Department of Experimental Medicine, University of L’Aquila, L’Aquila, Italy.
Curr Mol Med. 2011 Nov;11(8):609-22. doi: 10.2174/156652411797536705.
Metalloproteinases (MMPs) are a cluster of at least 23 enzymes belonging to the more wide family of endopeptidases called Metzincins, whose structure is characterized by the presence of a zinc ion at the catalytic site. Although the general view of MMPs as physiologic scissors involved in extracellular matrix (ECM) degradation and tissue remodeling is still valid, additional functions have recently emerged, including the ability to cleave non ECM molecules such as growth factors, cytokines and chemokines from their membrane-anchored proforms. These functions are utilized by tumor cells and are fundamental in the determination of tumor progression and invasion. The effect of MMPs activity in cancer progression has been traditionally associated with the acquisition by tumor cells of an invasive phenotype, an indispensable requisite for the metastatic spreading of cancer cells. In addition to the traditional view, a new role for MMPs in creating a favourable microenvironment has been proposed, so that MMPs are not only involved in cell invasion, but also in signaling pathways that control cell growth, inflammation, or angiogenesis. Finally, recent evidence suggest a role of MMPs in the so called "pre-metastatic niche" that is the hypothesis of an early distant modification of the premetastatic site by primary cancer cells. This new hypothesis is changing our traditional view about MMPs and provides important insights into the effective time window for the therapeutic use of MMP inhibitors. In this review we provide the main available data about the ability of MMPs in creating a suitable microenvironment for tumor growth in metastatic sites and we indicate the implication of these data on the potential use of MMP inhibitors in the metastatic therapy.
金属蛋白酶(MMPs)是至少 23 种酶的簇,属于称为基质金属蛋白酶的内肽酶大家族,其结构的特征是在催化位点存在锌离子。尽管 MMPs 作为参与细胞外基质(ECM)降解和组织重塑的生理剪刀的一般观点仍然有效,但最近出现了其他功能,包括能够从其膜锚定的前体形式切割非 ECM 分子,如生长因子、细胞因子和趋化因子。这些功能被肿瘤细胞利用,是决定肿瘤进展和侵袭的基础。MMPs 活性在癌症进展中的作用传统上与肿瘤细胞获得侵袭表型有关,这是癌细胞转移扩散所必需的。除了传统观点外,还提出了 MMPs 在创造有利微环境中的新作用,因此 MMPs不仅参与细胞侵袭,还参与控制细胞生长、炎症或血管生成的信号通路。最后,最近的证据表明 MMPs 在所谓的“前转移龛位”中起作用,这是原发性癌细胞对前转移部位进行早期远处修饰的假说。这个新假设正在改变我们对 MMPs 的传统看法,并为 MMP 抑制剂的治疗应用提供了重要的见解。在这篇综述中,我们提供了 MMPs 在前转移部位创造适合肿瘤生长的微环境的能力的主要现有数据,并指出了这些数据对 MMP 抑制剂在转移性治疗中的潜在应用的影响。