Research Papers:

Sensitization of multidrug-resistant human cancer cells to Hsp90 inhibitors by down-regulation of SIRT1

Hak-Bong Kim _, Su-Hoon Lee, Jee-Hyun Um, Won Keun Oh, Dong-Wan Kim, Chi-Dug Kang and Sun-Hee Kim

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Oncotarget. 2015; 6:36202-36218. https://doi.org/10.18632/oncotarget.5343

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Hak-Bong Kim1, Su-Hoon Lee1, Jee-Hyun Um2, Won Keun Oh3, Dong-Wan Kim4, Chi-Dug Kang1, Sun-Hee Kim1

1Department of Biochemistry, Pusan National University School of Medicine, Yangsan 626-870, Korea

2Korea Mouse Metabolic Phenotyping Center, Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon 406-840, Korea

3Korea Bioactive Natural Material Bank, College of Pharmacy, Seoul National University, Seoul 151-818, Korea

4Department of Microbiology, College of Natural Sciences, Chang Won National University, Chang Won 641-773, Korea

Correspondence to:

Chi-Dug Kang, e-mail: [email protected]

Sun-Hee kim, e-mail: [email protected]

Keywords: Hsp90 inhibitor, MDR, SIRT1, P-gp, Hsp70

Received: June 10, 2015     Accepted: August 26, 2015     Published: September 25, 2015


The effectiveness of Hsp90 inhibitors as anticancer agents was limited in multidrug-resistant (MDR) human cancer cells due to induction of heat shock proteins (Hsps) such as Hsp70/Hsp27 and P-glycoprotein (P-gp)-mediated efflux. In the present study, we showed that resistance to Hsp90 inhibitors of MDR human cancer cells could be overcome with SIRT1 inhibition. SIRT1 knock-down or SIRT1 inhibitors (amurensin G and EX527) effectively suppressed the resistance to Hsp90 inhibitors (17-AAG and AUY922) in several MDR variants of human lymphoblastic leukemia and human breast cancer cell lines. SIRT1 inhibition down-regulated the expression of heat shock factor 1 (HSF1) and subsequently Hsps and facilitated Hsp90 multichaperone complex disruption via hyperacetylation of Hsp90/Hsp70. These findings were followed by acceleration of ubiquitin ligase CHIP-mediated mutant p53 (mut p53) degradation and subsequent down-regulation of P-gp in 17-AAG-treated MDR cancer cells expressing P-gp and mut p53 after inhibition of SIRT1. Therefore, combined treatment with Hsp90 inhibitor and SIRT1 inhibitor could be a more effective therapeutic approach for Hsp90 inhibitor-resistant MDR cells via down-regulation of HSF1/Hsps, mut p53 and P-gp.

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