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      Podoplanin: An emerging cancer biomarker and therapeutic target

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          Abstract

          Podoplanin ( PDPN) is a transmembrane receptor glycoprotein that is upregulated on transformed cells, cancer associated fibroblasts and inflammatory macrophages that contribute to cancer progression. In particular, PDPN increases tumor cell clonal capacity, epithelial mesenchymal transition, migration, invasion, metastasis and inflammation. Antibodies, CAR‐T cells, biologics and synthetic compounds that target PDPN can inhibit cancer progression and septic inflammation in preclinical models. This review describes recent advances in how PDPN may be used as a biomarker and therapeutic target for many types of cancer, including glioma, squamous cell carcinoma, mesothelioma and melanoma.

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          Involvement of the snake toxin receptor CLEC-2, in podoplanin-mediated platelet activation, by cancer cells.

          Podoplanin (aggrus), a transmembrane sialoglycoprotein, is involved in tumor cell-induced platelet aggregation, tumor metastasis, and lymphatic vessel formation. However, the mechanism by which podoplanin induces these cellular processes including its receptor has not been elucidated to date. Podoplanin induced platelet aggregation with a long lag phase, which is dependent upon Src and phospholipase Cgamma2 activation. However, it does not bind to glycoprotein VI. This mode of platelet activation was reminiscent of the snake toxin rhodocytin, the receptor of which has been identified by us as a novel platelet activation receptor, C-type lectin-like receptor 2 (CLEC-2) (Suzuki-Inoue, K., Fuller, G. L., Garcia, A., Eble, J. A., Pohlmann, S., Inoue, O., Gartner, T. K., Hughan, S. C., Pearce, A. C., Laing, G. D., Theakston, R. D., Schweighoffer, E., Zitzmann, N., Morita, T., Tybulewicz, V. L., Ozaki, Y., and Watson, S. P. (2006) Blood 107, 542-549). Therefore, we sought to evaluate whether CLEC-2 serves as a physiological counterpart for podoplanin. Association between CLEC-2 and podoplanin was confirmed by flow cytometry. Furthermore, their association was dependent on sialic acid on O-glycans of podoplanin. Recombinant CLEC-2 inhibited platelet aggregation induced by podoplanin-expressing tumor cells or lymphatic endothelial cells, suggesting that CLEC-2 is responsible for platelet aggregation induced by endogenously expressed podoplanin on the cell surfaces. These findings suggest that CLEC-2 is a physiological target protein of podoplanin and imply that it is involved in podoplanin-induced platelet aggregation, tumor metastasis, and other cellular responses related to podoplanin.
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            Podoplanin: emerging functions in development, the immune system, and cancer

            Podoplanin (PDPN) is a well-conserved, mucin-type transmembrane protein expressed in multiple tissues during ontogeny and in adult animals, including the brain, heart, kidney, lungs, osteoblasts, and lymphoid organs. Studies of PDPN-deficient mice have demonstrated that this molecule plays a critical role in development of the heart, lungs, and lymphatic system. PDPN is widely used as a marker for lymphatic endothelial cells and fibroblastic reticular cells of lymphoid organs and for lymphatics in the skin and tumor microenvironment. Much of the mechanistic insight into PDPN biology has been gleaned from studies of tumor cells; tumor cells often upregulate PDPN as they undergo epithelial-mesenchymal transition and this upregulation is correlated with increased motility and metastasis. The physiological role of PDPN that has been most studied is its ability to aggregate and activate CLEC-2-expressing platelets, as PDPN is the only known endogenous ligand for CLEC-2. However, more recent studies have revealed that PDPN also plays crucial roles in the biology of immune cells, including T cells and dendritic cells. This review will provide a comprehensive overview of the diverse roles of PDPN in development, immunology, and cancer.
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              Podoplanin binds ERM proteins to activate RhoA and promote epithelial-mesenchymal transition.

              Podoplanin is a small membrane mucin expressed in tumors associated with malignant progression. It is enriched at cell-surface protrusions where it colocalizes with members of the ERM (ezrin, radixin, moesin) protein family. Here, we found that human podoplanin directly interacts with ezrin (and moesin) in vitro and in vivo through a cluster of basic amino acids within its cytoplasmic tail, mainly through a juxtamembrane dipeptide RK. Podoplanin induced an epithelial-mesenchymal transition in MDCK cells linked to the activation of RhoA and increased cell migration and invasiveness. Fluorescence time-lapse video observations in migrating cells indicate that podoplanin might be involved in ruffling activity as well as in retractive processes. By using mutant podoplanin constructs fused to green fluorescent protein we show that association of the cytoplasmic tail with ERM proteins is required for upregulation of RhoA activity and epithelial-mesenchymal transition. Furthermore, expression of either a dominant-negative truncated variant of ezrin or a dominant-negative mutant form of RhoA blocked podoplanin-induced RhoA activation and epithelial-mesenchymal transition. These results provide a mechanistic basis to understand the role of podoplanin in cell migration or invasiveness.
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                Author and article information

                Contributors
                anatsume@med.nagoya-u.ac.jp
                gary.goldberg@rowan.edu
                Journal
                Cancer Sci
                Cancer Sci
                10.1111/(ISSN)1349-7006
                CAS
                Cancer Science
                John Wiley and Sons Inc. (Hoboken )
                1347-9032
                1349-7006
                May 2018
                : 109
                : 5 ( doiID: 10.1111/cas.2018.109.issue-5 )
                : 1292-1299
                Affiliations
                [ 1 ] Department of Physiology and Biophysics Stony Brook University Stony Brook NY USA
                [ 2 ] Institute of Cardiovascular Science College of Medical and Dental Sciences University of Birmingham Edgbaston Birmingham UK
                [ 3 ] Division of Pathology Exploratory Oncology Research and Clinical Trial Center National Cancer Center Kashiwa Chiba Japan
                [ 4 ] Laboratory of Cancer Biology Department of Integrated Biosciences Graduate School of Frontier Sciences The University of Tokyo Kashiwa Chiba Japan
                [ 5 ] Graduate School of Biomedical Sciences and Department of Molecular Biology Rowan University School of Osteopathic Medicine Stratford NJ USA
                [ 6 ] Division of Experimental Chemotherapy The Cancer Chemotherapy Center Japanese Foundation for Cancer Research Tokyo Japan
                [ 7 ] Graduate Institute of Biomedical Sciences College of Medicine Chang Gung University Taoyuan Taiwan China
                [ 8 ] Second Department of Surgery (Chest Surgery) University of Occupational and Environmental health Kitakyushu Fukuoka Japan
                [ 9 ] Department of Dermatology Kyoto Prefectural University of Medicine Graduate School of Medical Science Kyoto Japan
                [ 10 ] Division of Cardiovascular Medicine Department of Medical and Health Sciences Linköping University Linköping Sweden
                [ 11 ] Department of Neurosurgery Nagoya University School of Medicine Nagoya Japan
                Author notes
                [*] [* ] Correspondence

                Gary S. Goldberg, Molecular Biology, Rowan University, Stratford, NJ, USA.

                Email: gary.goldberg@ 123456rowan.edu

                and

                Atsushi Natsume, Department of Neurosurgery, Nagoya University School of Medicine, Nagoya, Japan.

                Email: anatsume@ 123456med.nagoya-u.ac.jp

                Author information
                http://orcid.org/0000-0002-9113-0470
                http://orcid.org/0000-0001-5906-4111
                Article
                CAS13580
                10.1111/cas.13580
                5980289
                29575529
                720f32b2-1d39-4bd0-9b15-0eb0ca5108e7
                © 2018 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 10 January 2018
                : 02 March 2018
                : 10 March 2018
                Page count
                Figures: 4, Tables: 0, Pages: 8, Words: 5762
                Funding
                Funded by: JSPS KAKENHI
                Award ID: 16H05311
                Award ID: 24659185
                Award ID: 25461674
                Award ID: 2617H06356
                Funded by: Proteintech
                Funded by: Fox Rothschild
                Funded by: VWR
                Funded by: Sentrimed
                Funded by: Rowan University
                Funded by: Osteopathic Heritage Foundation and New Jersey Health Foundation
                Funded by: National Cancer Center Research and Development Fund
                Award ID: 23‐A‐12
                Funded by: Foundation for the Promotion of Cancer Research
                Funded by: 3rd Term Comprehensive 10‐Year Strategy for Cancer Control
                Funded by: Advanced Research for Medical Products Mining Programme of the National Institute of Biomedical Innovation (NIBIO)
                Funded by: Project for Cancer Research and Therapeutic Evolution
                Award ID: 17cm0106205 h0002
                Funded by: Medical Research and Development Programs Focused on Technology Transfer
                Funded by: Acceleration Transformative Research for Medical Innovation
                Award ID: 17im0210607 h0002
                Funded by: Japan Agency for Medical Research and Development
                Funded by: Grant‐in‐Aid for Scientific Research on Innovative Areas “Chemistry for Multimolecular Crowding Biosystems”
                Categories
                Review Article
                Review Articles
                Custom metadata
                2.0
                cas13580
                May 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.4.0 mode:remove_FC converted:31.05.2018

                Oncology & Radiotherapy
                cancer,chemotherapy,c‐type lectin‐like receptor 2,podoplanin
                Oncology & Radiotherapy
                cancer, chemotherapy, c‐type lectin‐like receptor 2, podoplanin

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