Institute of Anatomy, University Tübingen, Österbergstr. 3, 72074 Tübingen, Germany.
Cell Mol Life Sci. 2010 Dec;67(23):3947-60. doi: 10.1007/s00018-010-0469-5. Epub 2010 Aug 5.
Cutaneous malignant melanoma is the most aggressive skin cancer. It is also the most rapidly spreading cancer in terms of worldwide incidence. Although it is detected by simple inspection and can be relatively easily removed or treated, differential diagnosis to other melanocytic lesions, lack of prognostic markers, and no efficient treatment of advanced melanoma pose problems. Detection and targeting of proteases may represent a useful tool since they play a role in tumor cell metabolism, invasion, angiogenesis and metastasis. This review gives an overview of the role of proteases in development and progression of cutaneous malignant melanoma. In addition, regulation, activation, and interaction of proteases and their inhibitors are explained for tumors in general. The potential use of proteases as differential markers for melanoma mimicking melanocytic lesions, as biomarkers in tissues, and as prognostic serum markers is discussed. Current and future possibilities to target tumor proteases in therapy are presented.
皮肤恶性黑素瘤是最具侵袭性的皮肤癌。就全球发病率而言,它也是扩散最快的癌症。尽管它可以通过简单的检查发现,并且相对容易切除或治疗,但与其他黑素细胞病变的鉴别诊断、缺乏预后标志物以及对晚期黑色素瘤的有效治疗仍存在问题。蛋白酶的检测和靶向可能是一种有用的工具,因为它们在肿瘤细胞代谢、侵袭、血管生成和转移中发挥作用。本综述概述了蛋白酶在皮肤恶性黑素瘤的发生和发展中的作用。此外,还解释了一般肿瘤中蛋白酶及其抑制剂的调节、激活和相互作用。讨论了蛋白酶作为黑素瘤模拟黑素细胞病变的差异标志物、组织中的生物标志物以及预后血清标志物的潜在用途。还介绍了目前和未来在治疗中靶向肿瘤蛋白酶的可能性。