Abstract
Inhibitors of the molecular chaperone heat shock protein 90 (Hsp90) have been in clinical development as anticancer agents since 1998. There have been 18 Hsp90 inhibitors (Hsp90i) that have entered the clinic, all of which, though structurally distinct, target the ATP-binding Bergerat fold of the chaperone N-terminus. Currently, there are five Hsp90 inhibitors in clinical trial and no approved drug in this class. One impediment to development of a clinically efficacious Hsp90 inhibitor has been the very low percentage of clinical trials that have codeveloped a predictive or pharmacodynamic marker of the anticancer activity inherent in this class of drugs. Here, we provide an overview of the clinical development of Hsp90 inhibitors, review the pharmacodynamic assays that have been employed in the past, and highlight new approaches to Hsp90 inhibitor clinical development.
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References
Ritossa F (1962) New puffing pattern induced by temperature shock and Dnp in Drosophila. Experientia 18:571–573
Tissieres A, Mitchell HK, Tracy UM (1974) Protein synthesis in salivary glands of Drosophila melanogaster: relation to chromosome puffs. J Mol Biol 84:389–398
Pratt WB (1987) Transformation of glucocorticoid and progesterone receptors to the DNA-binding state. J Cell Biochem 35:51–68
Smith DF, Whitesell L, Nair SC et al (1995) Progesterone receptor structure and function altered by geldanamycin, an hsp90-binding agent. Mol Cell Biol 15:6804–6812
Pratt WB, Toft DO (1997) Steroid receptor interactions with heat shock protein and immunophilin chaperones. Endocr Rev 18:306–360
Scheibel T, Buchner J (1998) The Hsp90 complex—a super-chaperone machine as a novel drug target. Biochem Pharmacol 56:675–682
Brugge JS, Erikson E, Erikson RL (1981) The specific interaction of the Rous sarcoma virus transforming protein, pp60src, with two cellular proteins. Cell 25:363–372
Oppermann H, Levinson W, Bishop JM (1981) A cellular protein that associates with the transforming protein of Rous sarcoma virus is also a heat-shock protein. Proc Natl Acad Sci U S A 78:1067–1071
Xu Y, Lindquist S (1993) Heat-shock protein hsp90 governs the activity of pp60v-src kinase. Proc Natl Acad Sci U S A 90:7074–7078
Whitesell L, Mimnaugh EG, De Costa B et al (1994) Inhibition of heat shock protein HSP90-pp60v-src heteroprotein complex formation by benzoquinone ansamycins: essential role for stress proteins in oncogenic transformation. Proc Natl Acad Sci U S A 91:8324–8328
Schulte TW, Neckers LM (1998) The benzoquinone ansamycin 17-allylamino-17-demethoxygeldanamycin binds to HSP90 and shares important biologic activities with geldanamycin. Cancer Chemother Pharmacol 42:273–279
Banerji U, O'Donnell A, Scurr M et al (2005) Phase I pharmacokinetic and pharmacodynamic study of 17-allylamino, 17-demethoxygeldanamycin in patients with advanced malignancies. J Clin Oncol 23:4152–4161
Modi S, Stopeck A, Linden H et al (2011) HSP90 inhibition is effective in breast cancer: a phase II trial of tanespimycin (17-AAG) plus trastuzumab in patients with HER2-positive metastatic breast cancer progressing on trastuzumab. Clin Cancer Res 17:5132–5139
Jhaveri K, Taldone T, Modi S et al (2012) Advances in the clinical development of heat shock protein 90 (Hsp90) inhibitors in cancers. Biochim Biophys Acta 1823:742–755
Marcu MG, Chadli A, Bouhouche I et al (2000) The heat shock protein 90 antagonist novobiocin interacts with a previously unrecognized ATP-binding domain in the carboxyl terminus of the chaperone. J Biol Chem 275:37181–37186
Donnelly A, Blagg BS (2008) Novobiocin and additional inhibitors of the Hsp90 C-terminal nucleotide-binding pocket. Curr Med Chem 15:2702–2717
Arteaga CL (2011) Why is this effective HSP90 inhibitor not being developed in HER2+ breast cancer? Clin Cancer Res 17:4919–4921
Trepel J, Mollapour M, Giaccone G et al (2010) Targeting the dynamic HSP90 complex in cancer. Nat Rev Cancer 10:537–549
Xu L, Eiseman JL, Egorin MJ et al (2003) Physiologically-based pharmacokinetics and molecular pharmacodynamics of 17-(allylamino)-17-demethoxygeldanamycin and its active metabolite in tumor-bearing mice. J Pharmacokinet Pharmacodyn 30:185–219
Chiosis G, Neckers L (2006) Tumor selectivity of Hsp90 inhibitors: the explanation remains elusive. ACS Chem Biol 1:279–284
Kamal A, Thao L, Sensintaffar J et al (2003) A high-affinity conformation of Hsp90 confers tumour selectivity on Hsp90 inhibitors. Nature 425:407–410
Woodford MR, Truman AW, Dunn DM et al (2016) Mps1 mediated phosphorylation of Hsp90 confers renal cell carcinoma sensitivity and selectivity to Hsp90 inhibitors. Cell Rep 14:872–884
Moulick K, Ahn JH, Zong H et al (2011) Affinity-based proteomics reveal cancer-specific networks coordinated by Hsp90. Nat Chem Biol 7:818–826
Rodina A, Wang T, Yan P et al (2016) The epichaperome is an integrated chaperome network that facilitates tumour survival. Nature 538:397–401
Solit DB, Osman I, Polsky D et al (2008) Phase II trial of 17-allylamino-17-demethoxygeldanamycin in patients with metastatic melanoma. Clin Cancer Res 14:8302–8307
Burris HA III, Berman D, Murthy B et al (2011) Tanespimycin pharmacokinetics: a randomized dose-escalation crossover phase 1 study of two formulations. Cancer Chemother Pharmacol 67:1045–1054
Dai C, Whitesell L, Rogers AB et al (2007) Heat shock factor 1 is a powerful multifaceted modifier of carcinogenesis. Cell 130:1005–1018
Mendillo ML, Santagata S, Koeva M et al (2012) HSF1 drives a transcriptional program distinct from heat shock to support highly malignant human cancers. Cell 150:549–562
Whitesell L, Santagata S, Mendillo ML et al (2014) HSP90 empowers evolution of resistance to hormonal therapy in human breast cancer models. Proc Natl Acad Sci U S A 111:18297–18302
Brodsky JL, Chiosis G (2006) Hsp70 molecular chaperones: emerging roles in human disease and identification of small molecule modulators. Curr Top Med Chem 6:1215–1225
Whitesell L, Lindquist S (2009) Inhibiting the transcription factor HSF1 as an anticancer strategy. Expert Opin Ther Targets 13:469–478
Patury S, Miyata Y, Gestwicki JE (2009) Pharmacological targeting of the Hsp70 chaperone. Curr Top Med Chem 9:1337–1351
Sawarkar R, Sievers C, Paro R (2012) Hsp90 globally targets paused RNA polymerase to regulate gene expression in response to environmental stimuli. Cell 149:807–818
Solier S, Kohn KW, Scroggins B et al (2012) Heat shock protein 90alpha (HSP90alpha), a substrate and chaperone of DNA-PK necessary for the apoptotic response. Proc Natl Acad Sci U S A 109:12866–12872
Mollapour M, Neckers L (2012) Post-translational modifications of Hsp90 and their contributions to chaperone regulation. Biochim Biophys Acta 1823:648–655
Zuehlke AD, Beebe K, Neckers L et al (2015) Regulation and function of the human HSP90AA1 gene. Gene 570:8–16
Woodford MR, Dunn D, Miller JB et al (2016) Impact of Posttranslational Modifications on the Anticancer Activity of Hsp90 Inhibitors. Adv Cancer Res 129:31–50
Prodromou C (2017) Regulatory mechanisms of Hsp90. Biochem Mol Biol J 3:2
Sawarkar R, Paro R (2013) Hsp90@chromatin.nucleus: an emerging hub of a networker. Trends Cell Biol 23:193–201
Graner MW (2016) HSP90 and immune modulation in cancer. Adv Cancer Res 129:191–224
Galluzzi L, Buque A, Kepp O et al (2017) Reply: the complement system is also important in immunogenic cell death. Nat Rev Immunol 17:143
Ohkubo S, Kodama Y, Muraoka H et al (2015) TAS-116, a highly selective inhibitor of heat shock protein 90alpha and beta, demonstrates potent antitumor activity and minimal ocular toxicity in preclinical models. Mol Cancer Ther 14:14–22
Heske CM, Mendoza A, Edessa LD et al (2016) STA-8666, a novel HSP90 inhibitor/SN-38 drug conjugate, causes complete tumor regression in preclinical mouse models of pediatric sarcoma. Oncotarget 7:65540–65552
Pratt WB, Gestwicki JE, Osawa Y et al (2015) Targeting Hsp90/Hsp70-based protein quality control for treatment of adult onset neurodegenerative diseases. Annu Rev Pharmacol Toxicol 55:353–371
Wang X, Venable J, LaPointe P et al (2006) Hsp90 cochaperone Aha1 downregulation rescues misfolding of CFTR in cystic fibrosis. Cell 127:803–815
Okiyoneda T, Barriere H, Bagdany M et al (2010) Peripheral protein quality control removes unfolded CFTR from the plasma membrane. Science 329:805–810
Geller R, Vignuzzi M, Andino R et al (2007) Evolutionary constraints on chaperone-mediated folding provide an antiviral approach refractory to development of drug resistance. Genes Dev 21:195–205
Geller R, Taguwa S, Frydman J (2012) Broad action of Hsp90 as a host chaperone required for viral replication. Biochim Biophys Acta 1823:698–706
Woodford MR, Dunn DM, Ciciarelli JG et al (2016) Targeting Hsp90 in non-cancerous Maladies. Curr Top Med Chem 16:2792–2804
Sun X, Barlow EA, Ma S et al (2010) Hsp90 inhibitors block outgrowth of EBV-infected malignant cells in vitro and in vivo through an EBNA1-dependent mechanism. Proc Natl Acad Sci U S A 107:3146–3151
Shatzer A, Ali MA, Chavez M et al (2017) Ganetespib, an HSP90 inhibitor, kills Epstein-Barr virus (EBV)-infected B and T cells and reduces the percentage of EBV-infected cells in the blood. Leuk Lymphoma 58:923–931
Vartholomaiou E, Echeverria PC, Picard D (2016) Unusual Suspects in the twilight zone between the Hsp90 interactome and carcinogenesis. Adv Cancer Res 129:1–30
Calderwood SK, Neckers L (2016) Hsp90 in cancer: transcriptional roles in the nucleus. Adv Cancer Res 129:89–106
Lu Y, Xu W, Ji J et al (2015) Alternative splicing of the cell fate determinant Numb in hepatocellular carcinoma. Hepatology 62:1122–1131
Ferraldeschi R, Welti J, Powers MV et al (2016) Second-generation HSP90 inhibitor onalespib blocks mRNA splicing of androgen receptor variant 7 in prostate cancer cells. Cancer Res 76:2731–2742
Murshid A, Gong J, Calderwood SK (2010) Heat shock protein 90 mediates efficient antigen cross presentation through the scavenger receptor expressed by endothelial cells-I. J Immunol 185:2903–2917
Alarcon SV, Mollapour M, Lee MJ et al (2012) Tumor-intrinsic and tumor-extrinsic factors impacting hsp90-targeted therapy. Curr Mol Med 12:1125–1141
Acknowledgments
This work was supported by the Intramural Research Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health.
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Yuno, A. et al. (2018). Clinical Evaluation and Biomarker Profiling of Hsp90 Inhibitors. In: Calderwood, S., Prince, T. (eds) Chaperones. Methods in Molecular Biology, vol 1709. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7477-1_29
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DOI: https://doi.org/10.1007/978-1-4939-7477-1_29
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