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Matrix metalloproteinases as the critical regulators of cisplatin response and tumor cell invasion
Iman Akhlaghipour1, Meysam Moghbeli2
1Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:
Cisplatin (CDDP) as one of the most common first-line chemotherapy drugs plays a vital role in the treatment of a wide range of malignant tumors. Nevertheless, CDDP resistance is observed as a therapeutic challenge in a large number of cancer patients. Considering the CDDP side effects in normal tissues, predicting the CDDP response of cancer patients can significantly help to choose the appropriate therapeutic strategy. In this regard, investigating the molecular mechanisms involved in CDDP resistance can lead to the introduction of prognostic markers in cancer patients. Matrix metalloproteinases (MMPs) have critical roles in tissue remodeling and cell migration through extracellular matrix degradation. Therefore, defects in MMPs functions can be associated with tumor metastasis and chemo resistance. In the present review, we discussed the role of MMPs in CDDP response and tumor cell invasion. PubMed, Scopus, Google Scholar, and Web of Science were searched using "MMP", "cisplatin", and "cancer" keywords for data retrieval that was limited to Apr 20, 2024. It has been reported that MMPs can increase CDDP resistance in tumor cells as the effectors of PI3K/AKT, MAPK, and NF-κB signaling pathways or independently through the regulation of structural proteins, autophagy, and epithelial-to-mesenchymal transition (EMT) process. This review has an effective role in introducing MMPs as the prognostic markers and therapeutic targets in CDDP-resistant cancer patients.
Insights
Matrix metalloproteinases (MMPs) contribute to cisplatin resistance in cancer by affecting cell invasion and survival pathways. Understanding MMP roles may identify new prognostic markers and therapeutic targets for cisplatin-resistant cancers.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cisplatin (CDDP) is a key chemotherapy drug for many cancers.
- Cisplatin resistance presents a significant clinical challenge, impacting treatment efficacy.
- Identifying mechanisms of resistance is crucial for improving patient outcomes and reducing side effects.
Purpose of the Study:
- To review the role of Matrix Metalloproteinases (MMPs) in cisplatin response and tumor cell invasion.
- To explore MMPs as potential prognostic markers and therapeutic targets in cisplatin-resistant cancers.
Main Methods:
- Comprehensive literature search of PubMed, Scopus, Google Scholar, and Web of Science.
- Keywords used: "MMP", "cisplatin", and "cancer".
- Data retrieval limited to publications up to April 20, 2024.
Main Results:
- MMPs are implicated in regulating tumor cell invasion and extracellular matrix degradation.
- MMPs can enhance cisplatin resistance through various molecular pathways, including PI3K/AKT, MAPK, and NF-κB signaling.
- MMPs also influence cisplatin resistance independently via regulation of structural proteins, autophagy, and epithelial-to-mesenchymal transition (EMT).
Conclusions:
- Matrix metalloproteinases play a significant role in the development of cisplatin resistance in cancer.
- MMPs represent promising prognostic markers for predicting patient response to cisplatin therapy.
- Targeting MMPs could offer novel therapeutic strategies for overcoming cisplatin resistance in various malignancies.
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