Chemically modified tetracyclines as inhibitors of matrix metalloproteinases
Introduction
There is strong evidence that matrix metalloproteinases (MMPs), a family of enzymes that function to degrade the extracellular matrix (ECM), play a significant role in tumor invasion and metastasis. MMPs are present in healthy individuals, and have been shown to be involved in various physiological and pathological processes. Regulation of MMP gene expression in normal tissues is tightly controlled to limit its biological activity. This activity control is lost in malignancy, and MMPs participate in tumor invasion and metastasis as a result of their capacity to degrade the ECM and regulate angiogenesis (Chambers and Matrisian, 1997, Liotta and Stetler-Stevenson, 1990). Two gelatinases, MMP-2 and MMP-9, which degrade basement membrane type IV collagen and appear essential for cellular invasion, are frequently co-expressed in human cancers. In addition, these enzymes have been associated with the progression of disease in a number of malignancies, including breast, colorectal, gastric, pancreatic and non-small cell lung (NSCL) cancers (Basset et al., 1993, David et al., 1994, Hewitt et al., 1991, Ray and Stetler-Stevenson, 1994, Taniguchi et al., 1992). Previous review articles have described the role of MMP and development of MMP inhibitors in extensive detail. Here, we provide an overview of recent advances in development of tetracycline derivatives as potential inhibitors of MMPs, which have shown promising preclinical and early clinical results.
Section snippets
Matrix metalloproteinases
The MMPs were originally described as the enzymes responsible for dissolution of the tadpole tail. Subsequent studies have shown that MMPs belong to a family of zinc-dependent neutral endopeptidases, which are involved in the degradation of the ECM, an important feature in many normal and abnormal biological conditions (Kleiner and Stetler-Stevenson, 1999, Hidalgo and Eckhardt, 2001, Nagase and Frederick-Woessner, 1999). Apart from the primary function of remodeling the ECM, MMPs have been
MMP inhibitors (MMPIs)
As has been evident from pre-clinical and clinical data, if the MMPs have a pivotal role in the process of invasion, metastasis and cancer progression, then the pharmacologic inhibition of MMP activity may be of therapeutic benefit to patients with cancer. As outlined in Fig. 1, there are several potential targeting strategies, which could be employed for reducing MMP activity, particularly at stages of transcription from MMP gene to MMP mRNA and during translation of mRNA into pro-MMP during
Tetracyclines
Tetracyclines (TC), apart from their established role as classical antibiotics, have been shown to inhibit connective tissue breakdown by multiple non-antimicrobial mechanisms. The original research directed towards explaining how diabetes increases the severity of periodontal diseases, led to the conclusion that diabetes produces a cascade of abnormalities in collagen metabolism in periodontal and other tissues, including enhanced collagen breakdown, suppressed intracellular collagen
Chemically modified tetracyclines
In a series of in vitro experiments addressing mechanisms, Golub and co-workers investigated the specificity of anti-collagenolytic activity of TCs and located the site on the TC molecule responsible for the host-modulating, non-antimicrobial properties (Golub et al., 1987, Golub et al., 1991, Golub et al., 1992a, Golub et al., 1992b, Golub et al., 1998). Regarding the site of the TC molecule responsible for its anti-MMP activity, these investigators produced the first series of chemically
Development of other CMTs
Newer analogues of CMTs are being identified and assays are being developed to optimize the screening and selection of these compounds (Lokeshwar et al., 2001, Llavaneras et al., 2001). Zymographic analysis has been the most widely used method due to its specificity and has been employed for identifying MMPs from tissue extracts in various studies. This method can be exploited in a way to make it more quantitative by utilizing imaging techniques and can be useful in early screening of various
Resistance to MMPIs
Hosts play different roles in metastasis and molecular pathways in tumor cells are not always equivalent at different metastatic sites. The influence of TGF-beta and chemokines and associated signaling pathways, including the phosphoinositide 3-kinase (PI3K/Akt) pathway, that influence activity of MMP-2, need to be clearly understood as all these may indirectly adversely affect any therapeutic success. It has been shown that blockade of the release of soluble tumor necrosis factor-alpha (TNF-α)
Conclusions and future directions
The MMPs are a large and diverse group of enzymes whose functions in cancer are still emerging. One of the important future prospects is to address the disparity between the MMPs as to why are there so many; is it redundancy or is it because they have different substrates, regulation, tissue expression and biological activity? Should inhibitors that act only on specific MMPs be developed for treatment of cancer? Further exploring these issues would help define a better target for particular
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