THE ability of malignant tumours to invade neighbouring and distant tissues is not less important in determining the outcome of cancer in the individual host than is the question of uncontrolled proliferation. Yet the mechanism of tumour invasiveness has received much less attention than phenomena related to tumour growth and cell replication.In previous investigations, an increased content of nucleases was found in cancers of the human breast and cervix uteri and the suggestion was made that the ability to degrade macromolecules such as nucleic acids might form an important element in the invasive apparatus of the cancer cell (Goldberg and Pitts, 1966;Goldberg, Pitts and Ayre, 1967). Support for this suggestion was not forthcoming from a subsequent study of human thyroid neoplasms (Goldberg and Goudie, 1968). More recently, investigations by Sylven (1968a and b) revealed a high content of degradative lysosomal enzymes, especially cathepsin B, in the interstitial fluid of solid mouse tumour transplants, and the author speculated that cellular detachment by proteolytic enzymes may play an important role in tumour invasiveness.An opportunity to investigate this possibility further became available to us in the course of a study of proteolytic enzymes in human intestinal epithelium, and the results are recorded in this report.
MATERIALS AND METHODSSegments of colon were removed from patients with colonic cancer and transported to the laboratory on ice within minutes of excision. The outer wall of the bowel was dissected free of fat and mesenteric attachments, opened longitudinally, and the contents removed with a spatula. The bowel was then thoroughly washed with four to six rinses of cold 025 M sucrose until free of adherent materials. Representative samples of tumour tissue and of bowel adjacent to the tumour were taken for histological examination. The remainder of the uninvolved bowel was separated from the tumour, pinned to a clean board, blotted dry, and the mucosa lightly scraped off with the back of a scalpel and placed in cold 025 M sucrose. Exudate and necrotic tissue was removed from the tumour if necessary until healthy viable tumour tissue was exposed. Small pieces consisting mainly or exclusively of epithelial tissue on naked eye examination were cored from the tumour, chopped into cubes of approximately 1-2 mm., and placed in cold 025 M sucrose. If it was not feasible to continue the preparative procedures on the day of collection, normal and malignant samples were snap-frozen in a bath