National Cancer Institute, www.cancer.gov
The Nation's Progress in Cancer Research: An Annual Report for 2003
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PROTEASE INHIBITOR COULD FORESTALL BONE METASTASES

A study in mice has shown the potential for a protease inhibitor called maspin to prevent metastatic bone tumors in prostate cancer. The research by Wayne State University scientists, including NCI grant recipient Shijie Sheng, Ph.D., marks a promising advance toward preventing the spread of human prostate cancer to bone. Bone metastases are the primary cause of pain and death from this common cancer.


 
Protein-cleaving enzymes called proteases are important for normal cell development, but their presence in unhealthy cells can promote tumor growth and spread. Proteases are "major contributors to cancer's morbid effects," says Suresh Mohla, Ph.D., chief of the Tumor Biology and Metastasis Branch in NCI's Division of Cancer Biology. Many researchers have studied protease inhibitors as a means to block bone metastasis, but maspin is one of the few to live up to hopeful expectations.

In the Wayne State University study, tumor cells engineered to make maspin did not form invasive tumors in human bone fragments implanted in mice. In striking contrast, cells that did not create maspin formed large tumors that destroyed all bone tissue in the mice. While the exact mechanism by which maspin stops bone metastasis is not yet clear, maspin is known to be a potent inhibitor of rokinase-type plasminogen activator, or uPA, a protease that leads to bone deterioration and invasive tumor growth.

"Maspin presents an exciting therapeutic potential for treatment and prevention of metastases" in cancers that invade the bone, such as tumors of the breast and prostate, explains NCI's Mohla. He points out, however, that significant challenges remain in translating these mouse studies into human use. For example, implanting maspin-producing cells into rodents is much less complex than devising a method to target all prostate tumor cells throughout a patient's body to produce the metastasis suppressor.


Cher Cher ML, Biliran HR Jr, Bhagat S, Meng Y, Che M, Lockett J, Abrams J, Fridman R, Zachareas M, Sheng S. Maspin expression inhibits osteolysis, tumor growth, and angiogenesis in a model of prostate cancer bone metastasis. Proceedings of the National Academy of Sciences, June 24, 2003; 100(13):7847-7852. http://www.pnas.org/cgi/reprint/100/13/7847.pdf

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