2014
DOI: 10.1002/med.21308
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Involvement of Urokinase‐Type Plasminogen Activator System in Cancer: An Overview

Abstract: Currently, there are several studies supporting the role of urokinase-type plasminogen activator (uPA) system in cancer. The association of uPA to its receptor triggers the conversion of plasminogen into plasmin. This process is regulated by the uPA inhibitors (PAI-1 and PAI-2). Plasmin promotes degradation of basement membrane and extracellular matrix (ECM) components as well as activation of ECM latent matrix metalloproteases. Degradation and remodeling of the surrounding tissues is crucial in the early step… Show more

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Cited by 126 publications
(113 citation statements)
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References 300 publications
(334 reference statements)
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“…The uPA system comprises uPA; its receptor, uPAR; substrate molecules, such as plasminogen; and the inhibitory factors, plasminogen activator inhibitor types 1 and 2. It is the major enzyme system involved in degradation of the extracellular matrix and in cell-mediated transfer in the body, under physiological or pathological conditions (3). Furthermore, uPA is involved in tissue remodeling, cell migration and tumor metastasis.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The uPA system comprises uPA; its receptor, uPAR; substrate molecules, such as plasminogen; and the inhibitory factors, plasminogen activator inhibitor types 1 and 2. It is the major enzyme system involved in degradation of the extracellular matrix and in cell-mediated transfer in the body, under physiological or pathological conditions (3). Furthermore, uPA is involved in tissue remodeling, cell migration and tumor metastasis.…”
Section: Introductionmentioning
confidence: 99%
“…uPA and uPAR are predominantly expressed in blood cells, including neutrophils, monocytes, macrophages and activated T cells, and are hypothesized to be important for the ability of these cells to degrade fibrin, and to extravasate and migrate during an inflammatory response (6). A recent study demonstrated that malignant plasma cells may express uPA and uPAR, and the initiation of proteolytic events by this system may contribute to the process of invasion and destruction of the bone marrow by myeloma cells (3). This type of interaction is an important biological process, which may affect the degradation of marrow, stromal infiltration of plasma cells and the patient's clinical condition.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, several reports have been indicated that PAI-2 encourages cancer cell growth by inhibiting apoptosis and the high expression of PAI-2 was found in cervical, oral, colon and lung cancers. 34,35) PAI-1 can potentially influence cells motility at several levels by competing with uPAR and intergrins to bind vitronectin which promotes the cells ability to detach from ECM. 36) Furthermore, a down regulation in the expression of PAI-1 in MDA-MB-231 cells was associated with an inhibition of the cell invasion.…”
Section: Discussionmentioning
confidence: 99%
“…The uPA system is causally involved in multiple steps of breast cancer progression, including ECM remodeling, increased cell proliferation and migration, and modulating cell adhesion 31. Therefore, it is not surprising that uPA in primary breast cancer is independently associated with adverse outcome 32.…”
Section: The Urokinase Plasminogen Activator (Upa) Systemmentioning
confidence: 99%