“…An increasing body of evidence support the notion that plasma sPLA2-IIa potentially is a novel therapeutic target: i) sPLA2-IIa stimulates tumor cell growth in prostate cancer (20,33,34), colon cancer (35), skin (36), and brain cancer (37,38), while inhibition of eicosanoid signaling leads to cancer regression (39,40); ii) we found that sPLA2-IIa activates HER/HER2-elicited signaling and sPLA2-IIa promoter and stimulates cancer cell growth in a positive feedback manner (20,25,41); iii) sPLA2-IIa stimulates production of vascular endothelial growth factor (VEGF) (42) and nitric oxide synthase expression, contributing to inflammation and angiogenesis in tumors (43,44); iv) sPLA2-IIa abrogates TNF-α-induced apoptosis and compromises immune surveillance function (45); v) sPLA2-IIa stimulates eicosanoid biosynthesis and inflammation contributing to cancer progression (46); vi) through interaction with yet to be identified receptor (18,47), sPLA2-IIa stimulates EGFR-, MAPK-, PI3K/Akt-, NF-κB-mediated cell growth and survival signaling pathways (44,48); and vii) knockdown of secretory phospholipase A2 IIa reduces lung cancer growth both in vitro and in vivo (49). …”