乙酰肝素酶/硫酸乙酰肝素蛋白聚糖轴:肉瘤治疗的一个新靶点。

The heparanase/heparan sulfate proteoglycan axis: A potential new therapeutic target in sarcomas.

机构信息

Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Molecular Pharmacology Unit, via Amadeo 42, 20133 Milan, Italy.

Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Molecular Pharmacology Unit, via Amadeo 42, 20133 Milan, Italy.

出版信息

Cancer Lett. 2016 Nov 28;382(2):245-254. doi: 10.1016/j.canlet.2016.09.004. Epub 2016 Sep 22.

Abstract

Heparanase, the only known mammalian endoglycosidase degrading heparan sulfate (HS) chains of HS proteoglycans (HSPG), is a highly versatile protein affecting multiple events in tumor cells and their microenvironment. In several malignancies, deregulation of the heparanase/HSPG system has been implicated in tumor progression, hence representing a valuable therapeutic target. Currently, multiple agents interfering with the heparanase/HSPG axis are under clinical investigation. Sarcomas are characterized by a high biomolecular complexity and multiple levels of interconnection with microenvironment sustaining their growth and progression. The clinical management of advanced diseases remains a challenge. In several sarcoma subtypes, high levels of heparanase expression have been correlated with poor prognosis associated factors. On the other hand, expression of cell surface-associated HSPGs (i.e. glypicans and syndecans) has been found altered in specific sarcoma subtypes. Recent studies provided the preclinical proof-of-principle of the role of the heparanase/HSPG axis as therapeutic target in various sarcoma subtypes. Although currently there are no clinical trials evaluating agents targeting heparanase and/or HSPGs in sarcomas, we here provide arguments for this strategy as potentially able to implement the therapeutic options for sarcoma patients.

摘要

乙酰肝素酶是唯一已知的能降解硫酸乙酰肝素(HS)聚糖链的哺乳动物内切糖苷酶,是一种多功能蛋白,能影响肿瘤细胞及其微环境中的多种事件。在多种恶性肿瘤中,乙酰肝素酶/HS 糖蛋白系统的失调与肿瘤的进展有关,因此是一个有价值的治疗靶点。目前,有多种干扰乙酰肝素酶/HS 轴的药物正在进行临床研究。肉瘤的特点是生物分子高度复杂,与微环境有多层次的相互联系,维持着它们的生长和进展。晚期疾病的临床治疗仍然是一个挑战。在几种肉瘤亚型中,高水平的乙酰肝素酶表达与预后不良的相关因素有关。另一方面,细胞表面相关 HSPGs(如糖蛋白和 syndecans)的表达在特定的肉瘤亚型中被发现发生了改变。最近的研究为乙酰肝素酶/HSPG 轴作为各种肉瘤亚型的治疗靶点提供了临床前的原理证明。尽管目前尚无评估针对乙酰肝素酶和/或 HSPGs 的药物在肉瘤中的临床试验,但我们在此为这一策略提供了论据,认为该策略有可能为肉瘤患者提供治疗选择。

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