Yang Chengxian, Bao Xinjie, Wang Renzhi
Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730 China.
Chin Neurosurg J. 2018 Feb 9;4:2. doi: 10.1186/s41016-017-0109-0. eCollection 2018.
Though pituitary adenomas are benign tumors in most cases, a considerable fraction of PAs behave in a malignant-like manner and invade to the adjacent structures in sellar region, especially the cavernous sinuses. Cancer-cell invasion and metastasis remain a great challenge for physicians and surgeons in spite of emerging advances in drug therapy and surgical Treatmen metalloproteinases, as a family of zinc-dependent endopeptidases, have long been known to be associated with tumor invasion and metastasis mainly via breaking down basement membrane in different tissues. Aberrant expression and activation of matrix metalloproteinases have been detected in invasive pituitary adenomas as in malignancy and correlated to tumor invasion. Therefore, matrix metalloproteinases are considered as promising biomarkers for predicting tumor behavior and even drug targets for novel therapeutic strategies. In this review, we give an overview of the expression, function, regulation and clinical prospects of matrix metalloproteinases, especially focusing on the biological network in which matrix metalloproteinases may be abnormally activated in promoting pituitary adenoma invasion.
尽管大多数情况下垂体腺瘤是良性肿瘤,但相当一部分垂体腺瘤表现出类似恶性肿瘤的行为,并侵犯鞍区的相邻结构,尤其是海绵窦。尽管药物治疗和手术治疗取得了新进展,但癌细胞的侵袭和转移仍然是医生和外科医生面临的巨大挑战。金属蛋白酶作为一类锌依赖性内肽酶,长期以来一直被认为主要通过分解不同组织中的基底膜与肿瘤侵袭和转移有关。在侵袭性垂体腺瘤中已检测到基质金属蛋白酶的异常表达和激活,这与恶性肿瘤中的情况相似,且与肿瘤侵袭相关。因此,基质金属蛋白酶被认为是预测肿瘤行为的有前景的生物标志物,甚至是新型治疗策略的药物靶点。在这篇综述中,我们概述了基质金属蛋白酶的表达、功能、调节和临床前景,尤其关注基质金属蛋白酶在促进垂体腺瘤侵袭过程中可能异常激活的生物网络。