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基质金属蛋白酶-14 是胃癌患者的一个预后不良的标志物。

Matrix metalloproteinase-14 is a negative prognostic marker for patients with gastric cancer.

机构信息

Department of Gastrointestinal Surgery, State Key Laboratory of Cancer Biology, Xijing Hospital of Digestive Diseases, The Fourth Military Medical University, Xi'an, China.

出版信息

Dig Dis Sci. 2013 May;58(5):1264-70. doi: 10.1007/s10620-012-2513-9. Epub 2013 Jan 13.

Abstract

BACKGROUND

Matrix metalloproteinase-14 (MMP-14) has been considered to play an important role in invasion and metastasis of human solid tumor.

AIM

The present study aimed to investigate the association of MMP-14 with overall survival in human gastric cancer.

METHODS

Gastric cancer and adjacent normal specimens were collected from 205 patients who had not received neoadjuvant chemotherapy. MMP-14 expression was investigated by immunohistochemistry assay and staining evaluation results were analyzed statistically in relation to overall survival of patients.

RESULTS

MMP-14 expression proved to be increased in gastric cancer compared with that in normal tissues. It was also proved that MMP-14 expression was associated with tumor invasion, metastasis, and TNM stage while no correlations were detected between MMP-14 expression and age, sex, differentiation status, or Lauren's classification. Moreover, patients with gastric cancer of MMP-14-positive expression tend to have worse overall survival compared with those with MMP-14 negative expression.

CONCLUSIONS

The present study confirmed the over-expression of MMP-14 in human gastric cancer and its association with tumor progression. It also provided the first evidence that MMP-14 expression in gastric cancer was an independent negative prognostic factor of patients.

摘要

背景

基质金属蛋白酶-14(MMP-14)被认为在人类实体瘤的侵袭和转移中发挥重要作用。

目的

本研究旨在探讨 MMP-14 与人类胃癌总体生存率的关系。

方法

收集了 205 例未经新辅助化疗的患者的胃癌和相邻正常标本。通过免疫组织化学检测 MMP-14 的表达,并对染色评估结果进行统计学分析,以评估其与患者总体生存率的关系。

结果

与正常组织相比,MMP-14 在胃癌组织中表达增加。此外,MMP-14 表达与肿瘤侵袭、转移和 TNM 分期有关,而与年龄、性别、分化状态或 Lauren 分类无关。而且,MMP-14 阳性表达的胃癌患者总体生存率较 MMP-14 阴性表达的患者差。

结论

本研究证实了 MMP-14 在人类胃癌中的过度表达及其与肿瘤进展的关系。此外,本研究首次提供了证据表明,胃癌中 MMP-14 的表达是患者独立的预后不良因素。

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