Zheng Huachuan, Takahashi Hiroyuki, Murai Yoshihiro, Cui Zhengguo, Nomoto Kazuhiro, Niwa Hideki, Tsuneyama Koichi, Takano Yasuo
Department of Diagnostic Pathology, School of Medicine, University of Toyama, Sugitani 2630, Toyama, Japan.
Anticancer Res. 2006 Sep-Oct;26(5A):3579-83.
Gastric carcinoma is still a major leading cause of cancer death in East Asia. Since angiogenesis is a necessary condition for invasion and metastasis, its regulation is of essential significance.
Expressions of MMP-2, MMP-9 and VEGF were examined with microarray of gastric carcinoma tissue samples (n = 249) by immunostaining. In addition, microvessel density (MVD) was assessed after labelling with the anti-CD34 antibody. Data were cross-compared with clinicopathological parameters of tumors, including PTEN expression.
Expressions of MMP-2, MMP-9 and VEGF were positively correlated with tumour size, depth of invasion, lymphatic and venous invasion, lymph node metastasis, UICC staging and MVD of gastric carcinomas (p < 0.05).VEGF expression was positively linked with levels of MMP-2 and MMP-9 (p < 0.05), but negatively with PTEN (p < 0.05). The latter was also inversely associated with the MVD in gastric carcinomas (p < 0.05).
MMP-2, MMP-9 and VEGF largely contribute to the angiogenesis and progression of gastric carcinomas. PTEN might inhibit the processes by down-regulating VEGF expression. These parameters should be regarded as good markers to indicate pathobiological behaviours of gastric carcinomas.
在东亚地区,胃癌仍是导致癌症死亡的主要原因之一。由于血管生成是肿瘤侵袭和转移的必要条件,因此对其进行调控具有至关重要的意义。
采用免疫染色法,通过微阵列检测249例胃癌组织样本中MMP-2、MMP-9和VEGF的表达情况。此外,用抗CD34抗体标记后评估微血管密度(MVD)。将数据与肿瘤的临床病理参数进行交叉比较,包括PTEN表达情况。
MMP-2、MMP-9和VEGF的表达与胃癌的肿瘤大小、浸润深度、淋巴管和静脉浸润、淋巴结转移、UICC分期及MVD呈正相关(p < 0.05)。VEGF表达与MMP-2和MMP-9水平呈正相关(p < 0.05),但与PTEN呈负相关(p < 0.05)。后者也与胃癌中的MVD呈负相关(p < 0.05)。
MMP-2、MMP-9和VEGF在很大程度上促进了胃癌的血管生成和进展。PTEN可能通过下调VEGF表达来抑制这些过程。这些参数应被视为指示胃癌病理生物学行为的良好标志物。