Buø L, Aasen A O, Karlsrud T S, Johansen H T, Sivertsen S M
Institutt for kirurgisk forskning, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1990 Nov 30;110(29):3753-6.
Cancer cells show a greater capability than normal cells do to break down proteins in the surrounding tissue. This tissue destruction involving proteolytic enzymes is probably essential for the invasion and metastatic spread of malignant cells. The process takes place through an interplay of proteolytic enzyme systems where plasmin-mediated proteolysis plays an important role. Plasminogen activator activity and receptors for plasminogen activators have been discovered in tumors, mainly in areas with invasive growth and tissue degradation. Patients with malignant diseases often demonstrate abnormalities in their blood coagulation, including hyperaggregability of platelets. Experimental research has shown that therapy with antiplatelet drugs, and prophylaxis with protease inhibitors, can limit spread of tumors.
癌细胞比正常细胞具有更强的分解周围组织中蛋白质的能力。这种涉及蛋白水解酶的组织破坏可能对恶性细胞的侵袭和转移扩散至关重要。该过程通过蛋白水解酶系统的相互作用发生,其中纤溶酶介导的蛋白水解起重要作用。在肿瘤中已发现纤溶酶原激活物活性和纤溶酶原激活物受体,主要存在于侵袭性生长和组织降解区域。患有恶性疾病的患者常表现出血液凝固异常,包括血小板高聚集性。实验研究表明,抗血小板药物治疗和蛋白酶抑制剂预防可限制肿瘤扩散。