Evidence map›Paper›PMID 27016342›Full record

ArticleMatrix biology : journal of the International Society for Matrix Biology2016

Chemotherapy induces expression and release of heparanase leading to changes associated with an aggressive tumor phenotype.

Vishnu C Ramani, Israel Vlodavsky, Mary Ng, Yi Zhang, Paola Barbieri, Alessandro Noseda, Ralph D Sanderson

Open access · hybridAbstract read
In one paragraph

Article in Matrix biology : journal of the International Society for Matrix Biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. The Pathophysiological Functions of Heparanases: From Evolution, Structural and Tissue-Specific Perspectives.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
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  17. Induction of heparanase 2 (Hpa2) expression by stress is mediated by ATF3.Matrix biology : journal of the International Society for Matrix Biology · 2022
    Article
  18. The Heparanase Regulatory Network in Health and Disease.International journal of molecular sciences · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Vishnu C RamaniDepartment of Pathology, University of Alabama at Birmingham, AL, USA; Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: vpramani@uab.edu.
Israel VlodavskyCancer and Vascular Biology Research Center, The Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel. Electronic address: vlodavsk@mail.huji.ac.il.
Mary NgCancer Immunobiology Department, Eli Lilly and Company, Alexandria Center for Life Sciences, New York, NY, USA. Electronic address: maryng00@gmail.com.
Yi ZhangCancer Immunobiology Department, Eli Lilly and Company, Alexandria Center for Life Sciences, New York, NY, USA. Electronic address: yi.zhang@lilly.com.
Paola BarbieriSigma-tau Research Switzerland S. A., Mendrisio, Switzerland. Electronic address: paola.barbieri@st-research.ch.
Alessandro NosedaSigma-tau Research Switzerland S. A., Mendrisio, Switzerland. Electronic address: alessandro.noseda@st-research.ch.
Ralph D SandersonDepartment of Pathology, University of Alabama at Birmingham, AL, USA; Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: sanderson@uab.edu.
Eli Lilly (United States) · USSigma-Tau (Switzerland) · CHUniversity of Alabama at Birmingham · US

Funding

Heparanase Regulation of Myeloma Metastasis: Mechanism and TherapyR01CA138340 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SANDERSON, RALPH D · 2009 to 2018
$3.3M
Novel Heparanase Inhibitors for Cancer TherapyR01CA138535 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SANDERSON, RALPH D · 2010 to 2014
$1.8M
NCI NIH HHS R01 CA138340NCI NIH HHS R01 CA138535
6 · The paper itself

Abstract

High heparanase expression is associated with enhanced tumor growth, angiogenesis, and metastasis in many types of cancer. However, the mechanisms driving high heparanase expression are not fully understood. In the present study, we discovered that drugs used in the treatment of myeloma upregulate heparanase expression. Frontline anti-myeloma drugs, bortezomib and carfilzomib activate the nuclear factor-kappa B (NF-κB) pathway to trigger heparanase expression in tumor cells. Blocking the NF-κB pathway diminished this chemotherapy-induced upregulation of heparanase expression. Activated NF-κB signaling was also found to drive high heparanase expression in drug resistant myeloma cell lines. In addition to enhancing heparanase expression, chemotherapy also caused release of heparanase by tumor cells into the conditioned medium. This soluble heparanase was taken up by macrophages and triggered an increase in TNF-α production. Heparanase is also taken up by tumor cells where it induced expression of HGF, VEGF and MMP-9 and activated ERK and Akt signaling pathways. These changes induced by heparanase are known to be associated with the promotion of an aggressive tumor phenotype. Importantly, the heparanase inhibitor Roneparstat diminished the uptake and the downstream effects of soluble heparanase. Together, these discoveries reveal a novel mechanism whereby chemotherapy upregulates heparanase, a known promoter of myeloma growth, and suggest that therapeutic targeting of heparanase during anti-cancer therapy may improve patient outcome.

Indexed as

Antineoplastic AgentsBortezomibCell Line, TumorDoxorubicinEnzyme InductionGene Expression Regulation, NeoplasticGlucuronidaseHeparanaseHumansMelanomaMelphalanOligopeptidesPhenotypeAntineoplastic AgentsBortezomibcarfilzomibDoxorubicinGlucuronidaseHeparanaseMelphalanOligopeptidesChemotherapyHeparanaseMultiple myelomaNF-κBProteasome inhibitorsRoneparstat

Identifiers

PMID27016342
PMCPMC5033659
OpenAlexW2305656356

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.