Cancer is generally viewed as the result of disrupted intra- and intercellu
lar homeostatic regulation. Once the homeostatic balance is lost and malign
ant transformation has occurred, microenvironmental factors such as degrada
tion of matrix components and host-tumor interactions are essential for sur
vival and growth of malignant cells. Within the previous year, cadherins an
d matrixins (matrix metalloproteinases) have emerged as key factors in thes
e processes. The pathways involved are interconnected and detailed knowledg
e about the biologic significance of each member in a given pathway is esse
ntial for our understanding of oncogenesis. Restoration of E-cadherin-media
ted control over melanoma cells and modulation of the involved regulation p
athways are promising novel therapeutic strategies. Another approach is the
rational design of inhibitors that perturb matrix metalloproteinases in a
particular cell type and interrupt tumor-specific proteinase activation cas
cades. Advances in these fields will lead to the development of better tool
s for prevention, diagnosis, and therapy. Curt Opin Oncol 2001, 13:117-123
(C) 2001 Lippincoti Williams & Wilkins, Inc.