Genes controlling spread of breast cancer to lung “gang of 4”
S.A. Eltarhouny1, 2, W.H. Elsawy3, R. Radpour1,S.
Hahn1, W. Holzgreve1, X.Y. Zhong1, *
1Laboratory for Prenatal Medicine and Gynaecologic Oncology, Department of
Biomedicine, Women’s Hospital, University of Basel, Switzerland 2Medical Biochemistry Department, Faculty of Medicine, Zagazig University,
Egypt 3Clinical Oncology Department, Faculty of Medicine, Zagazig University, Egypt
Abstract. Cancer-related mortality is caused in a large part by the metastasis of primary tumor.
Each cancer has a particular way of spreading cancerous cells. Recently, genetic and
pharmacological analysis identified the set of genes, such as epidermal growth factor
receptor ligand epiregulin (EREG), cyclooxygenase-2 (COX2) and matrix metalloproteinases 1
and 2 (MMP-1 and MMP-2) that have been found to be associated with metastasis of breast
cancer to lung. Inhibition of EGFR and COX2 could minimize lung metastasis of breast
cancer in a clinical setting. In this review, we summarized the current knowledge on EREG,
COX2, MMP-1 and MMP-2 in tumor development and metastasis.