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Query: UMLS:C0699790 (
colon cancer
)
28,837
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Recent progress in elucidating the complex and heterogeneous interactions between malignancy and coagulation or fibrinolysis reactions in humans has clarified the pathogenesis of disseminated intravascular coagulation that occurs with malignancy and has revealed evidence for two distinct pathways of growth regulation based on production by tumor cells of initiators of thrombin formation versus plasminogen activators. We have proposed a preliminary classification of tumors (see Table 2) based on these interactions. Type I tumors are those in which the tumor cells are associated with an intact coagulation pathway that leads to thrombin formation at the tumor periphery but in which the tumor cells lack
u-PA
. Examples of tumors in this category include SCCL, malignant melanoma, and renal cell carcinoma. Type II tumors are those in which the tumor cells express
u-PA
but lack an associated coagulation pathway leading to thrombin formation. Examples of type II tumors include prostate cancer,
colon cancer
, breast cancer, and N-SCLC. Type III tumors are those that express neither of these pathways, or exhibit some other pattern of interaction. Obviously, this formulation must be regarded as hypothetical. However, this concept fits with the limited data available to date from clinical trials. More importantly, this hypothesis can be tested further by means of intervention aimed at interrupting pathways relevant to specific tumor types. Characterization of additional tumor types by the methods described should permit amplification of this classification of tumors and other patterns of interaction may be defined. Exploration of the coagulation-cancer interaction holds considerable promise for gaining new understanding of both the coagulation mechanism and tumor biology. Most intriguing is the prospect that imaginative approaches to cancer treatment may be devised that are not only relatively nontoxic and low cost, but also effective.
...
PMID:Pathways of coagulation/fibrinolysis activation in malignancy. 157 11
There is increasing evidence that
urokinase
secreted by tumor cells can be bound to a cell surface receptor retaining its full potential to activate plasminogen and subsequently cleave basement membrane constituents. This study was undertaken to discriminate between soluble and cell surface bound
urokinase
as a potential mediator of in vitro invasion by cultured
colon cancer
. Extracellular matrix invasion by a
colon cancer
cell line GEO, characterized as being a poor secretor of
urokinase
and having few receptors (less than 10(4) receptors/cell) was not augmented when these cells were made to secrete up to 8 times as much
urokinase
, in response to an exogenous
urokinase
gene driven by the Rous sarcoma virus long terminal repeat promoter. The majority of the plasminogen activator (greater than 95%) appeared in the culture medium, this reflecting the low numbers of binding sites displayed by GEO cells. In contrast, the cell line HCT 116 equipped with 10 times as many binding sites, (greater than 10(5)/cell), the majority of which are occupied with endogenous ligand, was an efficient invader of the extracellular matrix. Inhibition of
urokinase
binding to the cell surface receptors using an antibody to the A chain of the plasminogen activator reduced invasion by 65%. The cell line RKO is equipped with 3 x 10(5) receptors/cell, 15% of which are tagged with endogenous
urokinase
. Pretreatment of these cells with a concentration range of
urokinase
known to result in the majority of these binding sites being charged with the plasminogen activator led to a dose dependent increase in extracellular matrix invasion. Together, these data suggest that for cultured
colon cancer
, at least, invasion is a function of the amount of cell surface receptor bound
urokinase
.
...
PMID:Role of the urokinase receptor in facilitating extracellular matrix invasion by cultured colon cancer. 164 43
Human colon adenocarcinomas and adjacent normal colon tissues were stained immunohistochemically with three different monoclonal antibodies and one preparation of polyclonal antibodies against each of the two plasminogen activators,
uPA
(
urokinase
type) and tPA (tissue type). The staining patterns seen with the respective sets of antibodies were identical. In all of 10 cases, staining for
uPA
in the normal colon tissue was confined to scattered fibroblastlike cells in the lamina propria. Other cells, including epithelial and endothelial cells, were
uPA
negative. All the tumor infiltrates contained many more
uPA
-positive cells than the normal tissues, but the staining was confined to fibroblastlike cells and endothelial cells in the tumor stroma, while no staining of the malignant epithelial cells was detected. Analysis for
uPA
by enzyme-linked immunosorbent assay (ELISA) in four cases showed an average
uPA
content of 0.15 ng
uPA
/mg protein in the normal colon tissues and 1.6 ng
uPA
/mg protein in the tumors. Tissue-type plasminogen activator immunoreactivity was confined to endothelial cells in both the normal colon tissue and in the colon carcinomas. These findings may indicate that
colon cancer
cells recruit stromal cells to produce
uPA
involved in degradation of the extracellular matrix during invasive growth.
...
PMID:Localization of urokinase-type plasminogen activator in stromal cells in adenocarcinomas of the colon in humans. 170 28
Fourteen human colon adenocarcinomas were examined by in situ hybridization for the presence of mRNA for plasminogen activator inhibitor type 1 (PAI-1). All specimens contained PAI-1 mRNA in endothelial cells of some vessels in the stroma immediately surrounding the invasive tumor glands, in granulation tissue, and in some capillaries located under the free luminal surface of carcinomatous epithelium. In addition, a limited number of stromal cells in the cancerous areas located at the periphery of newly formed capillary networks, and presumably representing sprouting endothelial cells, contained PAI-1 mRNA. Cancer cells were devoid of detectable PAI-1 mRNA in all cases. PAI-1 mRNA was not seen in three biopsies of normal colon. Together with previous findings of
urokinase-type plasminogen activator
and its mRNA being located in fibroblast-like cells in the tumor stroma and mRNA for the
urokinase
receptor in the cancer cells at invasive foci, these results indicate a complex cooperativity among several cell types in regulation of plasminogen activation in
colon cancer
. A possible role of PAI-1 in protecting the extracellular matrix in the tumor tissue against degradation and a role in tumor-induced angiogenesis are discussed.
...
PMID:The plasminogen activation system in human colon cancer: messenger RNA for the inhibitor PAI-1 is located in endothelial cells in the tumor stroma. 185 21
Isotopically labeled [( 3H]serine, [3H]proline, and [35S]sulfate) subendothelial cell basement membranes were used to determine the role of
urokinase plasminogen activator
(
uPA
) and its specific inhibitor plasminogen activator inhibitor 2 (PAI-2) in
colon cancer
cell extracellular matrix degradation. Recombinant PAI-2 irreversibly inhibited low and high molecular weight purified human
uPA
in addition to both
colon cancer
cell-associated and secreted
uPA
, particularly if pro-
uPA
had been preactivated. Two selected lines (COLO394 and LIM1215) preferentially degraded differently labeled matrices in a time- and plasminogen-dependent manner. This process was inhibitable by PAI-2 in the medium at levels which suggested that some degree of "shielding" of cell surface
uPA
from inhibitor occurred. The ability of PAI-2 to regulate the invasive phenotype of cells which express cell surface or receptor-bound
uPA
is discussed.
...
PMID:Inhibition of cancer cell urokinase plasminogen activator by its specific inhibitor PAI-2 and subsequent effects on extracellular matrix degradation. 211 45
Several
urokinase
-expressing tumor cells display surface receptors that avidly bind the plasminogen activator. The present study was undertaken to determine the importance of receptor bound
urokinase
in promoting the invasive phenotype by cultured
colon cancer
cells. An HCT 116 cell line that elaborates
urokinase
and displays 11 x 10(4) receptors per cell, 57% of which are tagged with endogenous plasminogen activator, invaded extracellular matrix (Matrigel) in a plasminogen dependent manner. Matrigel invasion was contingent on plasmin production mediated by
urokinase
, since epsilon-aminocaproic acid diminished the invasive capacity of the HCT 116 cells by 75%. A specific
urokinase
receptor peptide-antagonist reduced cell invasion in a dose dependent manner with a maximum effect (78% reduction in tumor cell infiltration) being achieved with a 10(-4) M concentration. These results did not reflect a non-specific "shut down" of
urokinase
expression by the receptor antagonist insofar as steady state
urokinase
transcript levels were unchanged compared with untreated controls. In addition, LH-RH, a control peptide, failed to suppress Matrigel invasion by HCT 116 cells. The CBS and FET
colon cancer
cell lines, which secrete amounts of
urokinase
similar to HCT 116 cells and display one tenth of the receptor number were found to be poorly invasive. Over a three day period, less than 0.8% of these cells invaded the Matrigel in contrast to the 6.9% seen for HCT 116 cells. These data suggest that for cultured
colon cancer
cells, at least, the display of receptor bound
urokinase
was a prerequisite for plasminogen dependent invasion.
...
PMID:Invasion of extracellular matrix by cultured colon cancer cells: dependence on urokinase receptor display. 216 13
This laboratory recently reported that laminin degradation by cultured
colon cancer
was plasminogen dependent and reflected the presence of
urokinase
bound to cell surface receptors. (Schlecte, W.; Murano, G.; Boyd D. Cancer Res., 49:6064-6069; 1989). The present study was undertaken to determine the sensitivity of
urokinase
receptor directed proteolysis to the type I plasminogen activator inhibitor (PAI-1).
Colon cancer
cell types, that were highly effective in degrading laminin in vitro, elaborated into their conditioned medium an inhibitor which was indistinguishable from PAI-1 on the basis of its performance in reverse zymography, western blotting, and immunoprecipitation assays. A fraction of this PAI-1 was active, as evidenced by complex formation with the active site of radioactive
urokinase
. Laminin degradation by the
colon cancer
cells, however, did not appear to be affected by the endogenous inhibitor, since an antibody to the inhibitor, which blocked
urokinase
-PAI-1 interactions, had little effect on laminin turnover. Further, addition of exogenous PAI-1, activated by guanidine hydrochloride pretreatment, to the
colon cancer
cells did not perturb laminin degradation. Because laminin degradation by colonic cells was a function of receptor bound
urokinase
, presumably immobilized plasminogen activator escaped the neutralizing effect of the inhibitor. These data suggest either a shielding effect of the receptor on the plasminogen activator or a physical separation of activator and inhibitor. Either way, for cultured
colon cancer
at least, laminin degradation directed by
urokinase
receptor bound plasminogen activator appeared unaffected by the presence of this inhibitor.
...
PMID:Insensitivity of laminin degradation directed by receptor bound urokinase to PAI-1 in cultured colon cancer. 239 Apr 19
The expression of the plasminogen activator, urokinase, and the display of its receptor in response to growth factors were examined in a serum-free adapted
colon cancer
cell line, CBSsf. Cells propagated in protein-free medium secreted 6.5 +/- 1.0 ng/ml of
urokinase
/10(6) cells in a 3-day period as determined by enzyme-linked immunosorbent assay. Inclusion of insulin or transferrin into the protein-free medium was without effect on this parameter. However, addition of epidermal growth factor (EGF) to the protein-free medium resulted in a 50% reduction in this parameter. This change was also reflected in the plasminogen-dependent solubilization of immobilized radioactive laminin. Plasminogen-supplemented conditioned medium derived from CBSsf cells grown in protein-free medium solubilized 135,000 +/- 25,000 dpm/10(6) cells of radioactive substrate. This value was decreased to 59,000 +/- 6,000 when conditioned medium was collected in the presence of EGF. Dose-response curves indicated that, while 0.5 ng/ml of EGF were suboptimal for the suppression of
urokinase
secretion, a concentration of 5.0 ng/ml had a maximum effect on this measurement. Northern hybridization studies indicated that the reduced plasminogen activator reflected, at least in part, translation of a less abundant transcript. Examination of the colon carcinoma cell line for altered
urokinase
receptor display revealed that EGF caused a dose-dependent increase in the amount of radioactive
urokinase
bound. This did not reflect reduced occupation of binding sites with endogenous ligand. Scatchard manipulation of the binding data indicated that the increased amount of radioactive plasminogen activator bound to cells cultured with EGF reflected an increase in receptor number from 7,500 to 13,000 sites/cell. Time course studies revealed that the decrease in
urokinase
secretion precedes changes in receptor display by 5 h. A 60% reduction in assayable
urokinase
was demonstrated in the conditioned medium from cells treated with the growth peptide for 10 h. However, a 24-h period was required to observe an increase (80%) in the amount of radioligand bound to EGF-treated cells. These data suggest EGF to be a regulator of both
urokinase
production and
urokinase
receptor display in a
colon cancer
cell line.
...
PMID:Examination of the effects of epidermal growth factor on the production of urokinase and the expression of the plasminogen activator receptor in a human colon cancer cell line. 253 3
The relevance of
urokinase
receptors to
urokinase
-mediated laminin degradation was investigated in cultured
colon cancer
. Six
colon cancer
cell lines degraded laminin in a plasminogen-dependent manner. The ability of the individual cell lines to cleave the glycoprotein correlated well (r2 = 0.9242) with the amount of
urokinase
recovered from the cell surface by a mild acid treatment. A radioreceptor assay indicated that
colon cancer
cells most active in degrading the laminin, possessed the largest number of
urokinase
receptors. Moreover, acid treatment which depletes the receptors of endogenous plasminogen activator augmented the specific binding of radioactive
urokinase
to the
colon cancer
cells by 12-200%. A cell line (HCT 116) which displayed 1.1 x 10(5) receptors/cell the majority of which were occupied with endogenous
urokinase
was selected and the effects of a
urokinase
receptor antagonist on laminin degradation determined. The peptide antagonist reduced laminin turnover by 60-80%. Morphological observations were consistent with these findings. Plasminogen-treated HCT 116 cells retracted from the culture dish and many cells were observed in the culture medium. This effect could be largely reversed by simultaneous treatment with the peptide antagonist. A poor correlation was found between laminin degradation and soluble
urokinase
(r2 = 0.1074). These data strongly argue for a role of the
urokinase
receptor in facilitating the action of the plasminogen activator in
colon cancer
.
...
PMID:Examination of the role of the urokinase receptor in human colon cancer mediated laminin degradation. 255 98
Systemic activation of the coagulation mechanism is known to exist in patients with
colon cancer
. The mechanism of such activation was investigated using immunohistochemical techniques applied to fresh frozen sections of resected primary
colon cancer
specimens. Tumor cells stained for tissue factor, factor V, and
urokinase-type plasminogen activator
. Perivascular and intercellular areas stained for fibrinogen and the "a" subunit of factor XIII. Staining was minimal or absent for protein C, protein S, plasminogen activator inhibitors 1-3, factor VII, factor X, and fibrin (the antigenic site on the amino-terminal portion of B beta chain that is exposed following thrombin cleavage of fibrinopeptide B was not detected). The lack of an intact thrombin-generating pathway in situ associated with viable
colon cancer
cells is consistent with the findings of others that coagulation activation in
colon cancer
may be triggered by a soluble tumor product that exerts its effect at sites distant from the tumor. These results may explain the absence of clinical responsiveness of
colon cancer
to antithrombotic drug therapy and may clarify therapeutic strategies for this common tumor.
...
PMID:Indirect activation of blood coagulation in colon cancer. 269 22
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