Spina Anna, De Pasquale Valeria, Cerulo Giuliana, Cocchiaro Pasquale, Della Morte Rossella, Avallone Luigi, Pavone Luigi Michele
Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, Via S. Pansini 5, 80131 Naples, Italy.
Department of Veterinary Medicine and Animal Productions, University of Naples Federico II, Via F. Delpino 1, 80137 Naples, Italy.
Biomedicines. 2015 Jan 22;3(1):71-88. doi: 10.3390/biomedicines3010071.
Tumor metastases are responsible for approximately 90% of all cancer-related deaths. Metastasis formation is a multistep process that requires acquisition by tumor cells of a malignant phenotype that allows them to escape from the primary tumor site and invade other organs. Each step of this mechanism involves a deep crosstalk between tumor cells and their microenvironment where the host cells play a key role in influencing metastatic behavior through the release of many secreted factors. Among these signaling molecules, Hepatocyte Growth Factor (HGF) is released by many cell types of the tumor microenvironment to target its receptor c-MET within the cells of the primary tumor. Many studies reveal that HGF/c-MET axis is implicated in various human cancers, and genetic and epigenetic gain of functions of this signaling contributes to cancer development through a variety of mechanisms. In this review, we describe the specific types of cells in the tumor microenvironment that release HGF in order to promote the metastatic outgrowth through the activation of extracellular matrix remodeling, inflammation, migration, angiogenesis, and invasion. We dissect the potential use of new molecules that interfere with the HGF/c-MET axis as therapeutic targets for future clinical trials in cancer disease.
肿瘤转移约占所有癌症相关死亡的90%。转移形成是一个多步骤过程,需要肿瘤细胞获得恶性表型,使其能够逃离原发肿瘤部位并侵入其他器官。这一机制的每一步都涉及肿瘤细胞与其微环境之间的深度相互作用,其中宿主细胞通过释放许多分泌因子在影响转移行为方面发挥关键作用。在这些信号分子中,肝细胞生长因子(HGF)由肿瘤微环境的多种细胞类型释放,以作用于原发肿瘤细胞内的受体c-MET。许多研究表明,HGF/c-MET轴与多种人类癌症有关,该信号通路的基因和表观遗传功能获得通过多种机制促进癌症发展。在这篇综述中,我们描述了肿瘤微环境中释放HGF的特定细胞类型,这些细胞通过激活细胞外基质重塑、炎症、迁移、血管生成和侵袭来促进转移灶生长。我们剖析了干扰HGF/c-MET轴的新分子作为未来癌症疾病临床试验治疗靶点的潜在用途。
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