Figure 3.
Molecular mechanisms of ganetespib. HSP90 increases the expression of IGF-1 [91,92], EGFR [72], HER [69,70,71], MET [58,59,80], ER [69], and cytokine receptors. Activation of IGF-1R and EGF stimulates PI3K/Akt/NF-κB and Raf/MEK/ERK signaling, respectively [85]. JAK/STAT3 signaling is enhanced by cytokine receptor activation [93]. Ubiquitinated degradation of the inhibitor of NF-κB (IκB), nuclear translocation of NF-κB, ERK, and STAT3 stimulate gene expression of mediators that increase tumorigenesis. Ganetespib-mediated inhibition of HSP90 leads to the suppression of these signaling mechanisms and anticancer effects.