The Urokinase Receptor (uPAR) as a "Trojan Horse" in Targeted Cancer Therapy: Challenges and Opportunities

Virginia Metrangolo1,2, Michael Ploug1,2, Lars H Engelholm1,2

  • 1The Finsen Laboratory, Rigshospitalet, DK-2200 Copenhagen, Denmark.

Cancers
|November 13, 2021
PubMed

Insights

Targeting the urokinase-type plasminogen activator receptor (uPAR) offers a promising strategy for precision oncology. This review explores novel cytotoxic approaches targeting uPAR to improve cancer therapy efficacy and reduce toxicity.

Area of Science:

  • Molecular oncology
  • Cancer biology
  • Drug discovery

Background:

  • Precision oncology faces challenges in identifying selective tumor targets to balance efficacy and toxicity.
  • The urokinase-type plasminogen activator receptor (uPAR) is implicated in aggressive malignancies due to its role in extracellular matrix degradation and metastasis.
  • High uPAR expression correlates with poor prognosis across various human cancers.

Purpose of the Study:

  • To review recent cytotoxic strategies targeting uPAR in cancer therapy.
  • To highlight novel technologies and their limitations for clinical application.
  • To discuss future research directions and opportunities in uPAR-targeted interventions.

Main Methods:

  • Literature review of emerging cytotoxic approaches targeting uPAR.
  • Analysis of novel technologies and their associated clinical limitations.
  • Discussion of future research avenues and emerging opportunities.

Main Results:

  • uPAR plays a critical role in cancer cell migration, invasion, and metastasis by regulating the plasminogen activation cascade.
  • uPAR is involved in multiple cancer signaling pathways, contributing to neoplastic progression.
  • Various targeted intervention strategies are being developed to exploit uPAR's therapeutic potential.

Conclusions:

  • uPAR represents a significant therapeutic target for aggressive cancers.
  • Novel cytotoxic approaches show promise but face technological and clinical hurdles.
  • Continued research into uPAR targeting is crucial for advancing precision oncology.