Tumors are embedded into a surrounding microenvironment that consists of extracellular matrix and non- malignant body cells. The microenvironment strongly affects tumor progression by releasing factors that influence tumor growth, cancer stem cell function and metastasis. Identifying these factors and understanding their underlying molecular mechanism is crucial for the development of therapeutic approaches to treat cancer patients. Matrix Metalloproteinases (MMPs) have been implicated in breast cancer for many years and they have been considered as therapeutic targets to treat cancer patients. However, previous clinical cancer trials using synthetic small molecule inhibitors to interfere with MMP catalytic activity yielded disappointing results. My postdoctoral research has now shown that MMPs such as MMP3 may work in a non-proteolytic manner through their hemopexin domain. This may explain why compound inhibitors targeting the catalytic function of MMPs failed to improve disease outcome. In this proposal, I will explore the molecular mechanism underlying the role of MMP3 in breast cancer and ask whether the MMP3 hemopexin domain may serve as a therapeutic target in breast cancer. During the mentored phase, I will learn how to utilize mouse models to study breast cancer stem cells as well as methods to monitor the Wnt signaling pathway to investigate the function of MMP3 in breast cancer. During my postdoc, I have established that MMP3 modulates the Wnt signaling pathway by binding and inactivating Wnt5b via the hemopexin domain and that this plays an important role in stem cell maintenance during normal homeostasis of the mammary epithelium. I will use the skills I learn during the mentored phase to determine whether this interaction of MMP3 with Wnt5b also affects breast cancer progression. In particular I will employ lentiviral transduction, transplantation of mammary epithelial cells, mouse models of breast cancer in combination with tools to monitor Wnt signaling to address whether (1) MMPs regulate breast cancer stem cells through Wnt signaling, and whether (2) non-canonical Wnt signaling mediated by Wnt5b is involved in the regulation of stem cells during normal homeostasis and in breast cancer. These projects will provide the rationale to ask whether my results can be translated into possible therapeutic application by specifically targeting the MMP3-hemopexin domain. This will be the goal of aim 3 during the independent phase of this grant. These experiments include lentiviral overexpression of only the hemopexin domain in normal mammary epithelial cells and breast cancer cell lines to test whether the hemopexin domain is sufficient for tumor initiation and progression. I will also specifically target the hemopexin domain using antibodies or small compound inhibitors. Taken together, these studies will expand our knowledge about the regulation of stem cell biology in normal homeostasis and in cancer. My results can explain why previous clinical trials using MMP compound inhibitors targeting the catalytic, but not the hemopexin domain of MMPs, performed poorly in treating cancer patients. Ultimately, this may provide the rationale for the development of novel therapeutic approaches to treat patients suffering from breast cancer.

Public Health Relevance

Breast tumors consist of various different cell types, all of which may be derived from a small population of cancer stem cells. Knowledge of how cancer stem cells are regulated will enable us to specifically interfere with the function of these cells o stop tumor growth and recurrence of breast cancer. Here, I will focus on matrix metalloproteinases (MMPs), and study how these extracellular proteases are involved in the regulation of cancer stem cells by orchestrating the Wnt signaling pathway. This may lead to the development of novel therapeutic approaches to treat patients suffering from breast cancer.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Career Transition Award (K99)
Project #
Application #
Study Section
Special Emphasis Panel (ZCA1-RTRB-Z (M1))
Program Officer
Schmidt, Michael K
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of California San Francisco
Anatomy/Cell Biology
Schools of Medicine
San Francisco
United States
Zip Code
Takai, Ken; Drain, Allison P; Lawson, Devon A et al. (2018) Discoidin domain receptor 1 (DDR1) ablation promotes tissue fibrosis and hypoxia to induce aggressive basal-like breast cancers. Genes Dev 32:244-257
Kessenbrock, Kai; Smith, Prestina; Steenbeek, Sander Christiaan et al. (2017) Diverse regulation of mammary epithelial growth and branching morphogenesis through noncanonical Wnt signaling. Proc Natl Acad Sci U S A 114:3121-3126
Park, Juwon; Wysocki, Robert W; Amoozgar, Zohreh et al. (2016) Cancer cells induce metastasis-supporting neutrophil extracellular DNA traps. Sci Transl Med 8:361ra138
Horiuchi, Dai; Camarda, Roman; Zhou, Alicia Y et al. (2016) PIM1 kinase inhibition as a targeted therapy against triple-negative breast tumors with elevated MYC expression. Nat Med 22:1321-1329
Kessenbrock, Kai; Wang, Chih-Yang; Werb, Zena (2015) Matrix metalloproteinases in stem cell regulation and cancer. Matrix Biol 44-46:184-90
Kessenbrock, Kai; Dijkgraaf, Gerrit J P; Lawson, Devon A et al. (2013) A role for matrix metalloproteinases in regulating mammary stem cell function via the Wnt signaling pathway. Cell Stem Cell 13:300-13