The urokinase-type plasminogen activator (uPA) system as a biomarker and therapeutic target in human malignancies
Abstract
INTRODUCTION: The urokinase plasminogen activator (uPA) system, comprising the serine protease uPA, its cognate receptor, uPAR, and two endogenous inhibitors, plasminogen activator inhibitor-1 (PAI-1) and plasminogen activator inhibitor-2 (PAI-2), is a key player in the break-down of extracellular matrix (ECM) and basement membrane. Elevated expression of uPA and uPAR is observed in numerous cancer types and associated with poor prognosis. AREAS COVERED: In addition to the aberrant expression during tumor development, the components of uPA system are functionally involved in various processes that are prerequisite for cancer progression. These processes include, but not limited to, ECM degradation, angiogenesis, cell proliferation, adhesion, migration and epithelial-mesenchymal transition. All of these findings implicate uPA system as a target for cancer treatment. Thus, therapeutic agents and approaches to targeting the constituents of uPA system, mainly at their expression level and biological activities, have been extensively used in antineoplastic investigations. EXPERT OPINION: Because of promising results obtained from previous preclinical studies, several clinical trials aimed at inhibiting the expression or function of uPA/uPAR have been completed or are ongoing. In these trials, favorable outcomes in reducing metastatic spread and extending the lifespan of cancer patients have been reported, and no severe adverse events were observed.
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Unlike normal tissues, uPA and uPAR levels are constitutively increased in majority of cancer types.
“Unlike normal tissues, uPA and uPAR levels are constitutively increased in majority of cancer types.153,154”
From Smart nanoparticles for cancer therapy (2023) · cites this paper as [154]
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- Authors
- Su, S.-C., Lin, C.-W., Yang, W.-E., Fan, W.-L., & Yang, S.-F.
- Affiliations
- Chang Gung Memorial Hospital (TW)
- Chung Shan Medical University Hospital (TW)
- Chung Shan Medical University (TW)
- Corresponding author
- Yang, Shun-Fa
- Venue
- Expert Opinion on Therapeutic Targets
- Publisher
- Informa UK Limited
- Published
- 2015-12-14
- Volume
- 20
- Issue
- 5
- Pages
- 551-566
- ISSN
- 1472-8222 (ISSN-L)
- 1744-7631
- OpenAlex
- W2220539909
- Cited by
- 145
- References
- 176
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 7 · 2023: 21 · 2022: 19 · 2021: 16 · 2020: 14 · 2019: 13 · 2018: 17 · 2017: 23 · 2016: 4
- FWCI
- 1.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Opinion on Therapeutic Targets (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › TGF-β signaling in diseases
- Keywords
- urokinase, uPAR, plasminogen activator inhibitor-1, plasminogen activator inhibitor-2, uPA system, tumor markers, cancer therapy, extracellular matrix degradation, basement membrane, angiogenesis, epithelial-mesenchymal transition, metastasis, cell migration, cell adhesion, cell proliferation, clinical trials
- MeSH terms
- Animals, Humans, Neoplasms, Biomarkers, Tumor, Urokinase-Type Plasminogen Activator
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