Geldanamycin

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Geldanamycin
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Geldanamycin is a benzoquinone ansamycin antibiotic that was first isolated from the Streptomyces bacteria Streptomyces hygroscopicus. It is known for its ability to bind to the Heat shock protein 90 (Hsp90) and inhibit its function. Hsp90 is a chaperone protein that is involved in the folding, stabilization, and activation of many proteins, including kinases, hormone receptors, and transcription factors. By inhibiting Hsp90, geldanamycin can disrupt these processes, leading to the degradation of proteins that are crucial for cell growth and survival. This mechanism of action makes geldanamycin and its derivatives potential candidates for cancer therapy.

Mechanism of Action[edit | edit source]

Geldanamycin binds to the ATP-binding pocket of Hsp90, inhibiting its ATPase activity. This prevents the proper folding of client proteins, leading to their ubiquitination and proteasomal degradation. Since many of Hsp90's client proteins are involved in oncogenesis, geldanamycin has been studied for its anti-tumor properties. However, its clinical use has been limited due to its hepatotoxicity and poor solubility.

Derivatives[edit | edit source]

To overcome the limitations of geldanamycin, several derivatives have been synthesized, with 17-AAG (17-allylamino-17-demethoxygeldanamycin) being the most well-known. 17-AAG has shown improved solubility and reduced toxicity, making it a more viable option for clinical use. Other derivatives include 17-DMAG (17-dimethylaminoethylamino-17-demethoxygeldanamycin) and IPI-504 (retaspimycin hydrochloride), which have been explored in various phases of clinical trials for the treatment of cancer.

Clinical Trials and Research[edit | edit source]

Research and clinical trials involving geldanamycin derivatives have focused on their potential as anti-cancer agents. These compounds have been tested against a variety of cancers, including breast cancer, prostate cancer, and melanoma. While some results have been promising, the clinical development of geldanamycin derivatives has faced challenges, including issues with toxicity, formulation, and patient tolerance.

Toxicity and Side Effects[edit | edit source]

The major limitation in the use of geldanamycin and its derivatives is their toxicity profile. Hepatotoxicity is a significant concern, along with other potential side effects such as nausea, vomiting, and diarrhea. The development of less toxic derivatives and formulations that can mitigate these side effects is an area of ongoing research.

Conclusion[edit | edit source]

Geldanamycin and its derivatives represent a unique class of anti-cancer agents that target the Hsp90 chaperone protein. Despite their potential, the clinical application of these compounds has been hindered by issues related to solubility, toxicity, and patient tolerance. Ongoing research into improving the pharmacological properties of these compounds and understanding their mechanisms of action may pave the way for their successful integration into cancer therapy.

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Contributors: Prab R. Tumpati, MD