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Xiong et al.                                                                                                                                                                                          ECM in tumor progression






























           Figure 1: Stroma cell-derived extracellular matrix (ECM) and cancer cell-derived ECM collectively support cancer cell proliferation,
           invasion, and metastasis. ECM: extracellular matrix; BMDC: bone marrow-derived cells; PLOD: lysyl-hydroxylase; LOX: lysyl oxidase

           LOX  activation  reduces  collagen  fibril  formation  and   significantly  upregulated.   Gene  expression  profile
                                                                                     [65]
           ECM stiffness, which depresses focal adhesions and   studies from other labs also reveal that expression of
           PI3K activity,  and consequently suppresses cancer   genes involved in synthesis and organization of ECM
           cell invasion.   These results indicate  that collagen   are upregulated  in the epithelium of invasive  cancer
                       [54]
           modification enzymes P4Hs, PLODs, and LOXs play    cells. [53,63,66-68]
           critical roles in cancer cell metastasis.
                                                              LAMC2 (gamma 2 chain gene of laminin 5) is highly
           CANCER CELLS ARE CRITICAL SOURCES                  expressed in invasive cancer cells in mammary, colon,
           OF TUMOR ECM                                       melanoma  and sarcoma tumora.  [24-26,69]  Hyaluronan
                                                              synthesis is increased in a variety types of cancer cells,
           The cellular components of  tumor stroma include   including breast tumor, melanoma tumor, and myeloma
           fibroblasts,  endothelial  cells,  fat  cells,  and  immune   tumor. [22,23,27]   Thrombospondin-1 is expressed in the
                                                                                   [70]
           cells. It has been  shown  that cancer-associated   stroma and cancer cells.  TNC, a key metastatic niche
           fibroblasts produce and regulate the ECM remodeling   molecule required for the metastasis initiation, is also
           in cancer tissue, and the roles of cancer cells in ECM   expressed in breast tumor cells and stroma cells. [8,16,18]
           deposition have not been appreciated until recently. Dr.   Collagens are mainly synthesized by cancer-associated
           Hynes’s laboratory investigated matrisome (ECM and   fibroblasts in breast cancer, but cancer cells are also
                                                                                              [63]
           ECM-associated proteins) in colon tumor tissues, lung   an important source of the collagen.  In addition, the
           tumor tissues, and  human  breast cancer  tissue. [20,21]    expression of collagen synthesis regulating enzymes
           They found that  ECM components in tumor matrix    P4H and PLOD is induced  by the HIF-1 pathway in
           are derived from  cancer cells and stromal cells,   cancer cells. [30,31,51,64]  We have summarized  ECM
           and many of them are only expressed  by cancer     proteins and ECM-related enzymes derived from the
           cells, including Col19A1,  Col22A1, Col7A1,  LAMA4,   stroma cells and cancer cells in Table 1. This evidence
           LAMB1, LTBP1, LTBP3, LTBP4, TINAGL1, and ECM       clearly shows that cancer cells are a major source of
           regulators galectin 1 (LGALS1) and PLOD1. [20,21]  Gene   tumor ECM.
           expression  analysis  of drug-resistant breast cancer
           cells has found that 25 ECM components’ genes      CANCER CELL-DERIVED ECM IN CANCER
           (including collagen, fibronectin, syndecan, and laminin)   PROGRESSION AND METASTASIS
           and integrin ligands are upregulated in drug-resistant
           breast cancer  cells.  Gene expression  analysis  of   ECM deposited by cancer cells is crucial for  cancer
                             [28]
           drug-resistant ovarian cancer  cells also discovered   progression  and metastasis. It  has been shown that
           that molecules in ECM networks, including COL3A1,   inhibition of LOX expression in cancer cell represses
           COL5A2, COL15A1, and LOX, among others, are very   cell adhesion, migration, and invasion. [29,71]  Hyaluronan
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