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 NK4 (HGF-antagonist/angiogenesis inhibitor) in cancer biology and therapeutics Matsumoto K; Nakamura TCancer Sci  2003[Apr]; 94 (4): 321-7Invasion and subsequent establishment of metastasis are devastating events for  patients with cancer, but past therapeutic approaches have paid relatively little  attention to these important issues. Hepatocyte growth factor (HGF) and its  receptor, the c-Met tyrosine kinase, play roles in cancer invasion and metastasis  in a wide variety of tumor cells. Activation of the c-Met receptor integrates  multiple signal transduction pathways involved in cell-cell and cell-matrix  interactions, cellular migration, and breakdown of the extracellular scaffold.  Paracrine activation of the c-Met receptor by stromal-derived HGF mediates  tumor-stromal interactions that facilitate invasion and metastasis. Likewise,  aberrant expression of the c-Met receptor and autocrine or mutational activation  of c-Met receptor tyrosine kinase are closely associated with the progression of  malignant tumors. Based on this background, NK4, a competitive antagonist of  HGF-c-Met association was prepared so as to block cancer invasion and metastasis.  NK4, an internal fragment of HGF, binds to but does not activate the c-Met  receptor, thereby competitively antagonizing the biological activities of HGF.  Unexpectedly, NK4 was subsequently shown to be an angiogenesis inhibitor as well,  and this angioinhibitory activity is independent of its action as an  HGF-antagonist. Importantly, NK4 protein or NK4 gene therapy have been shown to  inhibit tumor invasion, metastasis and angiogenesis, effectively converting  malignant tumors into benign tumors. Targeting tumor invasion-metastasis and  angiogenesis with NK4 seems to have considerable therapeutic potential for cancer  patients.|*Mitogens[MESH]|Angiogenesis Inhibitors/*physiology[MESH]|Animals[MESH]|Genetic Therapy[MESH]|Hepatocyte Growth Factor/antagonists & inhibitors/*physiology[MESH]|Humans[MESH]|Neoplasms/blood supply/*therapy[MESH]|Proto-Oncogene Proteins c-met/metabolism[MESH]
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