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基质溶素-2在结直肠癌中的表达与患者的总生存期相关。

Matrilysin-2 expression in colorectal cancer is associated with overall survival of patients.

作者信息

Hu Qinglin, Yan Chuanjing, Xu Chengfei, Yan Hai, Qing Lian, Pu Yanjun, He Zeyou, Li Xiaojun

机构信息

Department of General Surgery, the First Affiliated Hospital of Chengdu Medical College, Baoguang Road 278#, Chengdu, 610500, Sichuan, China,

出版信息

Tumour Biol. 2014 Apr;35(4):3569-74. doi: 10.1007/s13277-013-1471-y. Epub 2013 Dec 8.

Abstract

Tumor recurrence and metastasis are pressing issues of patients with colorectal cancer who receive surgery. Matrilysin-2 (MMP-26) has been proved to play an important role during invasion and metastasis of some human solid tumor. We aimed to investigate the clinical significance and prognostic value of matrilysin-2 in human colorectal cancer. Colorectal cancer and adjacent normal samples from 201 patients were collected. Matrilysin-2 expression level was investigated by immunohistochemistry assay, and its association with overall survival of patients was analyzed by statistical analysis. Results showed that matrilysin-2 expression level significantly elevated in colorectal cancer compared with adjacent normal specimens. Matrilysin-2 expression was also found to be associated with cancer invasion, lymph node metastasis, distant metastasis, and TNM stage. In addition, survival analysis showed that elevated matrilysin-2 expression was associated with poor overall survival of patients. Cox's proportional hazards model indicated that matrilysin-2 was an independent prognostic marker for patients with colorectal cancer. The present study found that the expression of matrilysin-2 increased in colorectal cancer and was associated with tumor progression. It also provided the first evidence that matrilysin-2 expression was an independent prognostic factor for patients with colorectal cancer, which might be a high specific biomarker for colorectal cancer.

摘要

肿瘤复发和转移是接受手术治疗的结直肠癌患者面临的紧迫问题。基质溶素-2(MMP-26)已被证明在某些人类实体瘤的侵袭和转移过程中发挥重要作用。我们旨在研究基质溶素-2在人类结直肠癌中的临床意义和预后价值。收集了201例患者的结直肠癌及相邻正常样本。通过免疫组织化学分析研究基质溶素-2的表达水平,并通过统计分析分析其与患者总生存期的关系。结果显示,与相邻正常标本相比,结直肠癌中基质溶素-2的表达水平显著升高。还发现基质溶素-2的表达与癌症侵袭、淋巴结转移、远处转移和TNM分期有关。此外,生存分析表明,基质溶素-2表达升高与患者总生存期较差有关。Cox比例风险模型表明,基质溶素-2是结直肠癌患者的独立预后标志物。本研究发现,基质溶素-2在结直肠癌中的表达增加,且与肿瘤进展有关。它还首次提供了证据,表明基质溶素-2表达是结直肠癌患者的独立预后因素,这可能是结直肠癌的一个高度特异性生物标志物。

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