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Low RECK Expression Is Part of the Cervical Carcinogenesis Mechanisms
Suellen Herbster1, Marina Trombetta-Lima2, Paulo Thiago de Souza-Santos3
1Laboratory of Oncovirology, Department of Microbiology, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo 05508-900, Brazil.
Abstract:
Human papillomavirus (HPV)-induced carcinogenesis comprises alterations in the expression and activity of matrix metalloproteinases (MMP) and their regulators. Reversion-inducing Cysteine-rich protein with Kazal motifs (RECK) inhibits the activation of specific metalloproteinases and its expression is frequently lost in human cancers. Here we analyzed the role of RECK in cervical carcinogenesis. Cervical cancer derived cell lines over expressing RECK were used to determine tumor kinetics as well as, cellular, immune and molecular properties in vivo. Besides, we analyzed RECK expression in cervical cancer samples. RECK over expression (RECK+) delayed tumor growth and increased overall survival in vivo. RECK+ tumors displayed an increase in lymphoid-like inflammatory infiltrating cells, reduced number and viability of tumor and endothelial cells and lower collagenase activity. RECK+ tumors exhibited an enrichment of cell adhesion processes both in the mouse model and cervical cancer clinical samples. Finally, we found that lower RECK mRNA levels were associated with cervical lesions progression and worse response to chemotherapy in cervical cancer patients. Altogether, we show that increased RECK expression reduced the tumorigenic potential of HPV-transformed cells both in vitro and in vivo, and that RECK down regulation is a consistent and clinically relevant event in the natural history of cervical cancer.
Insights
Reversion-inducing Cysteine-rich protein with Kazal motifs (RECK) suppresses human papillomavirus (HPV) cervical cancer. Increased RECK expression reduced tumor growth and improved survival, while its loss correlates with disease progression.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Human papillomavirus (HPV) infection is a primary cause of cervical cancer.
- Matrix metalloproteinases (MMPs) and their regulators, like RECK, are implicated in cancer development.
- RECK typically inhibits MMP activity and is often downregulated in human cancers.
Purpose of the Study:
- To investigate the role of RECK in cervical carcinogenesis.
- To analyze the impact of RECK overexpression on tumor growth, immune response, and molecular characteristics in vivo.
- To assess RECK expression levels in clinical cervical cancer samples.
Main Methods:
- Overexpression of RECK in cervical cancer cell lines.
- In vivo tumor growth and survival studies in a mouse model.
- Analysis of tumor cell viability, endothelial cell proliferation, collagenase activity, and immune cell infiltration.
- Examination of RECK mRNA levels in patient-derived cervical lesions and correlation with disease progression and chemotherapy response.
Main Results:
- RECK overexpression significantly delayed tumor growth and enhanced overall survival in vivo.
- RECK-overexpressing tumors showed increased lymphoid-like inflammatory cells and reduced tumor and endothelial cell viability.
- Lower RECK mRNA levels were associated with cervical lesion progression and poorer chemotherapy outcomes in patients.
Conclusions:
- Increased RECK expression diminishes the tumorigenic potential of HPV-transformed cells.
- RECK downregulation is a significant event in cervical cancer progression and is linked to clinical outcomes.
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