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SPARC family proteins: matricellular modulators of cancer progression and therapeutic resistance
Rachel Huey Xuan Hoe1, Thamil Selvee Ramasamy2, Ajantha Sinniah3
1Immunochemistry Laboratory, Department of Molecular Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Abstract:
The SPARC (secreted protein acidic and rich in cysteine) family represents a unique class of matricellular proteins - including SPARC, SPARCL1, SPOCK1-3, SMOC1-2, and FSTL1 - that regulate extracellular matrix (ECM) dynamics, cell signaling, and tissue homoeostasis. In cancer, their expression is frequently dysregulated, through epigenetic mechanisms, microRNAs, and interactions within the tumor microenvironment (TME). Dysregulation of SPARC family members is most pronounced in aggressive malignancies with SPARC, SPARCL1, SPOCK1, and SPOCK2 most consistently altered. These proteins drive tumor progression through ECM remodeling, epithelial-mesenchymal transition (EMT), maintenance of cancer stemness, immune modulation, and drug resistance acquisition. Their functions are highly context-dependent, exerting either tumor-suppressive or oncogenic effects depending on tissue types and disease stage. While their secreted nature positions family members as promising serum or plasma biomarkers, challenges such as ECM protein undruggability, functional heterogeneity, and the absence of upstream regulators have so far precluded direct therapeutic targeting, with no agents advancing to clinical trials. Nonetheless, indirect strategies leveraging their biology show preclinical promise. This review synthesizes current knowledge on SPARC family structure, regulation, and context-specific functions in cancer-TME interactions, emphasizing their dual roles as modulators of progression and resistance. By integrating mechanistic insights with translational advances, we highlight the emerging utility of SPARC family proteins in precision oncology and underscore the need for deeper understanding to enable effective biomarker development and targeted therapeutic strategies.
Insights
The SPARC protein family regulates extracellular matrix and cell signaling. Dysregulated in aggressive cancers, these proteins promote tumor progression but offer potential as biomarkers and therapeutic targets.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- The SPARC (secreted protein acidic and rich in cysteine) family comprises matricellular proteins regulating extracellular matrix (ECM) dynamics and tissue homeostasis.
- These proteins, including SPARC, SPARCL1, SPOCK1-3, SMOC1-2, and FSTL1, are frequently dysregulated in cancer via epigenetic changes, microRNAs, and tumor microenvironment (TME) interactions.
Purpose of the Study:
- To synthesize current knowledge on SPARC family structure, regulation, and context-specific functions in cancer-TME interactions.
- To highlight their dual roles in modulating tumor progression and resistance.
- To underscore their emerging utility in precision oncology and the need for biomarker development and targeted therapies.
Main Methods:
- Literature review and synthesis of existing research on SPARC family proteins in cancer.
- Analysis of their roles in ECM remodeling, epithelial-mesenchymal transition (EMT), cancer stemness, immune modulation, and drug resistance.
- Integration of mechanistic insights with translational advances.
Main Results:
- Dysregulation of SPARC family members, particularly SPARC, SPARCL1, SPOCK1, and SPOCK2, is pronounced in aggressive malignancies.
- These proteins drive tumor progression through various mechanisms, with context-dependent tumor-suppressive or oncogenic effects.
- Despite challenges in direct targeting, indirect strategies show preclinical promise, and their secreted nature suggests potential as biomarkers.
Conclusions:
- SPARC family proteins play complex, context-dependent roles in cancer, influencing progression and resistance.
- Their dysregulation in aggressive cancers highlights their significance.
- Further understanding is crucial for developing effective biomarkers and targeted therapeutic strategies in precision oncology.
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