成釉细胞瘤中肌成纤维细胞的存在及基质金属蛋白酶-2(MMP-2)的表达与骨皮质破裂相关。
Presence of myofibroblasts and expression of matrix metalloproteinase-2 (MMP-2) in ameloblastomas correlate with rupture of the osseous cortical.
作者信息
Fregnani Eduardo Rodrigues, Sobral Lays M, Alves Fabio Abreu, Soares Fernando Augusto, Kowalski Luis Paulo, Coletta Ricardo D
机构信息
Department of Stomatology, A. C. Camargo Cancer Hospital, R. Professor Antônio Prudente, 211 São Paulo-SP-Liberdade-CEP 01509-010, São Paulo, Brazil.
出版信息
Pathol Oncol Res. 2009 Jun;15(2):231-40. doi: 10.1007/s12253-008-9110-4. Epub 2008 Dec 19.
Myofibroblasts are frequent in the stroma of neoplasm and by the expression of proteinases they can influence tumor infiltration and progression. In the present study, presence of myofibroblasts and expression of matrix metalloproteinase-2 (MMP-2) and urokinase plasminogen activator (uPA) were examined in intra-osseous solid multicystic ameloblastomas to determine their roles in the clinicopathological features of the tumors. Fifty seven ameloblastomas were analyzed immunohistochemically with antibodies against the isoform alpha of the smooth muscle actin (alpha-SMA), a specific marker of myofibroblasts, MMP-2 and uPA. Myofibroblasts were found in the stroma, in close contact with neoplastic cell islands, of approximately 58% (n = 33) of the ameloblastomas. MMP-2 and uPA were found in the cytoplasm of both neoplastic and stromal cells. A significant correlation between presence of myofibroblasts and MMP-2 expression was observed. Abundant presence of myofibroblast in the stroma of the tumors and expression of MMP-2 in the neoplastic or stromal cells were significantly correlated with rupture of the osseous cortical, which has been considered an important prognostic marker of ameloblastoma aggressiveness. Ours results suggest that abundant presence of myofibroblasts and expression of MMP-2 in solid ameloblastomas may be associated with a more aggressive infiltrative behavior.
肌成纤维细胞在肿瘤基质中很常见,通过蛋白酶的表达,它们可以影响肿瘤的浸润和进展。在本研究中,检测了骨内实性多囊性成釉细胞瘤中肌成纤维细胞的存在以及基质金属蛋白酶-2(MMP-2)和尿激酶型纤溶酶原激活剂(uPA)的表达,以确定它们在肿瘤临床病理特征中的作用。用抗平滑肌肌动蛋白α亚型(α-SMA)、肌成纤维细胞的特异性标志物、MMP-2和uPA的抗体对57例成釉细胞瘤进行免疫组织化学分析。在约58%(n = 33)的成釉细胞瘤的基质中发现了肌成纤维细胞,它们与肿瘤细胞岛紧密接触。在肿瘤细胞和基质细胞的细胞质中均发现了MMP-2和uPA。观察到肌成纤维细胞的存在与MMP-2表达之间存在显著相关性。肿瘤基质中肌成纤维细胞的大量存在以及肿瘤细胞或基质细胞中MMP-2的表达与骨皮质破裂显著相关,而骨皮质破裂被认为是成釉细胞瘤侵袭性的一个重要预后标志物。我们的结果表明,实性成釉细胞瘤中肌成纤维细胞的大量存在和MMP-2的表达可能与更具侵袭性的浸润行为有关。