Cited by 145Protease and Inhibitor MechanismsBlood Coagulation and Thrombosis MechanismsTGF-β signaling in diseases

The urokinase-type plasminogen activator (uPA) system as a biomarker and therapeutic target in human malignancies

Su, Shih-Chi, Lin, Chiao-Wen, Yang, Wei-En, Fan, Wen-Lang, Yang, Shun-Fa·2016·Expert Opinion on Therapeutic Targets

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.

Integrity signals

Registry

Crossref · 10.1517/14728222.2016.1113260

Cites

176 of 176 references verified0 citation errors · 0 not checkable

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • 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
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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