制剂有作为抗癌治疗药物的潜力,但其临床开发受到靶点毒性的阻碍,尤其是眼部和心脏毒性作用,以及促生存、代偿性热休克反应的诱导。这些以及其他并发症共同促使了亚型选择性Hsp90抑制剂的开发。在本综述中,我们讨论了Hsp90功能和抑制的分子基础,并强调了亚型选择性靶向方面的最新进展。重要的是,我们强调了Hsp90抑制如何通过增强抗原呈递、降低免疫检查点表达、重塑肿瘤微环境和促进先天免疫激活,使肿瘤对癌症免疫疗法敏感。特别关注Hsp90β选择性抑制剂,其可调节免疫调节途径,而不会引发泛抑制所观察到的有害影响。临床前和早期临床数据支持将Hsp90抑制剂与免疫检查点阻断及其他免疫治疗方式相结合,以克服免疫冷肿瘤中的耐药机制。因此,亚型选择性Hsp90抑制剂的持续开发为增强癌症免疫疗法疗效提供了一条有前景的途径。
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