Abstract. Our previous study showed that the combination of a histone deacetylase (HDAC) inhibitor and an HIV protease inhibitor is effective against renal cancer cells. Because HDAC inhibition disrupts the chaperon function of heat shock protein (HSP) 90, we hypothesized that the combination of 17-allylamino-17-demethoxygeldanamycin (17-AAG), an inhibitor of HSP90, and the HIV protease inhibitor ritonavir would also act against renal cancer. The combination of 17-AAG and ritonavir induced apoptosis and inhibited the proliferation of renal cancer cells effectively. It also suppressed the expression of cyclin-dependent kinase 4 and cyclin D1, leading to the accumulation of the cells in the sub-G1 fraction. The expression of HSPs 27, 70 and 90 was increased by 17-AAG alone but reduced by 17-AAG combined with ritonavir. The combination decreased the expression of heat shock factor-1 (HSF-1), an HSP transcription factor, and this might be one of the mechanisms of the effect of the combination. We have also found that silencing of HSF-1 by siRNA inhibited the proliferation of renal cancer cells and that in surgically resected specimens the levels of HSF-1 expression in renal cancer tissue are higher than those in normal parenchyma. This is the first study showing the beneficial effect of combining 17-AAG and ritonavir and our data suggest that HSF-1 may be a novel therapeutic target in the treatment of renal cancer.
IntroductionAlthough recently introduced novel anticancer agents such as inhibitors of tyrosine kinase (1,2) and the mammalian target of rapamycin (3) are promising against advanced renal cancer, new treatment approaches are needed because curative agents are not yet available.Inhibition of heat shock protein 90 (HSP90) destabilizes the cancer cell's aberrant protein subset, leading to protein degradation by proteasomes (4). The geldanamycin derivative 17-allylamino-17-demethoxy-geldanamycin (17-AAG) is the first HSP90 inhibitor to be used clinically (5). It seems to be a promising anticancer agent with a novel mechanism of action, but a phase II clinical trial investigating the efficacy of 17-AAG found it not to be effective against renal cancer (6).We have previously shown that the combination of the histone deacetylase inhibitor suberoylanilide hydroxamic acid (SAHA) and the HIV protease inhibitor ritonavir is effective against renal cancer by inhibiting the HDAC function and expression, leading to extensive histone acetylation (7). SAHA inhibits HDAC6, and ablation of HDAC6 has been shown to induce hyperacetylation of HSP 90, disrupting its chaperone function (8,9). We therefore thought that combining ritonavir with 17-AAG would be more effective against renal cancer because 17-AAG could inhibit HSP90 function more directly than SAHA does.In the present study, we investigated the combined effect of 17-AAG and ritonavir against renal cancer by using renal cancer cell lines and found that the combination inhibited the renal cancer growth by inhibiting the expression of heat shock factor-1 (HSF-1), an HS...