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Tumorigenesis,
Phenotypic Reversion, and Dormancy
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The
Microenvironment as a Carcinogen
Recent Publications Bissell MJ, Radisky D. Putting tumours
in context. Radisky D, Muschler J, Bissell MJ. Order and disorder: the role of extracellular matrix in epithelial cancer. Cancer Invest. 2002;20(1):139-53 Sternlicht MD, Bissell MJ, Werb Z. The matrix metalloproteinase stromelysin-1 acts as a natural mammary tumor promoter. Oncogene. 2000 Feb 21;19(8):1102-13. Lochter A, Werb Z, Bissell
MJ. Transcriptional regulation of stromelysin-1 gene expression is altered
during progression of mouse mammary epithelial cells from functionally
normal to malignant. Matrix
Biol. 1999 Oct;18(5):455-67. Sternlicht MD, Lochter A,
Sympson CJ, Huey B, Rougier JP, Gray JW, Pinkel D, Bissell MJ, Werb Z.
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While normal stroma can delay or prevent tumorigenesis, abnormal stromal components can promote tumor growth. Acquired or inherited mutations that alter stromal cell function can release the context-suppressed malignant cells. Literature spanning more than a century has shown that inflammation associated with tissue wounding can produce tumours. Matrix metalloproteinases
(MMPs) can degrade ECM and are involved in promoting the inflammatory
response, normal tissue remodelling, wound healing and angiogenesis. These
enzymes also play an important role in malignancy, however. The sustained
presence of these proteases in the tumor environment, produced both by
the activated cells and by the cancer cells themselves, leads to destruction
of normal ECM. Degradation of ECM stimulates both proliferative and apoptotic
mechanisms, which can lead to the selection of apoptosis-resistant carcinoma
cells and enhanced invasive potential. In the tumor context, direct association
of MMPs with specific ECM receptors provides spatial control of MMP activity
and directional signals to the invading tumor cells44.
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