Matrix metalloproteinase inhibitors and cancer: Trials and tribulations

Lisa M. Coussens, Barbara Fingleton, Lynn M. Matrisian

Research output: Contribution to journalReview article

2166 Scopus citations

Abstract

For at least 30 years, matrix metalloproteinases (MMPs) have been heralded as promising targets for cancer therapy on the basis of their massive up-regulation in malignant tissues and their unique ability to degrade all components of the extracellular matrix. Preclinical studies testing the efficacy of MMP suppression in tumor models were so compelling that synthetic metalloproteinase inhibitors (MPIs) were rapidly developed and routed into human clinical trials. The results of these trials have been disappointing. Here we review the studies that brought MPIs into clinical testing and discuss the design and outcome of the trials in light of new information about the cellular source, substrates, and mode of action of MMPs at different stages of tumor progression. The important lessons learned from the MPI experience may be of great value for future studies of MPIs and for cancer drug development in general.

Original languageEnglish (US)
Pages (from-to)2387-2392
Number of pages6
JournalScience
Volume295
Issue number5564
DOIs
StatePublished - Mar 29 2002

ASJC Scopus subject areas

  • General

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