Cited by 44Protease and Inhibitor MechanismsPeptidase Inhibition and AnalysisBlood Coagulation and Thrombosis Mechanisms

The Urokinase Receptor (uPAR) as a “Trojan Horse” in Targeted Cancer Therapy: Challenges and Opportunities

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Metrangolo, Virginia, Ploug, Michael, Engelholm, Lars H.·2021·Cancers

Abstract

One of the largest challenges to the implementation of precision oncology is identifying and validating selective tumor-driving targets to enhance the therapeutic efficacy while limiting off-target toxicity. In this context, the urokinase-type plasminogen activator receptor (uPAR) has progressively emerged as a promising therapeutic target in the management of aggressive malignancies. By focalizing the plasminogen activation cascade and subsequent extracellular proteolysis on the cell surface of migrating cells, uPAR endows malignant cells with a high proteolytic and migratory potential to dissolve the restraining extracellular matrix (ECM) barriers and metastasize to distant sites. uPAR is also assumed to choreograph multiple other neoplastic stages via a complex molecular interplay with distinct cancer-associated signaling pathways. Accordingly, high uPAR expression is observed in virtually all human cancers and is frequently associated with poor patient prognosis and survival. The promising therapeutic potential unveiled by the pleiotropic nature of this receptor has prompted the development of distinct targeted intervention strategies. The present review will focus on recently emerged cytotoxic approaches emphasizing the novel technologies and related limits hindering their application in the clinical setting. Finally, future research directions and emerging opportunities in the field of uPAR targeting are also discussed.

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Crossref · 10.3390/cancers13215376

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  • HER2-targeted radioimmunotherapy results in tumor regression and prolonged survival in HER2-positive breast cancer.

    “Radiopharmaceutical case studies vividly illustrate instances where this approach resulted in tumor regression and prolonged survival, underscoring the promise of such tailored strategies [97].”

    From Radiopharmaceuticals: navigating the frontier of precision medicine and therapeutic innovation (2024) · cites this paper as [97]

    Section 3.1 (page unavailable) reports complete tumor regression after radioimmunotherapy in triple-negative breast cancer mouse models, but the treatment targeted uPAR, not HER2. The prolonged metastatic-free survival reported in the same section was in a separate prostate cancer mouse model; the copy does not report prolonged survival for the breast cancer model. (LLM, conf=0.90)

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1 of the 267 references couldn’t be matched to a known paper.

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  1. [174]Chandramohan V. Sampson J.H. Pastan I.H. Bigner D.D. Chapter 10-Immunotoxin Therapy for Brain Tumors Translational Immunotherapy of Brain Tumors Sampson J.H. Academic Press San Diego, CA, USA 2017 227 260

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Authors
Metrangolo, V., Ploug, M., & Engelholm, L. H.
Affiliations
University of Copenhagen (DK)
Corresponding author
Engelholm, Lars H.
Venue
Cancers
Publisher
MDPI AG
Published
2021-10-27
Volume
13
Issue
21
Pages
5376
ISSN
2072-6694 (ISSN-L)
OpenAlex
W3209572831
Cited by
44
References
267
Citations by year
2026: 4 · 2025: 11 · 2024: 8 · 2023: 11 · 2022: 10
FWCI
0.87
Type
journal article
Language
en
Open access
Locations
  • Cancers (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska Curie (801481)
  • Danish Cancer Society (R231-A13832)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
  • Health Sciences › Medicine › Oncology › Peptidase Inhibition and Analysis
  • Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
Keywords
urokinase-type plasminogen activator receptor, uPAR, targeted cancer therapy, precision oncology, plasminogen activation, extracellular matrix degradation, metastasis, cell migration, off-target toxicity, prognostic factors

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