Table 1 Post-translational modifications of ECM and ECM-associated molecules and their implications in cancer.

From: Concepts of extracellular matrix remodelling in tumour progression and metastasis

Post-translational modification

Protein targets

Effectors

Cancer types

Associated changes in cancer

Hydroxylation

Collagen

Procollagen-lysine 1, 2-oxoglutarate 5-dioxygenases (PLODs)

Many types, including bladder254, lung255, and breast cancers256, and renal cell carcinoma257

Increased expression of PLODs in cancer and stromal cells increases collagen cross-linking and correlates with poor survival. PLOD2 is induced by hypoxic conditions71.

Collagen

Prolyl-4-hydroxylase subunit alpha-1 (P4HA)

Breast cancer

Inhibition of collagen hydroxylation increases breast cancer-derived lung metastasis in mice258.

Cross-linking

Collagen, elastin

Lysyl oxidase (LOX) and lysyl oxidase homologues (LOXLs)

Many types, including colorectal, pancreatic, breast, lung, and prostate259

Overexpression of LOX and LOXLs increases fibrosis and ECM stiffness and promotes tumourigenesis and metastasis259.

Fibronectin, HSPB, fibrinogen, collagen VI

Transglutaminases

Many types, including PDAC, glioblastoma, melanoma260, and breast cancer261

Overexpression of TG2 in cancer cells and metastatic cancer cells262 increases ECM cross-linking, affects mechanical properties and cell–matrix signalling68.

Glycosylation

Fibronectin

Glycosyltransferases and glycosidases

Urothelial carcinoma263

Increased fibronectin glycosylation is correlated with increased invasiveness of urothelial carcinoma263 and enhanced EMT in human prostate cancer cell lines264.

αvβ3 and αvβ6 integrins

Glycosyltransferases and glycosidases

Breast cancer

Inhibition of glycosylation increases the invasion properties of metastatic cells265.

Phosphorylation

Fibronectin

Casein kinase II-like protein kinase

Many types266

Phosphorylated fibronectin increases mechanical cell functions and cell traction forces for attachment266 and occurs at growth factor binding sites267.

Many targets including MMPs and laminin A1

Vertebrate lonesome kinase (VLK) and extracellular serine/threonine protein kinase (FAM20C)

Currently poorly understood268

Extracellular kinases phosphorylate ECM and ECM-associated components, which can potentially alter downstream kinase signalling pathways268,269.

Sulphation

Glycosaminoglycans (GAGs)

Sulfotransferases and heparanase

Many types, including breast, ovarian, colorectal, prostate, and gastric cancers270

Changes in the degree of sulphation and/or the pattern in chondroitin sulphates and heparan sulphates in glycosaminoglycans are associated with different cancers by changing cell–cell and cell–matrix signalling270,271,272.

Citrullination

Collagen

Protein arginine deiminase 4 (PAD4)

Liver metastases of colorectal cancer

Promotes liver metastases of colorectal cancer215.

Isomerization

C-terminal telopeptide of type I collagen

Non-enzymatic

Breast and prostate cancer

High levels of non-isomerised C-telopeptide of collagen I (α-CTX-I) are indicative of high ECM turnover in bone metastases220.

Carbamylation

Collagen

Non-enzymatic

Currently poorly understood

Increased carbamylation decreases stability of collagen I triple helices and affects their degradation by MMPs273. Carbamylated collagen type I affects cancer cell migration274.

Glycation

Collagen

Non-enzymatic

Currently poorly understood

Glycated collagen type I affects cancer cell migration274.