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Natural Product Inhibitors of Hsp90: Potential Leads for Drug Discovery Department of Medicinal Chemistry, The University of Kansas, 1251 Wescoe Hall Drive, Malott 4070, Lawrence, Kansas 66045-7563 bblagg/at/ku.edu The publisher's final edited version of this article is available at Mini Rev Med Chem.Abstract Heat shock protein 90 has emerged as a promising target for the treatment of cancer and neurodegenerative diseases. This review summarizes recent advancements towards the development of natural products as they pertain to the biological and chemical understanding of this molecular chaperone. Keywords: Hsp90, Inhibitors, Cancer, Neurodegenerative Diseases, Natural Products Introduction In recent years, molecular chaperones such as the 90 kDa heat-shock protein (Hsp90) have surfaced as promising targets for drug discovery [1-7]. Their role in the folding and maturation of various client proteins, as well as the rematuration of misfolded proteins [7-11], makes them potential targets for many diseases ranging from the disruption of multiple signaling pathways associated with cancer [1, 2, 4, 6, 12-17] to the clearance of protein aggregates in neurodegenerative diseases [4, 5, 18-23]. In fact, cytotoxic inhibitors of Hsp90 are the only cancer chemotherapeutic agents known to impact all six hallmarks of cancer simultaneously [6]. As defined by Hanahan and Weinberg, this includes 1) self-sufficiency in growth signals, 2) insensitivity to antigrowth signals, 3) evasion of apoptosis, 4) limitless replicative potential, 5) sustained angiogenesis, and 6) tissue invasion/metastasis [24]. Disruption of the Hsp90 protein folding machinery by non-cytotoxic agents promotes dissociation of heat shock factor 1 (HSF-1), which upregulates Hsp90 and facilitates the disaggregation of proteins responsible for several neurodegenerative diseases [21, 25]. Geldanamycin (GDA), a natural product isolated from the bacteria Streptomyces hygroscopicus (Fig. (1)
Properties of Hsp90 Heat-shock proteins (Hsps) act as molecular chaperones, guiding nascent polypeptides through the process of folding and maturation into three-dimensional structures [26, 27]. Chaperones are also responsible for refolding denatured proteins that result from cellular stresses such as nutrient deprivation, abnormal temperature or pH, malignancy, and exposure to various toxins and drugs [4, 28]. Heat-shock response is conserved across all species, from prokaryotes to eukaryotes, and provides a mechanism for general upkeep of intercellular processes, including protection against protein aggregation in the cytosol [29, 30]. Hsp90, the most prominent of the heat-shock proteins, makes up 1–2% of all cytosolic protein [8] and exists in four isoforms: Hsp90α, Hsp90β, glucose-regulated protein (GRP94), and Hsp75/tumor necrosis factor receptor associated protein 1 (TRAP-1). Hsp90α and Hsp90β can be found in the cytosol, and are the inducible and constitutive forms, respectively. GRP94 resides in the endoplasmic reticulum, while TRAP-1 is located in the mitochondrial matrix [31, 32]. To date, Hsp90 has been found to interact with over 200 client proteins, as well as ~50 co-chaperones, making it a cornerstone in the cellular protein-folding machinery and an emerging target for the treatment of various disease states [33, 34]. Structure Since the first reported crystal structure by Prodromou and co-workers in 1996 [35], it has been determined that Hsp90 is comprised of three distinct structural domains: a 10 kDa C-terminus, a 55 kDa middle domain, and a 25 kDa N-terminus [36, 37]. In its biologically active form, Hsp90 exists as a homodimer bound in a quaternary helix bundle formed by overlapping and antiparallel pairs of helices from each of the C-terminus domains [38-41]. C-Terminal crystal structures of bacterial HtpG [42] and eukaryotic Hsp90 [43] were solved in 2004 and 2006, respectively. Although rumors of its existence have surfaced in industry, a co-crystal structure of the C-terminal bound to an inhibitor has not been published. Csermely et al. first reported this binding site in 1998 [44], and in 2000 Neckers and co-workers were able to show that inhibition of Hsp90 at the C-terminus interrupts activity in a non-ATP competitive fashion [45, 46]. This discovery makes the C-terminus of Hsp90 a promising target for drug development, and highlights the importance of utilizing a co-crystal structure to further understand this process. The 55 kDa middle domain of Hsp90 is the most variable region across species, but nonetheless is intimately involved in the binding and maturation of client proteins [9, 38]. The 25 kDa N-terminal domain is similar in composition to DNA gyrase B, histidine kinase, and MutL – together forming the GHKL (ATPase/kinase) superfamily [47]. This homology was determined through domain-specific human [48] and yeast [49] crystal structures and eventually led to elucidation of the ATP-binding site at the N-terminus. A co-crystal structure with ATP bound in a bent conformation, characteristic of the GHKL superfamily, was reported soon after [50]. These structures have played a critical role in the design of new and more potent Hsp90 inhibitors [51]. Hsp90 Folding Mechanism Under normal physiological conditions, HSF-1 is tightly bound to and regulated by Hsp90 in its inactive state (2a, Fig. (2)
Hsp70 binds to nascent polypeptides emerging from the ribosome in an ATP and Hsp40-dependent fashion. This complex is stabilized by Hsp70 interacting protein (HIP), and can be dissociated by Bcl2-associated athanogene (BAG). Hsp70-Hsp90 organizing protein (HOP) contains tetratricopeptide repeats (TPRs) recognized by both molecular chaperones, and recruitment by the Hsp70 complex facilitates transfer of the client protein to the Hsp90 homodimer (2b, Fig. (2)
Inhibition of Hsp90 prior to ATP-mediated dimerization (2g, Fig. (2) A Selective Target for Cancer Treatment Cancer is often referred to as a multifaceted class of diseases [68], dependent upon satisfaction of each of the six hallmarks as defined by Hanahan and Weinberg [24]. Although many cancer chemotherapeutics have successfully targeted proteins associated with multiple hallmarks, none have been able to simultaneously affect all six. Of the numerous client proteins dependent upon Hsp90 for folding and maturation, many are deemed essential for malignant progression. Over the last ten years, Hsp90 client proteins have been linked to all six hallmarks of cancer (Table 2) [6, 14], making Hsp90 inhibition an exciting new chemotherapeutic target. Whiteshell and Lindquist reviewed this concept in 2005 [13], and several studies and clinical trials have verified Hsp90 as a viable cancer target [69-71].
Inhibitors of Hsp90 have shown as high as a 200-fold differential selectivity toward malignant versus normal cells. Several mechanisms have been suggested to explain this high selectivity. First, Hsp90 is significantly upregulated in malignant cells to compensate for their dependency on the overexpression of client proteins, including ErbB2, Her-2, c-Met, Raf-1, and Akt [72-77]. The increased concentration of Hsp90 in tumor cells inherently results in greater drug accumulation. A second mechanism, introduced by Conforma Therapeutics in 2003, proposes that the Hsp90 heteroprotein complex (2c, Fig. (2)
Neurodegenerative Applications Neurodegenerative disorders such as Alzheimer's, Parkinson's, Huntington's, and spinal and bulbar muscular atrophy (SBMA), are in part characterized by the accumulation of misfolded protein aggregates. Under normal circumstances, this buildup can be prevented through resolubilization and rematuration of proteins by molecular chaperones. However, when suffering from these pathological conditions, aggregation exceeds the capacity of normal chaperone function, resulting in neuronal death [84]. Inhibition of Hsp90 stimulates the release of HSF-1, which in turn translocates to the nucleus, promoting transcription of HSPs [21, 25]. Increased levels of Hsp70 and Hsp90 have shown to be inversely proportional to β-amyloid and tau aggregation, and directly proportional to the binding of tau to microtubules, suggesting that inhibition of Hsp90 could serve as a neuroprotective approach for the treatment of Alzheimer's disease through dissolution of protein aggregates [22]. Recent studies by Shen and co-workers have affirmed this hypothesis by demonstrating the protective effects of GDA in vivo against 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced dopaminergic toxicity associated with the formation of Lewy bodies (α-synuclein aggregation) in a Parkinson's disease model through inhibition of Hsp90 [19]. A similar study by Waza showed that 17-allylamino-17-demethoxygeldanamycin (17-AAG, Fig. (4)
Finally, Huntington's, Parkinson's, and Alzheimer's disease attribute neuronal apoptosis to activation of the c-jun N-terminal kinase (JNK) signaling pathway. Hsp70 can prevent this cascade by binding to JNK, disrupting substrate interactions necessary for the initiation of apoptosis. In 2006, Gallo and co-workers demonstrated that the imidazothiadiazole sulfonamide AEG3482 (Fig. (4) Natural Product Inhibitors of Hsp90 Clinical trials have shown that Hsp90 inhibitors are not only potent as anti-cancer agents, but are also well tolerated by patients. In fact, the toxicities and side effects discovered have not been directly linked to Hsp90 inhibition, but rather to hepatotoxicity, gastrointestinal irritation, and constitutional symptoms [86, 87]. It is not surprising, therefore, that medicinal chemists have become interested in discovering new scaffolds that exhibit Hsp90 modulatory activity for the treatment of cancer and neurodegenerative diseases. Given the inherent diversity and vast array of scaffolds that allow for protein interaction, natural products have become a key component in Hsp90 research [88]. A. Geldanamycin and Herbimycin Geldanamycin and herbimycin (Fig. (5)
The antitumor properties of GDA were first reported in 1986, and were initially attributed to its ability to inhibit v-Src phosphorylation in whole cells via Src tyrosine kinase [95, 96]. However a direct link between v-Src and GDA was never reported, as they were unable to directly inhibit the purified recombinant protein [97]. This suggested there might be a non-explicit interaction between the kinase and GDA. In 1994, Whiteshell and Neckers proved this relationship as a downstream effect of GDA's ability to specifically bind and antagonize Hsp90, a chaperone for v-Src [98, 99]. Using affinity purification, immobilized GDA affixed to agarose beads was incubated with reticulocyte lysate, resulting in identification of Hsp90. Further investigation proved that GDA specifically inhibited the Src-Hsp90 heteroprotein complex, facilitating degradation of the client protein. This observation was consistent with all prior work linking GDA to Src tyrosine kinase. Initial reports by Roe and co-workers reported that GDA acted as a polypeptide mimic, interacting with Hsp90 at a highly conserved, 15 Å polypeptide substrate binding pocket involved in protein folding and maturation [48, 50]. However, Roe's co-crystallization of Hsp90 with GDA later revealed that it was actually binding to a previously unknown ATP binding pocket [100]. This seminal work opened the door for structure-activity relationship (SAR) studies that have led to the development of several analogues. Although respectable IC50 values have been reported for GDA and herbimycin against various cancer cell lines, their poor solubility and hepatotoxicity in animals has prevented them from successfully completing clinical trials as anti-cancer agents [101]. SAR studies have shown that modifications to the carbamate group of GDA substantially decrease the potency of newly formed derivatives, as it serves to mimic the exocyclic amino and imino nitrogens of adenine. A similar loss in activity can be observed upon reduction of the 2–3 double bond, as the target–specific conformation of the macrocycle is compromised [88, 100]. Modification of the 17-methoxy substituent appears to be the most effective option, as it projects away from the ATP binding pocket and exhibits a minimal affect on Hsp90 affinity [50, 102]. Substituting an electron donating group for the 17-methoxy group decreases toxicity by stabilizing the quinone moiety and retarding formation of the semiquinone, which is capable of reacting with molecular oxygen, and producing superoxide radicals [103, 104]. The synthetic analogue 17-AAG (Fig. (5) Since the development of 17-AAG, several analogues of GDA have exhibited improved antitumor properties, as well as demonstrated neuroprotective activity. These include bioengineered compounds developed through site-directed mutagenesis of the polyketide synthase gene cluster [109], semi-synthesized analogues from biosynthetically generated metabolites [110], as well as several compounds arising from traditional synthetic techniques [111, 112]. The biologically modified synthetic approaches have offered alternative pathways to GDA analogues that were previously hindered by the lack of an efficient total synthesis. Traditional synthetic work, while effective, has been limited to alteration at the 17-position and the quinone moiety itself. B. Radicicol and Pochonin To date, radicicol (RDC, Fig. (6)
Several analogues of RDC have been synthesized that minimize in vivo metabolism by decreasing its electrophilic nature [116-121]. These compounds display nanomolar activity in vivo. For example, synthesis of radicicol 6-oxime derivatives, such as KF25706 (Fig. (6) Isolation of the structurally similar pochonin family of natural products from Pochonia chlamydosporia has also shown promise in Hsp90 inhibition, particularly with pochonin A and pochonin D [125, 126]. Pochonin A and D have been shown to directly inhibit Hsp90 [126]. Pochonins A–F, while themselves displaying cytotoxicity in the micromolar range [125], provide an opportunity for conformational diversity that is not as easily achieved with radicicol [127]. As a result, several syntheses have now been completed [127, 128, 128]. C. Chimeric Analogues of Geldanamycin and Radicicol SAR studies have shown that GDA activity is dependent upon the structural integrity of the quinone ring as well as the stereochemistry of the carbamate. Similarly, RDC activity is dependent on the resorcinol ring, and to a lesser extent the epoxide [129]. In addition, the amide functionality in GDA appears to impart high differential selectively towards the Hsp90 heteroprotein complex [130]. Seminal work by Shen and co-workers utilized this knowledge to compose a new class of chimeric analogues, combining the pro-inhibitory properties of GDA and RDC to form radamide, radester, and radanamycin [131-134]. Each chimera improved upon Hsp90 inhibitory activity with respect to the parent compounds (IC50 = 42 μM, 7.1μM, and 1.2 μM against MCF-7 breast cancer cells, respectively), and was synthesized in a minimal number of steps that allows for diversification of this potential drug class. Early studies by this group identified the hydroquinone species to be more active than the corresponding quinone, which was later confirmed with GDA by several other research laboratories [134]. D. Novobiocin, Coumermycin A1, and Clorobiocin The coumermycin family of antibiotics, isolated from Streptomyces spheroids, has long been used clinically for antimicrobial purposes [135, 136]. Mechanistically, they bind the ATP binding pocket of DNA gyrase, another member of the GHKL superfamily [47], thus preventing ATP hydrolysis [137, 138]. Novobiocin in particular has been shown to display anti-cancer properties, and has been used in the clinic for many years [139]. Ground breaking work by Neckers and co-workers demonstrated that this activity could be ascribed to novobiocin's Hsp90 inhibitory activity. Using affinity chromatography, Neckers determined that novobiocin could competitively displace immobilized GDA bound to Hsp90, however GDA could not displace immobilized novobiocin when the reciprocal experiment was performed. Further studies revealed that novobiocin bound to a previously unrecognized C-terminal binding pocket, and induced degradation of Hsp90-dependent client proteins [45, 46]. These studies laid the groundwork for a vast library of novobiocin and coumermycin analogues that have since been prepared [85, 140-143]. SAR studies from our laboratory have revealed significant features that can control the activity manifested by these novobiocin analogues. Synthesis of A4 in 2005, along with DHN1 and DHN2 in 2006, highlighted key structural differences necessary for distinguishing between inhibition of DNA gyrase and Hsp90 [139, 140]. The 4-hydroxyl and 3′-carbamate of novobiocin are critical for DNA gyrase activity. Removing the 4-hydroxyl moiety and hydrolysis of the carbamate provided a 500-fold increase in selectivity towards Hsp90. A methyl group at the C8 position also moderately increased activity. As of 2006, A4 was not only the most potent novobiocin analogue to date, but interestingly displayed no growth inhibitory activity. This feature was exploited in its development as a neuroprotective agent in 2007 when Burlison and co-workers demonstrated that A4 could provide significant protection against Aβ-induced toxicity of neurons at non-cytotoxic concentrations [85]. Subsequent SAR studies concluded that the benzamide functionality of novobiocin was necessary for cytotoxicity [143]. It was also found that addition of a p-hydrogen bond acceptor and an m-aryl side chain were most effective at increasing anti-proliferative activity. Further derivatization resulting in heterocyclic analogues of the benzamide side chain revealed the most potent novobiocin analogue to date, KU-122. Installation of a 2-indole moiety in lieu of the native benzene ring resulted in a significant increase in anti-proliferative properties (IC50 = 0.37 μM in SKBr3 breast cancer cells, 0.17 μM in HCT-116 colon cancer cells). This variation in activity can be credited to the hydrogen bond donating capability and the rigid 2,3-olefin on the indole ring. These novobiocin analogues are unique in that rational modification of these compounds can provide molecules that selectively treat bacterial infections, cancer, or neurodegenerative diseases. Multiple projects are currently underway to further elucidate these properties and to create more potent Hsp90 inhibitors. E. EGCG Epigallocatechin-3-gallate (EGCG, Fig. (10)
More recent studies have described EGCG's potential as a neuroprotective agent [147]. Although Weinreb and co-workers attribute this property to EGCG's ability to chelate iron in areas of the brain associated with Parkinson's and Alzheimer's disease, one cannot overlook the vastly growing library of Hsp90 inhibitors known to display neuroprotective qualities. F. Taxol Taxol's (Fig. (11)
Its isolation from the English yew tree, Taxus baccata L., by Monroe Wall, and his subsequent discovery of its anticancer properties, stands as one of the most significant findings in the history of natural product research [151, 152]. What is interesting, however, is that in recent years Rosen and co-workers have been able to show through affinity purification that taxol binds Hsp90, producing a stimulatory response [153-155]. This stimulatory response not only sensitizes malignant tumors to taxol, but could even prove useful in the future development of neuroprotective agents. The site to which taxol binds Hsp90 has not yet been elucidated. G. Derrubone Derrubone (Fig. (12)
SAR studies by Hastings and Hadden have identified key features of derrubone that allow optimal interactions with Hsp90, and several potent analogues have been synthesized [158]. First, the C3 aromatic ring substituent is essential for activity. Addition of an electron-withdrawing group at the C4′ position can further increase anti-proliferative activity, whereas substitution at C3′ results in complete loss of activity. Second, replacing the prenyl substituent with a more polar functionality results in decreased activity, whereas replacement with non-polar functionalities gives comparable activity to the prenyl group. A slight increase in activity was observed when the C6 substituent was translocated to the C8 position. Overall, this study produced analogues with IC50 values in the low micromolar range, and further development of the derrubone library is currently underway. H. Gedunin and Celastrol In recent years, gedunin (Fig. (13)
In an attempt to elucidate structure–activity relationships between the molecular chaperone and natural products, multiple libraries have been synthesized [167]. Although the analogues made thus far have not proven more effective than gedunin in anti-proliferation assays, Brandt and co-workers1 have identified key structural features necessary for activity. Steric bulk applied to the C7 position has a pronounced effect on anti-proliferative activity, as inhibitory activity is diminished in response to size. Although it appears as though the electronic nature of the substituent is not imperative, the presence of a hydrogen bond acceptor can slightly improve anti-proliferative properties. C7 substituents also exhibit influence on the overall conformation of the molecule, and influence the binding of other substituents. The olefin of the α,β-unsaturated ketone is also essential for activity. One can assume this is due to the electrophilic nature of this moiety, however modifications to and reduction of the ketone itself have proven otherwise. Hydrogen bond accepting properties at the C3 substituent, as well as the rigidity of the 1,2-olefin are responsible for retention of activity. Studies are currently underway to further clarify gedunin's structure–activity relationship with Hsp90. Conclusion Natural products have long withstood the test of time for their contributions to medicinal chemistry. The development of new and interesting scaffolds, as well as small molecules that exhibit target selectivity, have been dependent on the isolation and modification of complex structures from Mother Nature. As Hsp90 continues to emerge as a target for the treatment of cancer, neurodegenerative diseases, and other disease states, the construction of viable inhibitors with drug-like properties becomes increasingly more important. 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