Table 1. A selected list of HSP90 client proteins, mechanism of actions of these proteins and potential target tumours that HSP90 inhibitors could be applied to.
Class of protein | Client protein or interacting protein of HSP90 | Mechanism of action | Potential target cancer |
---|---|---|---|
Receptor tyrosine kinase | EGFR mutant | Activation of downstream prosurvival pathways, such as PI3K-AKT and MAPK. | NSCLC and glioblastoma |
ErbB2/HER-2 | Breast cancer | ||
KIT | GIST | ||
Signalling molecules or kinases | AKT | Activation of prosurvival proteins and suppression of proapoptotic proteins | Various cancers |
B-Raf mutant | Constitutively activates ERK signalling | Melanoma | |
MET | Involved in cellular proliferation, migration, invasion and morphogenesis | Gastric, lung | |
CDK4 | Phosphorylates and inactivates Rb, allowing cell cycle to proceed | Tumours with CDK4 overexpression | |
Death domain kinase RIP | Allows activation of NF-κB and its antiapoptotic signals | ||
Transcriptional factors | HIF-1α | Promoting angiogenesis | Renal cancer |
ERα-receptors | Regulating genes involved in cellular proliferation | Breast cancer | |
P53 mutant | Transcription of genes involved in cell cycle arrest or apoptosis | Mutated in ∼50% of cancer | |
Chimeric fusion-proteins | BCR-ABL | Activates numerous signal transduction pathways in leukaemogenesis | CML |
NPM-ALK | Induces cell transformation and proliferation | Anaplastic lymphoma | |
Others | Telomerase | Prevents telomere shortening | Various cancers |
Apaf-1 | Crucial for apoptosome formation | ||
Bcl-2 | Regulates mitochondrial apoptotic pathway | Follicular lymphoma/small cell lung cancer | |
MMP2 | Facilitates invasion through cell adhesion, matrix digestion and cell migration | Overexpressed in various cancers |
CDK4= cyclin dependent kinase 4; CML=chronic myeloid leukaemia; EGFR=epidermal growth factor receptor; ER=oestrogen receptor; GIST=gastrointestinal stromal tumours; HIF=hypoxia-inducible factor; HSP=heat-shock protein; MAPK= mitogen activated protein kinase; NSCLC= non-small cell lung cancer; Rb=retinoblastoma; RIP=receptor-interactingprotein.