Inhibition of tumor angiogenesis by tumstatin: insights into signaling mechanisms and implications in cancer regression.
"Sudhakar A1, Boosani CS.Growing tumors develop additional new blood vessels to meet the demand for adequate nutrients and oxygen, a process called angiogenesis. Cancer is a highly complex disease promoted by excess angiogenesis; interfering with this process poses for an attractive approach for controlling tumor growth. This hypothesis led to the identification of endogenous angiogenesis inhibitors generated from type IV collagen, a major component of vascular basement membrane (VBM). Type IV collagen and the angiogenesis inhibitors derived from it are involved in complex roles, than just the molecular construction of basement membranes. Protease degradation of collagens in VBM occurs in various physiological and pathological conditions and produces several peptides. Some of these peptides are occupied in the regulation of functions conflicting from those of their original integral molecules. Tumstatin (alpha3(IV)NC1), a proteolytic C-terminal non-collagenous (NC1) domain from type IV collagen alpha3 chain has been highlighted recently because of its potential role in anti-angiogenesis, however its biological actions are not limited to these processes. alpha3(IV)NC1 inhibits proliferation by promoting endothelial cell apoptosis and suppresses diverse tumor angiogenesis, thus making it a potential candidate for future cancer therapy. The present review surveys the physiological functions of type IV collagen and discovery of alpha3(IV)NC1 as an antiangiogenic protein with a comprehensive overview of the knowledge gained by us towards understanding its signaling mechanisms."
Tumstatin, the NC1 domain of alpha3 chain of type IV collagen, is an endogenous inhibitor of pathological angiogenesis and suppresses tumor growth.
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Angiogenesis,
the formation of new blood vessels, is required for physiological
development of vertebrates and repair of damaged tissue, but in the
pathological setting contributes to progression of cancer. During tumor
growth, angiogenesis is supported by up-regulation of angiogenic
stimulators (pro-angiogenic) and down-regulation of angiogenic
inhibitors (anti-angiogenic). The switch to the angiogenic phenotype
(angiogenic switch) allows the tumors to grow and facilitate metastasis.
The bioactive NC1 domain of type IV collagen
alpha3 chain, called tumstatin, imparts anti-tumor activity by inducing
apoptosis of proliferating endothelial cells. Tumstatin binds to
alphaVbeta3 integrin via a mechanism independent of the RGD-sequence
recognition and inhibits cap-dependent protein synthesis in the
proliferating endothelial cells. The physiological level of tumstatin is
controlled by matrix metalloproteinase-9, which most effectively
cleaves it from the basement membrane and its physiological
concentration in the circulation keeps pathological angiogenesis and
tumor growth in check. These findings suggest that tumstatin functions
as an endogenous inhibitor of pathological angiogenesis and functions as
a novel suppressor of proliferating endothelial cells and growth of
tumors."