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Science 29 March 2002: Vol. 295. no. 5564, pp. 2387 - 2392 DOI: 10.1126/science.1067100
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Review
Matrix Metalloproteinase Inhibitors and CancerTrials and Tribulations
Lisa M. Coussens,1
Barbara Fingleton,2
Lynn M. Matrisian2*
For at least 30 years, matrix metalloproteinases (MMPs) have
been heralded as promising targets for cancer therapy on the basis of
their massive up-regulation in malignant tissues and their unique
ability to degrade all components of the extracellular matrix.
Preclinical studies testing the efficacy of MMP suppression in tumor
models were so compelling that synthetic metalloproteinase inhibitors
(MPIs) were rapidly developed and routed into human clinical trials.
The results of these trials have been disappointing. Here we review the
studies that brought MPIs into clinical testing and discuss the design
and outcome of the trials in light of new information about the
cellular source, substrates, and mode of action of MMPs at different
stages of tumor progression. The important lessons learned from the MPI
experience may be of great value for future studies of MPIs and for
cancer drug development in general.
1 Department of Pathology and Cancer Research
Institute, University of California, 2340 Sutter Street, San Francisco,
CA 94143, USA.
2 Department of Cancer Biology,
Vanderbilt University, Nashville, TN 37232, USA.
*
To whom correspondence should be addressed. E-mail:
lynn.matrisian{at}vanderbilt.edu
Read the Full Text
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- Conditional Activation of RET/PTC3 and BRAFV600E in Thyroid Cells Is Associated with Gene Expression Profiles that Predict a Preferential Role of BRAF in Extracellular Matrix Remodeling..
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Cancer Res.
66, 6521-6529
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- Macrophage elastase (matrix metalloproteinase-12) suppresses growth of lung metastases..
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Cancer Res.
66, 6149-6155
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- Conflicting results from clinical observations and murine models: what is the role of plasminogen activators in tumor growth?.
- M. Narazaki and G. Tosato (2006)
J Natl Cancer Inst
98, 726-727
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- Protease specificity determination by using cellular libraries of peptide substrates (CLiPS).
- K. T. Boulware and P. S. Daugherty (2006)
PNAS
103, 7583-7588
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- Development of Selective Inhibitors and Substrate of Matrix Metalloproteinase-12.
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J. Biol. Chem.
281, 11152-11160
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- Pericellular Proteases in Angiogenesis and Vasculogenesis.
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Arterioscler. Thromb. Vasc. Biol.
26, 716-728
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- Tumor epithelial cell matrix metalloproteinase 9 is a target for antimetastatic therapy in colorectal cancer..
- W. J. Lubbe, Z. Y. Zhou, W. Fu, D. Zuzga, S. Schulz, R. Fridman, R. J. Muschel, S. A. Waldman, and G. M. Pitari (2006)
Clin. Cancer Res.
12, 1876-1882
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- Inhibitory Effects of Lycopene on the Adhesion, Invasion, and Migration of SK-Hep1 Human Hepatoma Cells..
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Experimental Biology and Medicine
231, 322-327
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- Matrix metalloproteinases in destructive pulmonary pathology.
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Thorax
61, 259-266
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- Relevance of matrix metalloproteinases and their inhibitors after myocardial infarction: A temporal and spatial window.
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Cardiovasc Res
69, 604-613
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- Atherosclerosis and proteinase activation.
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Cardiovasc Res
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- Pancreatic Cancer in Mice and Man: The Penn Workshop 2004.
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Cancer Res.
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- Matrix Metalloproteinase-9 from Bone Marrow-Derived Cells Contributes to Survival but not Growth of Tumor Cells in the Lung Microenvironment.
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- Involvement of Matrix Metalloproteinase Activity in Hormone-Induced Mammary Tumor Regression.
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Am. J. Pathol.
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- Matrix metalloproteinase-9 gene deletion facilitates angiogenesis after myocardial infarction.
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Am J Physiol Heart Circ Physiol
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- Blockade of the TGF-{beta} Superfamily by Smad7: Breaking a Link in the Metastatic Chain.
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J Natl Cancer Inst
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- Tumour matrilysin expression predicts metastatic potential of stage I (pT1) colon and rectal cancers.
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Gut
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- Unexpected Effect of Matrix Metalloproteinase Down-Regulation on Vascular Intravasation and Metastasis of Human Fibrosarcoma Cells Selected In vivo for High Rates of Dissemination.
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- Tumor Immunotherapy Targeting Fibroblast Activation Protein, a Product Expressed in Tumor-Associated Fibroblasts.
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Cancer Res.
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