PMID- 32538273 OWN - NLM STAT- MEDLINE DCOM- 20210601 LR - 20210601 IS - 1933-6926 (Electronic) IS - 1933-6918 (Print) IS - 1933-6918 (Linking) VI - 14 IP - 1 DP - 2020 Dec TI - The anti-cancer properties of heparin and its derivatives: a review and prospect. PG - 118-128 LID - 10.1080/19336918.2020.1767489 [doi] AB - Heparin, including unfractionated heparin (UFH), low-molecular-weight heparin (LMWH) and heparin derivatives, are commonly used in venous thromboembolism treatment and reportedly have beneficial effects on cancer survival. Heparin can affect the proliferation, adhesion, angiogenesis, migration and invasion of cancer cells via multiple mechanisms. The main mechanisms involve inhibition of heparanase, P-/L-selectin, angiogenesis, and interference with the CXCL12-CXCR4 axis. Here we summarize the current experimental evidence regarding the anti-cancer role of heparin and its derivatives, and conclude that there is evidence to support heparin's role in inhibiting cancer progression, making it a promising anti-cancer agent. FAU - Ma, Sai-Nan AU - Ma SN AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. AD - Department of Oncology, The Affiliated Suqian Hospital of Xuzhou Medical University , Suqian, P.R.China. FAU - Mao, Zhi-Xiang AU - Mao ZX AD - Department of Oncology, Affiliated Hospital of Xuzhou Medical University , Xuzhou, P.R. China. FAU - Wu, Yang AU - Wu Y AD - Core Facility, The First Af fi liated Hospital of Nanjing Medical University , Nanjing, P.R. China. FAU - Liang, Ming-Xing AU - Liang MX AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. FAU - Wang, Dan-Dan AU - Wang DD AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. FAU - Chen, Xiu AU - Chen X AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. FAU - Chang, Ping-An AU - Chang PA AD - Urinary Surgery, Dongtai People's Hospital , Dongtai, P.R. China. FAU - Zhang, Wei AU - Zhang W AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. FAU - Tang, Jin-Hai AU - Tang JH AUID- ORCID: 0000-0003-2016-4216 AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University , Nanjing, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Cell Adh Migr JT - Cell adhesion & migration JID - 101469464 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antineoplastic Agents) RN - 9005-49-6 (Heparin) RN - EC 3.2.1.- (heparanase) RN - EC 3.2.1.31 (Glucuronidase) SB - IM MH - Angiogenesis Inhibitors/pharmacology MH - Animals MH - Antineoplastic Agents/chemistry/*pharmacology MH - Glucuronidase/antagonists & inhibitors/metabolism MH - Heparin/chemistry/*pharmacology MH - Humans MH - Lymphatic Vessels/drug effects MH - Neoplastic Stem Cells/drug effects/metabolism PMC - PMC7513850 OTO - NOTNLM OT - Heparin OT - cancer OT - heparin derivatives OT - low-molecular-weight heparin OT - metastasis COIS- The author reports no conflicts of interest in this work. EDAT- 2020/06/17 06:00 MHDA- 2021/06/02 06:00 PMCR- 2020/06/14 CRDT- 2020/06/16 06:00 PHST- 2020/06/16 06:00 [entrez] PHST- 2020/06/17 06:00 [pubmed] PHST- 2021/06/02 06:00 [medline] PHST- 2020/06/14 00:00 [pmc-release] AID - 1767489 [pii] AID - 10.1080/19336918.2020.1767489 [doi] PST - ppublish SO - Cell Adh Migr. 2020 Dec;14(1):118-128. doi: 10.1080/19336918.2020.1767489.