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R.S. Klein et al. / Biochemical Pharmacology 62 (2001) 1257–1263
sion has also been shown to be correlated with increased
neovascularization. The possibility that a TP inhibitor could
have therapeutic utility as an anticancer drug is supported
by studies which found that elevated TP expression in-
creased the growth of tumor cells as xenografts in vivo
without altering their growth in vitro [6,7,30]. This en-
hancement of tumor growth in vivo was reversed when the
mice were treated with a TP inhibitor [27,30]. TP has also
been implicated as an angiogenic factor contributing to the
pathology of other diseases, including (a) rheumatoid arthri-
tis, where TP was found to be highly elevated in synovial
fluid, (b) psoriasis, in which increased TP expression was
seen in psoriatic lesions, and (c) gastric ulcers, where TP
was found to be elevated near gastric ulcer margins when
compared with uninvolved fundic and pyloric stomach [41–
istry 1992;31:12141–6.
3] Furukawa T, Yoshimura A, Sumizawa T, Haraguchi M, Akiyama S-I,
Fukui K, Ishizawa M, Yamada Y. Angiogenic factor. Nature 1992;
[
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56:668.
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4] Sumizawa T, Furukawa T, Haraguchi M, Yoshimura A, Takeysu A,
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is angiogenic and promotes tumor growth. Proc Natl Acad Sci USA
[
[
4
4]. Plasma TP levels were higher in intractable gastric
1
995;92:998–1002.
ulcer patients compared with normal individuals, duodenal
ulcer patients, and patients whose gastric ulcer had under-
gone significant resolution [44].
[
8] Fujimoto J, Sakaguchi H, Aoki I, Tamaya T. The value of platelet-
derived endothelial cell growth factor as a novel predictor of advance-
ment of uterine cervical cancers. Cancer Res 2000;60:3662–5.
An increasing appreciation of the critical role angiogen-
esis plays in tumors and in pathologies associated with
inflammatory responses has prompted the pursuit of a vari-
ety of different approaches to block neovascularization, and
a number of therapeutic agents are currently in clinical
trials. Approaches that target the actions of angiogenic fac-
tors have focused on the development of antibodies, small
molecules, or gene therapy to directly neutralize either the
angiogenic factor, or to block the receptors for the angio-
genic factors on endothelial cells [45–48]. TP is distinct
from other angiogenic factors in that, unlike classical factors
which bind to a cell surface receptor, TP exerts its actions
through its catalytic activity, the products of which are
presumed to be responsible for the angiogenic activities of
TP. Therefore, TP provides unique opportunities for the
design of angiogenesis inhibitors, and, in addition to their
therapeutic potential, these compounds should be useful in
evaluating the contribution of TP to the progression of a
number of pathological conditions.
[9] Yoshimura A, Kuwazuru Y, Furukawa T, Yoshida H, Yamada K,
Akiyama S. Purification and tissue distribution of human thymidine
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dine phosphorylase activity in human healthy, adenomatous and can-
cerous prostate. Bull Cancer 1992;79:151–9.
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parison of 5-fluorouracil metabolism in human colorectal cancer and
colon mucosa. Cancer 1991;68:1903–9.
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cell growth factor. J Natl Cancer Inst 1994;86:1234–8.
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[
[
[
Acknowledgments
[
15] Ikeda N, Adachi M, Taki T, Huang C, Hashida H, Takabayashi A,
Sho M, Nakajima Y, Kanehiro H, Hisanaga M, Nakano H, Miyake M.
Prognostic significance of angiogenesis in human pancreatic cancer.
Br J Cancer 1999;79:1553–63.
We thank Drs. Vern Schramm and Giuseppe Pizzorno
for providing purine nucleoside phosphorylase and uridine
phosphorylase, respectively, and Greg Kicska for assistance
with the PNP assay. This work was supported by Grant
DAMD 17–96-1–6123 from the Department of Defense
Breast Cancer Research Program, Grants R01-CA54422
and P01-CA13330 from the National Cancer Institute, and
by a grant from the UJA-Federation of New York.
[
16] Takebayashi Y, Yamada K, Miyadera K, Sumizawa T, Furukawa T,
Kinoshita F, Aoki D, Okumura H, Yamada Y, Akiyama S-I, Aikou T.
The activity and expression of thymidine phosphorylase in human
solid tumors. Eur J Cancer 1996;32A:1227–32.
17] Luccioni C, Beaumatin J, Bardot V, Lefrancois D. Pyrimidine nucle-
otide metabolism in human colon carcinomas: comparison of normal
tissues, primary tumors and xenografts. Int J Cancer 1994;58:517–22.
18] Takabayashi Y, Akiyama S, Akiba S, Yamada K, Miyadera K, Sum-
izawa T, Yamada Y, Murata F, Aikou T. Clinicopathologic and
prognostic significance of an angiogenic factor, thymidine phosphor-
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