The
plasminogen activator inhibitor-1 (PAI-1) blocks the activation of
plasmin(
ogen), an extracellular
protease vital to
cancer invasion.
PAI-1 is like the corresponding
plasminogen activator uPA (
urokinase-type plasminogen activator) consistently expressed in human
breast cancer. Paradoxically, high levels of
PAI-1 as well as uPA are equally associated with poor prognosis in
cancer patients.
PAI-1 is thought to play a vital role for the controlled extracellular proteolysis during
tumor neovascularization. We have studied the effect of
PAI-1 deficiency in a transgenic mouse model of metastasizing
breast cancer. In these
tumors, the expression pattern of uPA and
PAI-1 resembles that of human ductal
breast cancer and
plasminogen is required for efficient
metastasis. In a cohort of 63 transgenic mice that were either PAI-1-deficient or wild-type sibling controls, primary
tumor growth and vascular density were unaffected by
PAI-1 status.
PAI-1 deficiency also did not significantly affect the lung metastatic burden. These results agree with the virtual lack of spontaneous phenotype in PAI-1-deficient mice and humans and may reflect that the
plasminogen activation reaction is not rate limiting for
tumor vascularization and
metastasis, or that there is a functional redundancy between
PAI-1 and other inhibitors of the uPA/
plasmin system, masking the effect of
PAI-1 deficiency.