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Matrix metalloproteinases in the pathophysiology and progression of gynecological malignancies: could their inhibition be an effective therapeutic approach?

机译:基质金属蛋白酶在妇科恶性肿瘤的病理生理和进展中的作用:它们的抑制作用可能是一种有效的治疗方法吗?

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BACKGROUND: MMPs are a group of zinc-dependent endopeptidases implicated in the degradation of extracellular matrix components. Angiogenesis, wound healing and tissue remodeling are the main processes in which MMPs have been implicated. MMPs also seem to play a role in the pathophysiological processes during tumorigenesis and are thought to have predictive value for clinical outcome. Alterations in the regulation of MMP expression are considered to be of significant importance in the development and progression of gynecological malignancies. OBJECTIVES/METHODS: This study provides a literature review on the involvement of MMPs in the development and progression of gynecological malignancies, their clinical significance and the potential use of natural and/or synthetic MMP Inhibitors (MMPIs) as a more targeted therapeutic approach to these neoplasms. RESULTS/CONCLUSIONS: There is mounting evidence that MMPs play an important role in development and progression of gynecological malignancies. Current results provide the basis for further investigation of their role in malignancies, the therapeutic potential of their inhibition and the side-effects that can be expected from the modulation of matrix remodeling during therapeutic intervention. Focused research on the combination of MMPIs with cytotoxic and/or antiangiogenic compounds might provide the key to more successful therapeutic approaches towards gynecological and other malignancies.
机译:背景:MMPs是一组锌依赖性内肽酶,与细胞外基质成分的降解有关。血管生成,伤口愈合和组织重塑是涉及MMP的主要过程。 MMP在肿瘤发生期间的病理生理过程中似乎也起作用,并且被认为对临床结果具有预测价值。 MMP表达调节的改变被认为在妇科恶性肿瘤的发生和发展中具有重要意义。目的/方法:本研究提供了有关MMPs在妇科恶性肿瘤的发生和发展中的作用,其临床意义以及天然和/或合成MMP抑制剂(MMPIs)作为针对这些疾病的更有针对性的治疗方法的文献综述。肿瘤。结果/结论:越来越多的证据表明MMP在妇科恶性肿瘤的发生和发展中起重要作用。目前的结果为进一步研究其在恶性肿瘤中的作用,其抑制作用的治疗潜力以及治疗干预期间基质重塑的调节所预期的副作用提供了基础。 MMPI与细胞毒性和/或抗血管生成化合物结合的集中研究可能为更成功的妇科和其他恶性肿瘤治疗方法提供关键。

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