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 The natural tumor suppressor protein maspin and potential application in non  small cell lung cancer Lonardo F; Li X; Kaplun A; Soubani A; Sethi S; Gadgeel S; Sheng SCurr Pharm Des  2010[Jun]; 16 (16): 1877-81The grim prognosis of lung cancer, that has an overall 10-15% survival at 5  years, remains in the US the leading cause of cancer mortality, provides a  compelling rationale for studying the molecular basis of this malignancy.  Surmising the common, general association with smoking, lung cancers differ at  the microscopic, anatomical, epidemiological and clinical level and harbor  complex genetic and epigenetic alterations. Currently, lung cancer is divided  into small cell lung carcinoma (SCLC) and non small cell lung carcinoma (NSCLC)  for the purpose of clinical management. (NSCLC) constitutes 80-85% of lung  cancers and is further divided into histological subtypes such as adenocarcinoma,  squamous cell carcinoma, and large cell carcinoma, etc. The ultimate goal for  lung cancer research is to develop a strategy to block the tumor progression and  improve the prognosis of lung cancer. This goal can realistically be achieved  only when the biological complexity of this disease is taken into account. To  this end, identification and understanding of molecular markers that are  mechanistically involved in tumor progression is needed. Our recent studies  suggest histological subtype-dependent distinct correlations between the  expression and/or subcellular localization of tumor suppressive maspin with the  progression and prognosis of NSCLC. Maspin is an epithelial specific member of  the serine protease inhibitor (serpin) superfamily but recently identified as an  endogenous inhibitor of histone deacetylase 1 (HDAC1). This novel biochemical  activity coincides with a consensus emerged recently from the evidence that  nuclear maspin confers better differentiated epithelial phenotypes, decreased  tumor angiogenesis, increased tumor sensitivity to drug-induced apoptosis, and a  more favorable prognosis. In the current review, we discuss the evidence that  maspin may be a marker that stratifies the progression and prognosis of different  subtypes of NSCLC.|Animals[MESH]|Antineoplastic Agents/*chemistry/metabolism/pharmacology[MESH]|Biomarkers, Tumor/chemistry/*metabolism[MESH]|Carcinoma, Non-Small-Cell Lung/diagnosis/drug therapy/*metabolism/physiopathology[MESH]|Disease Progression[MESH]|Drug Design[MESH]|Histone Deacetylase 1/antagonists & inhibitors/chemistry/metabolism[MESH]|Histone Deacetylase Inhibitors/*chemistry/metabolism/pharmacology[MESH]|Humans[MESH]|Lung Neoplasms/diagnosis/drug therapy/*metabolism/physiopathology[MESH]|Prognosis[MESH]|Protein Transport[MESH]|Serpins/*chemistry/*metabolism[MESH]
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