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Updated: Jul 18, 2026

An In Vitro Model for Studying Cellular Transformation by Kaposi Sarcoma Herpesvirus
Published on: August 25, 2017
Matrix metalloproteinases in the progression and regression of Kaposi's sarcoma
Liron Pantanowitz1, Bruce J Dezube, Sonia Hernandez-Barrantes
1Department of Pathology, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA 01199, USA. lpantanowitz@hotmail.com
Background:
Matrix metalloproteinases (MMPs) are associated with Kaposi's sarcoma (KS) tumorigenesis. To date, only a few MMPs have been studied in KS lesions. Their role in KS regression has not been investigated. The aim of this study was to evaluate the expression of multiple MMPs in developing and pharmacologically regressed KS lesions.
Methods:
Nine samples of acquired immune deficiency syndrome (AIDS)-related and classic cutaneous KS lesions at various histological stages were studied. Regressing KS lesions from three patients treated with systemic therapy were procured after one and two cycles of chemotherapy. Tissue sections from all specimens were immunostained using monoclonal antibodies to MMP-1, MMP-2, MMP-3, MMP-7, MMP-9, MMP-13, and MMP-14.
Results:
KS lesional cells were immunoreactive for all MMPs, except MMP-14. Admixed inflammatory cells were immunoreactive for MMP-1, MMP-2, MMP-7, MMP-9, and MMP-13. The MMP immunoprofile in residual KS lesional cells was unaltered in regressed lesions. Increased extracellular matrix (ECM) and macrophage immunoreactivity for MMPs was identified in regressed specimens.
Conclusions:
These data show that developing KS lesional cells express collagenases (MMP-1, MMP-13), gelatinases (MMP-2, MMP-9), stromelysin-1 (MMP-3), and matrilysin (MMP-7) but not the membrane-type MMP-14. This MMP expression profile is retained by residual KS cells and also expressed by infiltrating macrophages in regressed KS lesions. Pantanowitz L, Dezube BJ, Hernandez-Barrantes S, Tahan SR, Dabbous MK. Matrix metalloproteinases in the progression and regression of Kaposi's sarcoma.
Insights
Matrix metalloproteinases (MMPs) are expressed in Kaposi's sarcoma (KS) lesions. MMPs remain expressed in regressed KS lesions, with increased presence in the extracellular matrix and macrophages.
Area of Science:
- Oncology
- Dermatology
- Immunology
Background:
- Matrix metalloproteinases (MMPs) are implicated in Kaposi's sarcoma (KS) development.
- Previous research has focused on a limited number of MMPs in KS lesions.
- The role of MMPs in KS regression remains largely unexplored.
Purpose of the Study:
- To investigate the expression of multiple MMPs in both developing and regressed KS lesions.
- To determine the specific MMPs involved in the progression and regression of Kaposi's sarcoma.
Main Methods:
- Analysis of nine KS lesion samples (AIDS-related and classic cutaneous) at various histological stages.
- Procurement of regressing KS lesions from patients undergoing chemotherapy.
- Immunohistochemical staining using monoclonal antibodies against MMP-1, MMP-2, MMP-3, MMP-7, MMP-9, MMP-13, and MMP-14.
Main Results:
- KS lesional cells expressed all studied MMPs except MMP-14.
- Inflammatory cells within lesions showed reactivity for MMP-1, MMP-2, MMP-7, MMP-9, and MMP-13.
- Regressed lesions retained the MMP expression profile in residual KS cells, with increased MMPs in the extracellular matrix and macrophages.
Conclusions:
- Developing KS cells express collagenases, gelatinases, stromelysin-1, and matrilysin, but not membrane-type MMP-14.
- This MMP expression pattern persists in residual KS cells post-treatment.
- Infiltrating macrophages in regressed KS lesions also contribute to the MMP expression profile.
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