2021
DOI: 10.3390/ijms222413545
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KLK3 in the Regulation of Angiogenesis—Tumorigenic or Not?

Abstract: In this focused review, we address the role of the kallikrein-related peptidase 3 (KLK3), also known as prostate-specific antigen (PSA), in the regulation of angiogenesis. Early studies suggest that KLK3 is able to inhibit angiogenic processes, which is most likely dependent on its proteolytic activity. However, more recent evidence suggests that KLK3 may also have an opposite role, mediated by the ability of KLK3 to activate the (lymph)angiogenic vascular endothelial growth factors VEGF-C and VEGF-D, further … Show more

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Cited by 8 publications
(18 citation statements)
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References 119 publications
(162 reference statements)
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“…Serum PSA level aids in the detection and follow-up of prostatic cancer. KLK3 gene alternative splicing results in many transcript variants that each encode a different isoform [12].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Serum PSA level aids in the detection and follow-up of prostatic cancer. KLK3 gene alternative splicing results in many transcript variants that each encode a different isoform [12].…”
Section: Discussionmentioning
confidence: 99%
“…Serum PSA level aids in the detection and follow-up of prostatic cancer. KLK3 gene alternative splicing results in many transcript variants that each encode a different isoform [12]. KLK3 could affect risk of dermatophytosis, since kallikreins are necessary for normal homeostasis of the skin.…”
Section: Discussionmentioning
confidence: 99%
“…9,[54][55][56][57] The physiological function of KLK3, and probably also of other major prostatic KLKs, is to promote sperm motility by cleaving semenogelins, thereby dissolving the seminal clot formed after ejaculation. 71 Several KLKs have also been suggested to promote or inhibit tumor growth and metastasis 9,[54][55][56][57]72,73 (Figure 1). These functions may be mediated via proteolytic cascades 74,75 or directly, for example, by activation of protease-activated receptors (PARs), which are G-protein coupled receptors, or other cell surface or secreted proteins.…”
Section: Proteases In Prostate Cancermentioning
confidence: 99%
“…85,86 As tumors need to establish blood circulation in order to grow beyond microscopic size, the slow growth of many prostate cancers has been proposed to be dependent on this antiangiogenic activity of KLK3. 54,73,84 However, KLK3 was recently found to activate vascular endothelial growth factor-C (VEGF-C) and VEGF-D, which may support angiogenesis and tumor growth. 73,77 These observations are not necessarily in conflict, since KLK3-activated VEGF-C is lymphangiogenic rather than angiogenic, and the overall effect of KLK3 is likely dependent on several different factors, including expression of different VEGFs and other (anti)angiogenic factors, along with their activating proteases.…”
Section: Proteases In Prostate Cancermentioning
confidence: 99%
“…Proteases are excellent biomarkers in PCa as about half of the human proteases are expressed in the prostate gland [ 100 ]. KLK3 , encoding PSA, is one of the members of the kallikrein-related peptidase family, and it is highly expressed in the prostate [ 101 ]. In addition to its widespread role in PCa diagnosis, KLK3 is involved in the progression of tumors towards metastasis by supporting cell proliferation and angiogenesis [ 102 ].…”
Section: Tissue Prostate Cancer Biomarkersmentioning
confidence: 99%