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Biochemical characterization and clinical relevance of<br />

human tissue kallikreins<br />

Viktor Magdolen<br />

Clinical Research Unit, Department of Obstetrics and Gynecology, TU München, D-81675<br />

München, Germany<br />

The human tissue kallikrein gene family (KLK1 to KLK15) encodes a group of 15<br />

serine proteases (hK1 to hK15), several of which have been implicated to play a role<br />

in cancer-related processes. Many tissue kallikrein genes/proteins are either underor<br />

overexpressed in certain carcinomas, especially in breast, prostate, testicula, and<br />

ovarian cancer. Thus, the tissue kallikreins represent interesting tumor biomarkers<br />

and are considered novel therapeutic targets in cancer.<br />

In collaboration with several groups in Germany, The Netherlands, Greece, France,<br />

and the USA, we have set up a series of projects to learn more about the tumor<br />

biological role of tissue kallikreins:<br />

1. Most of the human tissue kallikreins were cloned, expressed in E. coli, refolded,<br />

activated, and purified. Subsequently, the recombinant proteins were biochemically<br />

characterized and also several structures (among them hK4 and hK7) experimentally<br />

solved. The specificity profiles and the structural data will assist in identifying<br />

their physiological protein substrates as well as in designing selective inhibitors of<br />

individual tissue kallikreins.<br />

2. Accumulating evidence suggests that certain tissue kallikreins are part of an<br />

enzymatic cascade pathway which is activated in ovarian cancer. We therefore have<br />

analyzed the effects of overexpression of hK4, 5, 6, and 7 in ovarian cancer cells<br />

l4<br />

in vitro and in vivo. Our results strongly support the view that tumor-associated<br />

overexpression of tissue kallikreins contributes to ovarian cancer progression.<br />

3. In contrast to the generally observed overexpression of tissue kallikreins in ovarian<br />

cancer, the expression of many tissue kallikrein genes, e.g. KLK5, KLK6, KLK8, and<br />

KLK10, is downregulated in breast cancer tissue. In our own studies, we established<br />

a specific assay for quantification of full length KLK7 mRNA excluding amplification<br />

of its exon 2 deletion splice variant (the latter does not encode a functional protease),<br />

and evaluated full length KLK7 mRNA expression (normalized to h-G6PDH) in<br />

tumor tissue specimens of 155 breast cancer patients. High KLK7 mRNA expression<br />

was significantly associated with a better patient outcome in both univariate and<br />

multivariate Cox survival analysis. Thus, full length KLK7 mRNA expression may<br />

represent a new favorable prognostic marker in breast cancer disease.<br />

17

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