Abstract
Interruption of the tumor metastatic process is a new, thought provoking molecular target for the treatment of cancer. The Nm23-H1 metastasis suppressor gene stands as a validated molecular target owing to its reduced expression in many aggressive human tumors, and the reduction in metastatic potential in vivo upon re-expression in multiple cell lines. Several compounds have been identified which elevate Nm23-H1 expression in vitro including indomethacin, γ Linolenic Acid, trichostatin A, 5-aza-deoxycytidine, and high dose medroxyprogesterone acetate. Using a model of lung metastatic colonization by MDA-MB-231 human breast carcinoma cells, we demonstrated that high dose MPA reduced the formation of overt lung metastases by 37–46% and those metastases that formed were statistically smaller. A Phase II clinical trial of high dose MPA, alone or in combination with metronomic chemotherapy has recently opened.
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Steeg PS (2006) Tumor metastasis: mechanistic insights and clinical challenges. Nat Med 12:895–904. doi:10.1038/nm1469
Steeg PS (2003) Metastasis suppressors alter the signal transduction of cancer cells. Nat Rev Cancer 3:55–63. doi:10.1038/nrc967
Steeg PS, Ouatas T, Halverson D, Palmieri D, Salerno M (2003) Metastasis suppressor genes: basic biology and potential clinical use. Clin Breast Cancer 4:51–62. doi:10.3816/CBC.2003.n.012
Rahman-Roblick R, Roblick UJ, Hellman U, Conrotto P, Liu T, Becker S, Hirschberg D, Jornvall H, Auer G, Wiman KG (2007) p53 targets identified by protein expression profiling. Proc Natl Acad Sci USA 104:5401–5406. doi:10.1073/pnas.0700794104
Jung H, Seong HA, Ha H (2007) NM23–H1 tumor suppressor and its interacting partner STRAP activate p53 function. J Biol Chem 282:35293–35307. doi:10.1074/jbc.M705181200
Cropp C, Lidereau R, Leone A, Liscia D, Cappa A, Campbell G, Barker E, Doussal VL, Steeg P, Callahan R (1994) NME1 protein expression and loss of heterozygosity mutations in primary human breast tumors. J Natl Cancer Inst 86:1167–1169. doi:10.1093/jnci/86.15.1167
Valentijn LJ, Koppen A, van Asperen R, Root HA, Haneveld F, Versteeg R (2005) Inhibition of a new differentiation pathway in neuroblastoma by copy number defects of N-myc, Cdc42, and nm23 genes. Cancer Res 65:3136–3145
Hailat N, Keim DR, Melhem RF, Zhu XX, Eckerskorn C, Brodeur GM, Reynolds CP, Seeger RC, Lottspeich F, Strahler JR et al (1991) High levels of p19/nm23 protein in neuroblastoma are associated with advanced stage disease and with N-myc gene amplification. J Clin Invest 88:341–345. doi:10.1172/JCI115299
Niitsu N, Nakamine H, Okamoto M, Akamatsu H, Higashihara M, Honma Y, Okabe-Kado J, Hirano M (2004) Clinical significance of intracytoplasmic nm23–H1 expression in diffuse large B-cell lymphoma. Clin Cancer Res 10:2482–2490. doi:10.1158/1078-0432.CCR-03-0085
Niitsu N, Honma Y, Iijima K, Takagi T, Higashihara M, Sawada U, Okabe-Kado J (2003) Clinical significance of nm23-H1 proteins expressed on cell surface in non-Hodgkin’s lymphoma. Leukemia 17:196–202. doi:10.1038/sj.leu.2402699
Ouatas T, Clare S, Hartsough M, DeLaRosa A, Steeg P (2002) MMTV-associated transcription factor binding sites increase nm23–H1 metastasis suppressor gene expression in human breast carcinoma cell lines. Clin Exp Metastasis 19:35–42. doi:10.1023/A:1013897022827
Bamberger C, Else T, Bamberger A, Beil F, Shulte H (1999) Dissociative glucocorticoid activity of Medroxyprogesterone Acetate in normal human lymphocytes. J Biol Chem 84:4055–4061
Stockler M, Wilcken N, Ghersi D, Simes R (2000) Systematic reviews of chemotherapy and endocrine therapy in metastatic breast cancer. Cancer Treat Rev 26:151–168. doi:10.1053/ctrv.1999.0161
Focan C, Beauduin M, Salamon E, de Greve J, de Wasch G, Lobelle J, Majois F, Tagnon A, Tygat J, van Belle S, Vandervellen R, Vindevoghel A (2001) Adjuvant high dose medroxyprogesterone acetate for early breast cancer: 13 years update in a multicentre randomized trial. Br J Cancer 85:1–8. doi:10.1054/bjoc.2001.1829
Hupperets P, Wils J, Volovics L, Schouten L, Fickers M, Bron H, Jager J, de Jong J, Blijham G (2001) Adjuvant chemo-hormonal therapy with cyclophosphamide, doxorubicin and 5-fluroruacil (CAF) with or without medroxyprogesterone acetate (MPA) for node-positive cancer patients, update at 12 years follow up. Breast 10:35–37. doi:10.1054/brst.2000.0180
Hori T, Kodama H, Nishimura S, Hatano T, Okamura R, Fujii K, Kudo T, Inamoto T, Sawai K, Kobayashi M, Ogawa H, Yoshimura N, Hiraoka M (2001) A randomized study comparing oral and standard regimens for metastatic breast cancer. Oncol Rep 8:1067–1071
Byrne MJ, Gebski V, Forbes J, Tattersall MH, Simes RJ, Coates AS, Dewar J, Lunn M, Flower C, Gill PG, Stewart J (1997) Medroxyprogesterone acetate addition or substitution for tamoxifen in advanced tamoxifen-resistant breast cancer: a phase III randomized trial. Australian-New Zealand Breast Cancer Trials Group. J Clin Oncol 15:3141–3148
Ouatas T, Halverson D, Steeg P (2003) Dexamethasone and medroxyprogesterone acetate elevate Nm23–H1 metastasis suppressor expression in metastatic human breast carcinoma cells: new uses for old compounds. Clin Cancer Res 9:3763–3772
Palmieri D, Halverson D, Ouatas T, Horak C, Salerno M, Johnson J, Figg W, Hollingshead M, Hursting S, Berrigan D, Steinberg S, Merino M, Steeg P (2005) Medroxyprogesterone acetate elevation of Nm23-H1 metastasis suppressor expression in hormone receptor-negative breast cancer. J Natl Cancer Inst 97:632–642
Otto C, Fuchs I, Altmann H, Klewer M, Walter A, Prelle K, Vonk R, Fritzemeier KH (2008) Comparative analysis of the uterine and mammary gland effects of drospirenone and medroxyprogesterone acetate. Endocrinology 149:3952–3959. doi:10.1210/en.2007-1612
Nishimura R, Nagao K, Matsuda M, Baba K, Matsuoka Y, Yamashita H, Fukuda M, Higuchi A, Ikeda K (1997) Predictive value of serum medroxyprogesterone acetate concentration for response in advanced or recurrent breast cancer. Eur J Cancer 33:1407–1412. doi:10.1016/S0959-8049(97)00125-1
Palmieri D, Halverson DO, Ouatas T, Horak CE, Salerno M, Johnson J, Figg WD, Hollingshead M, Hursting S, Berrigan D, Steinberg SM, Merino MJ, Steeg PS (2005) Medroxyprogesterone acetate elevation of Nm23-H1 metastasis suppressor expression in hormone receptor-negative breast cancer. J Natl Cancer Inst 97:632–642
Classen-Linke I, Alfer J, Krusche CA, Chwalisz K, Rath W, Beier HM (2000) Progestins, progesterone receptor modulators, and progesterone antagonists change VEGF release of endometrial cells in culture. Steroids 65:763–771. doi:10.1016/S0039-128X(00)00180-X
Yamaji T, Tsuboi H, Murata N, Uchida M, Kohno T, Sugino E, Hibino S, Shimamura M, Oikawa T (1999) Anti-angiogenic activity of a novel synthetic agent, 9alpha-fluoromedroxyprogesterone acetate. Cancer Lett 145:107–114. doi:10.1016/S0304-3835(99)00239-6
Kurebayashi J, Kunisue H, Yamamoto S, Kurosumi M, Otsuki T, Sonoo H (2000) Paradoxical hormone responses of KPL-1 breast cancer cells in vivo: a significant role of angiogenesis in tumor growth. Oncology 59:158–165. doi:10.1159/000012154
Colleoni M, Rocca A, Sandri MT, Zorzino L, Masci G, Nole F, Peruzzotti G, Robertson C, Orlando L, Cinieri S, de Braud F, Viale G, Goldhirsch A (2002) Low-dose oral methotrexate and cyclophosphamide in metastatic breast cancer: antitumor activity and correlation with vascular endothelial growth factor levels. Ann Oncol 13:73–80. doi:10.1093/annonc/mdf013
Klement G, Baruchel S, Rak J, Man S, Clark K, Hicklin DJ, Bohlen P, Kerbel RS (2000) Continuous low-dose therapy with vinblastine and VEGF receptor-2 antibody induces sustained tumor regression without overt toxicity. J Clin Invest 105:R15–R24. doi:10.1172/JCI8829
Browder T, Butterfield CE, Kraling BM, Shi B, Marshall B, O’Reilly MS, Folkman J (2000) Antiangiogenic scheduling of chemotherapy improves efficacy against experimental drug-resistant cancer. Cancer Res 60:1878–1886
Guan-Zhen Y, Ying C, Can-Rong N, Guo-Dong W, Jian-Xin Q, Jie-Jun W (2007) Reduced protein expression of metastasis-related genes (nm23, KISS1, KAI1 and p53) in lymph node and liver metastases of gastric cancer. Int J Exp Pathol 88:175–183. doi:10.1111/j.1365-2613.2006.00510.x
Sarris M, Lee C (2001) nm23 protein expression in colorectal carcinoma metastasis in regional lymph nodes and the liver. EJSO 27:170–174. doi:10.1053/ejso.2000.1070
Kawakubo Y, Sato Y, Koh T, Kono H, Kareya T (1997) Expression of nm23 protein in pulmonary adenocarcinomas: inverse correlation to tumor progression. Lung Cancer 17:103–113. doi:10.1016/S0169-5002(97)00653-3
Kanitakis J, Euvrard S, Bourchany D, Faure M, Claudy A (1997) Expression of the nm23 metastasis-suppressor gene product in skin tumors. J Cutan Pathol 24:151–156. doi:10.1111/j.1600-0560.1997.tb01569.x
Terasaki-Fukuzawa Y, Kijima H, Suto A, Takeshita T, Iezumi K, Sato S, Yoshida H, Sato T, Shimbori M, Shiina Y (2002) Decreased nm23 expression, but not Ki-67 labeling index, is significantly correlated with lymph node metastasis of breast invasive ductal carcinoma. Int J Mol Med 9:25–29
Ushijima K, Yahata H, Yoshikawa H, Konishi I, Yasugi T, Saito T, Nakanishi T, Sasaki H, Saji F, Iwasaka T, Hatae M, Kodama S, Terakawa N, Yaegashi N, Hiura M, Sakamoto A, Tsuda H, Fukunaga M, Kamura T (2007) Multicenter phase II study of fertility-sparing treatment with medroxyprogesterone acetate for endometrial carcinoma and atypical hyperplasia in young women. J Clin Oncol 25:2798–2803. doi:10.1200/JCO.2006.08.8344
Yamazawa K, Hirai M, Fujito A, Nishi H, Terauchi F, Ishikura H, Shozu M, Isaka K (2007) Fertility-preserving treatment with progestin, and pathological criteria to predict responses, in young women with endometrial cancer. Hum Reprod 22:1953–1958. doi:10.1093/humrep/dem088
Yasui W, Oue N, Ono S, Mitani Y, Ito R, Nakayama H (2003) Histone acetylation and gastrointestinal carcinogenesis. Ann N Y Acad Sci 983:220–231
Hartsough M, Clare S, Mair M, Elkahloun A, Sgroi D, Osborne C, Clark G, Steeg P (2001) Elevation of breast carcinoma nm23–H1 metastasis suppressor gene expression and reduced motility by DNA methylation inhibition. Cancer Res 61:2320–2327
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Marshall, JC., Lee, J.H. & Steeg, P.S. Clinical-translational strategies for the elevation of Nm23-H1 metastasis suppressor gene expression. Mol Cell Biochem 329, 115–120 (2009). https://doi.org/10.1007/s11010-009-0116-3
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DOI: https://doi.org/10.1007/s11010-009-0116-3