Thrombospondin-1과 종양형성 억제작용
Thrombospondin-1 and Inhibition of Tumor Growth
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초록
Thrombospondin-1 (TSP-1)은 여러 가지 세포 수용체를 통해 혈관내피세포 및 암세포의 활성을 조절할 수 있는 다양한 기능을 갖는 단백질로 신혈관형성을 억제하며, 혈관내피세포와 암세포의 부착, 세포증식, 이동 및 세포의 생존 등을 조절한다. 또한 여러 연구자들에 의해 TSP-1의 발현을 증가시키면 종양의 성장과 전이가 억제되고 신혈관형성이 차단됨이 확인되었다. 신혈관형성 억제제는 지난 30년간 VEGF (vascular endothelial growth factor)의 신호전달기전을 차단하는 억제제를 중심으로 개발되어 왔으며 tyrosine kinase의 저분자 억제제들이 치료제로 승인되었다. TSP-1은여러 가지 기능성 도메인을 갖고 있어서 CD36과 CD47 수용체를 통해 종양의 신혈관형성을 억제한다. TSP-1은 CD47 과의 결합을 통해 VEGFR2의 인산화를 억제하고 하위신호전달 물질인 AKT 활성화를 차단하여 혈관내피세포에 대한VEGF의 작용을 억제한다. 최근 CD47 수용체에 결합하는 단클론항체를 이용하여 CD47 수용체의 작용을 차단하면큰포식세포와 세포독성 T 림프구의 작용을 활성화하여 암세포를 제거할 수 있다는 사실이 밝혀졌다. 이러한 사실들은TSP-1에 의해 암세포를 제거하고 종양의 혈관형성을 억제할 수 있는 새로운 시대가 도래하고 있음을 시사하는 것이다.
Abstract
Thrmobospondin-1 is the multifunctional protein that modulates endothelial cell and tumor cell behavior via several cell surface receptors and inhibits angiogenesis. In vitro, thrombospondin-1 alters adhesion, proliferation, motility, and survival of endothelial and cancer cells. Studies have confirmed that increased TSP-1 expression suppresses growth or metastasis of some tumors and inhibits angiogenesis. In the past three decades, inhibitors of angiogenesis have been developed as regulators target the vascular endothelial growth factor (VEGF) signaling pathway and small molecule tyrosine kinase inhibitors have been clinically approved. TSP-1 has several functional domain structures and inhibits tumor angiogenesis by engaging receptors CD36 and CD47. TSP-1 binding to CD47 dissociates it from VEGFR2, inhibiting downstream AKT activation and functional responses of endothelial cells to VEGF. Recently, macrophage phagocytosis and cytotoxic T-cell induction of tumor cells mediated by CD47-specific blocking antibodies have been proposed. These findings provide a new therapeutic paradigm for elinination of cancer cells and inhibition of angiogenesis of tumor by TSP-1.
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