Biological evolution is economical and successful fundamental processes are frequently recapitulated. There are remarkable similarities in the molecular mechanisms which enable tumour cells to invade into surrounding tissues and activated endothelial cells to generate new capillaries, which facilitate the growth and dissemination of cancer. Indeed these pathological processes are themselves based upon key vertebrate developmental processes, and in some cases parallel strategies used by microorganisms to colonise their hosts' tissues. The aim of this review is to explore these parallels in more detail and indicate possible pivotal points for therapeutic intervention. These novel approaches may ultimately optimise the selective targeting of processes involved in tumour invasion and angiogenesis, while sparing normal adult proliferating tissues. Strategies include inhibition of oncogenic pathways in tumour cells which not only stimulate tumour cell growth and invasion, but also initiate neoangiogenesis by upregulation of angiogenic cytokines. Secondly, downstream signalling pathways, transcriptional regulation and effectors common to both processes, and finally points of interaction/cross-talk between tumour cells and endothelial cells which are necessary to enable invasion and angiogenesis to proceed. +44-20-8722-4134. e-mail: sue.eccles@icr.ac.uk Abbreviations used in this paper: ADAM, adamalysin related membrane protease; APC, adenomatous polyposis coli; BM, basement membrane; BTC, betacellulin; COX-2, cyclo-oxygenase 2; FAK, focal adhesion kinase; FAP, familial adenomatous polyposis; FGF(R), fibroblast growth factor (receptor); GSK3, glycogen synthase kinase 3; HGF, hepatocyte growth factor; HIF, hypoxia inducible factor; HRG, heregulin; IL, interleukin; ILK, integrin linked kinase; iNOS, inducible nitric oxide synthase; MAPK, mitogen activated kinase; MIF, migration inhibitory factor; MMP, matrix metalloprotease; NSAID, non-steroidal anti-inflammatory drug; OPN, osteopontin; PAI-1, plasminogen activator inhibitor; PGE, prostaglandin E; PI3K, phosphatidylinositol 3 kinase; PTEN, phosphatase and tensin homologue; RTK, receptor tyrosine kinase; TGFα(β) (R), transforming growth factor α(β)(receptor); uPA(R), urokinase plasminogen activator (receptor); VEGF, vascular endothelial growth factor; VHL, von Hippel Lindau.
KEY WORDS: motility, proteolysis, signalling, angiogenesis, invasion
Parallels in invasion and angiogenesisTaking a reductionist approach, we can consider that both tumour invasion and capillary sprouting require that cells successfully manage the following challenges: survival in ectopic environments where normal anti-apoptotic signals may be lacking; overcoming the "default" position of quiescence in adult differentiated cells (G 0 ) and activation of proliferation; modification of adhesive interactions with the extracellular matrix and surrounding cells enabling tissue plasticity; acquisition of migratory capacity and ability to respond to chemokine gradients and other soluble or immob...