Background. The heat shock protein 70 (Hsp70) family members, heat-shock cognate 70 (Hsc70) and inducible Hsp70, are molecular chaperones abundantly expressed in human tumors. These proteins are necessary to maintain the dysregulated function and the anti-apoptotic potential of cancer cells. In this respect, the Hsp70 chaperones inhibit key effectors of the apoptotic machinery and are further involved in regulating kinases, hormone receptors and transcription factors that are directly involved in driving multistep malignancy and of mutated oncogenic proteins required for the transformed phenotype. Elevated Hsp70 expression, is characteristic of many tumor types and is associated with metastasis and poor prognosis, and is one of the major factors leading to resistance to anti-cancer therapy. The Hsp70 isoforms also contribute to tumorigenesis through their role as co-chaperones for the Heat shock protein 90 (Hsp90) molecular chaperone. The Hsp90 multi-chaperone complex, also called the Hsp90 super-chaperone machinery, has important roles in the development and progression of pathogenic cellular transformation through regulation of several malignancy driving and supporting client proteins. These biological functions propose Hsp70s as an important target whose inhibition may result in significant but selective apoptosis in a wide-range of cancer cells, and also in inhibition of signaling pathways involved in tumorigenesis and metastasis.

Study design. In order to determine the role of Hsp70s modulation in cancer, we treated cancer cells of different origin with the novel dual Hsp70/Hsc70 inhibitor YK5, which is selective for tumor Hsp70s species. The effect of YK5 on the major cancer hallmarks, namely proliferation, cell cycle, apoptosis and invasiveness was evaluated.

Results. Hsp70s modulation by YK5 has substantial and wide-ranging phenotypic consequence in cancer cells, directed through the Hsp90 machinery, and executed through disruption of functional Hsp90 machinery/onco-protein complexes. Modulation of Hsp70s also results in effects distinct from Hsp90, and we point out mechanistic differences between the two chaperones. Namely, unlike direct Hsp90 inhibitors, YK5 does not activate HSF-1 nor induces a protective feed-back heat shock response. When compared to direct Hsp90 inhibition, pharmacologic interference with Hsp70s results in increased, but yet selective cytotoxicity against cancer cells, mainly due to apoptosis. Further, we discover through YK5, that Hsp70s accelerate STAT1 dephosphorylation in breast cancer cells, identifying a novel mechanism that cancer cells use to inhibit the pro-apoptotic effects of this tumor suppressor.

Conclusion. Our results propose Hsp70s inhibition by agents that act through an YK5-medited mechanism as a novel potent therapeutic approach in cancer.

Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 5463.