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The other side of MMPs: protective roles in tumor progression
Michelle D Martin1, Lynn M Matrisian
1Department of Cancer Biology, Vanderbilt University, 771 Preston Research Building, 23rd and Pierce Avenues, Nashville, TN 37232-6840, USA.
Abstract:
The matrix metalloproteinase (MMP) family of extracellular proteinases have long been associated with cancer invasion and metastasis by virtue of their ability to collectively degrade all components of the extracellular matrix (ECM). The general belief that overexpression of a specific MMP, either by tumor cells or the surrounding stroma, is pro-tumorigenic led to the development of synthetic MMP inhibitors for the treatment of cancer. However, there is an increasing amount of literature demonstrating that the expression of certain MMPs, either at the primary or the metastatic site, provides a beneficial and protective effect in multiple stages of cancer progression. Here, we review the evidence for protective effects of MMPs and contrast this with pro-tumorigenic effects of either the same enzyme, or a different MMP of the same family. These studies highlight the importance of targeting specific MMPs for cancer treatment, and point to a potential reason why clinical trials of pharmaceutical inhibitors for MMPs were disappointing. In order to effectively target MMPs in cancer progression, a better understanding of both their pro- and anti-tumorigenic effects is required.
Insights
Matrix metalloproteinases (MMPs) can promote or inhibit cancer progression. Understanding both pro- and anti-tumorigenic effects of specific MMPs is crucial for developing effective cancer therapies.
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Matrix metalloproteinases (MMPs) are extracellular proteinases that degrade the extracellular matrix (ECM).
- Historically, MMPs have been linked to cancer invasion and metastasis.
- Overexpression of MMPs was generally considered pro-tumorigenic, leading to the development of MMP inhibitors for cancer treatment.
Purpose of the Study:
- To review evidence of protective effects of MMPs in cancer progression.
- To contrast these beneficial roles with the known pro-tumorigenic effects of MMPs.
- To explore the implications for cancer therapy and the failure of broad-spectrum MMP inhibitors.
Main Methods:
- Literature review of studies investigating MMP roles in cancer.
- Comparative analysis of pro- and anti-tumorigenic functions of specific MMPs.
- Synthesis of findings to understand the dual role of MMPs in cancer.
Main Results:
- Evidence suggests certain MMPs can exert protective effects in various cancer stages.
- The same or different MMPs can exhibit opposing roles (pro- vs. anti-tumorigenic).
- This duality may explain the disappointing outcomes of clinical trials with general MMP inhibitors.
Conclusions:
- Targeting specific MMPs, rather than broad inhibition, is necessary for effective cancer treatment.
- A comprehensive understanding of both pro- and anti-tumorigenic MMP functions is required.
- Further research is needed to elucidate the complex roles of MMPs in cancer progression and therapy.
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