S100P is a 95-amino acid protein (10.4 kDa) that functions as a homodimer, binding calcium, zinc, and magnesium ions . Its structure includes two EF-hand motifs critical for calcium sensing and interaction with target proteins like ezrin (EZR) and the receptor for advanced glycation end-products (RAGE) .
S100P operates as a calcium sensor, modulating cellular signaling through interactions with proteins such as RAGE, EZR, and PPP5C . Key functions include:
Cytoskeletal Regulation: Promotes microvilli formation in epithelial cells via EZR binding .
Cell Proliferation: Stimulates autocrine signaling through RAGE, activating pathways like NF-κB and ERK/MAPK .
Trophoblast Invasion: Enhances motility and invasion in placental trophoblast cells during implantation .
S100P is a biomarker of aggressiveness in multiple cancers:
Breast Cancer: Knockdown of S100P reduces proliferation (↓15% in T47D cells) and adhesion (↓84% in SK-BR-3 cells) .
Chemoresistance: HER2+ breast cancers with high S100P show resistance to paclitaxel but sensitivity to cisplatin .
RAGE Inhibition: Cromolyn and pentamidine disrupt S100P-RAGE interactions, reducing tumor growth .
Chemosensitization: Targeting S100P may enhance cisplatin efficacy in HER2+ breast cancer .
S100P is a calcium-binding protein that belongs to the S100 protein family. It plays crucial roles in both normal physiological processes and pathological conditions. In normal physiology, S100P has been identified in trophoblast cells during placentation, functioning as a regulator of cellular invasion and migration . In pathological contexts, S100P is overexpressed in various cancers where it correlates with metastasis and poor prognosis, making it a potential biomarker for cancer progression .
Methodologically, researchers should approach S100P as both an intracellular signaling molecule and an extracellular factor that can activate specific receptors. This dual functionality requires different experimental approaches depending on which aspect of S100P biology is being investigated.
S100P shows a tissue-specific expression pattern in normal human tissues. Based on available research, S100P is predominantly expressed during early stages of placental formation with highest expression levels occurring during the first trimester of gestation, particularly in invading columns and anchoring villi . This temporal and spatial expression pattern suggests a physiological role in regulated trophoblast invasion during placentation.
For researchers studying normal S100P expression, it's recommended to examine tissue-specific expression using quantitative RT-PCR with appropriate housekeeping genes (such as YWHAZ, GAPD, and UBC) for normalization, as demonstrated in methodological approaches from published literature .
S100P promotes cancer progression through multiple mechanisms:
Enhanced cell motility and invasion: S100P stimulates both cell motility and cellular invasion in cancer cells, with invasion capabilities being more dramatically affected than migration .
Lymphatic invasion: In pancreatic cancer, S100P regulates collective invasion of cancer cell clusters into lymphatic vessels. This occurs through:
RAGE signaling activation: Extracellular S100P activates the Receptor for Advanced Glycation End products (RAGE), leading to increased proliferation, invasion, and migration of cancer cells .
For researchers investigating these mechanisms, spheroid-based invasion assays and CCID formation assays represent valuable methodological approaches to quantitatively assess S100P's role in collective invasion processes.
The prognostic significance of S100P varies by cancer type:
Cancer Type | Prognostic Impact | Hazard Ratio (95% CI) | P-value |
---|---|---|---|
Non-gastrointestinal tract cancers | Poor prognosis | 1.98 (1.44-2.72) | <0.001 |
Cholangiocarcinoma (CCA) | Poor prognosis | 2.14 (1.30-3.50) | 0.003 |
Hepatocellular carcinoma (HCC) | Poor prognosis | 1.91 (1.22-2.99) | 0.005 |
Gastrointestinal tract cancers | No significant impact | 1.09 (0.66-1.81) | 0.727 |
Gastric cancer (GC) | No significant impact | 0.97 (0.65-1.45) | 0.872 |
Colorectal cancer (CRC) | No significant impact | 1.18 (0.32-4.41) | 0.807 |
For researchers evaluating S100P as a prognostic marker, sample size, population demographics, and detection methods significantly influence results. Immunohistochemistry (IHC) and RT-PCR methods have shown more consistent prognostic value than Western blot approaches .
Multiple methodologies have been employed for S100P detection, each with distinct advantages:
Immunohistochemistry (IHC): Most commonly used for clinical samples, showing significant prognostic value (HR=1.57, 95% CI=1.13-2.18, P=0.007) . For optimal results, researchers should consider:
Quantitative RT-PCR: Provides quantitative assessment of S100P mRNA levels (HR=1.80, 95% CI=1.02-3.19, P=0.044) . For reliable results:
Western Blot: Has shown less consistent prognostic value (HR=0.55, 95% CI=0.13-2.30, P=0.413) , but remains useful for protein expression analysis in experimental settings.
Researchers should select detection methods based on their specific research questions, available sample types, and required quantitative precision.
To investigate S100P function, researchers can employ several experimental approaches:
Gain/loss of function studies:
Specialized invasion assays:
Pathway inhibition experiments:
For investigating collective invasion specifically, spheroid-based assays more accurately recapitulate the pathological situation compared to single-cell invasion assays .
S100P plays a critical role in lymphatic invasion, particularly in pancreatic cancer:
Lymphatic endothelial expression: S100P is expressed in lymphatic endothelial cells (LECs) in lymphatic vessels surrounding primary pancreatic tumors, as demonstrated by both immunohistochemistry and immunofluorescence staining .
Induction by cancer secretions: LECs increase S100P expression when exposed to:
Mechanism of collective invasion:
S100P/RAGE signaling axis: Extracellular S100P activates RAGE on LECs, increasing their migration and CCID formation, which can be suppressed using RAGE antagonist peptides .
For researchers studying lymphatic invasion, the CCID assay represents a valuable tool to quantitatively investigate the cluster-specific mechanisms of lymph vessel invasion and elucidate underlying molecular mechanisms.
S100P expression correlates with several aggressive tumor phenotypes:
Distant metastasis: High S100P expression significantly correlates with distant metastasis (OR=3.58, 95% CI: 1.04-12.36, P=0.044) .
Advanced clinical stage: S100P expression is associated with advanced disease stage (OR=2.03; 95% CI=1.03-4.01; P=0.041) .
Tumor recurrence: Higher rates of recurrence are observed in tumors with elevated S100P expression (OR=1.66; 95% CI=1.15-2.38; P=0.007) .
Lymphatic invasion: In pancreatic cancer, S100P expression is observed in clusters of cancer cells penetrating lymphatic vessel walls around primary tumors .
Researchers face significant challenges when studying S100P in animal models:
Lack of S100P expression in rodents: S100P is not expressed in rodents , making traditional mouse models problematic for studying S100P function in vivo.
Alternative approaches:
Human xenograft models to study human S100P-expressing cells in immunocompromised mice
Humanized mouse models with tissue-specific S100P expression
Ex vivo organ culture systems to study human tissue responses
Translational limitations: The absence of rodent S100P creates challenges in translating findings from preclinical models to human applications, necessitating careful experimental design and interpretation.
For researchers designing in vivo studies, these limitations must be carefully considered when selecting appropriate model systems and interpreting results in the context of human disease.
Based on current knowledge, several promising research directions emerge:
Therapeutic targeting:
Biomarker development:
Standardizing S100P detection methods for clinical application
Exploring S100P as part of multi-marker panels for improved prognostication
Investigating S100P in liquid biopsies for non-invasive monitoring
Physiological roles:
Mechanistic studies:
Deeper investigation of S100P/RAGE signaling mechanisms
Exploration of S100P's role in programming the tumor microenvironment
Understanding cell-type specific responses to S100P
These research directions have potential to advance both basic understanding of S100P biology and clinical applications in cancer management.
S100P is expressed in a variety of normal human tissues, including the placenta, esophagus, stomach, duodenum, large intestine, prostate, and leukocytes . At the protein level, the highest expression is observed in the placenta and stomach . S100P plays a role in calcium-dependent signal transduction pathways, contributing to the regulation of cell cycle, growth, differentiation, and metabolism .
S100P is overexpressed in several types of cancers, including breast, colon, prostate, pancreatic, and lung carcinomas . Its overexpression has been linked to carcinogenic processes, making it a potential tumor biomarker . For instance, in pancreatic cancer, S100P overexpression is due to hypomethylation of its gene . In prostate cancer, its expression is regulated by androgens and interleukin-6 . Additionally, retinoic acid has been reported to induce S100P expression in gastric cancer cell lines .