摘要
目的探讨基质金属蛋白酶(matrix metalloproteinase,MMP)-2、14及基质金属蛋白酶组织抑制因子-2(tissueinhibitor of metalloproteinase,TIMP-2)在胃癌中的表达及其意义。方法用免疫组织化学方法(SP法)检测80例胃癌手术患者胃癌组织及30例同期癌旁≥5cm正常组织中MMP-2、MMP-14及TIMP-2的表达。结果①在胃癌、正常胃组织中,MMP-2阳性表达率分别为75.00%和36.67%,MMP-14阳性表达率分别为82.50%和33.33%,差异有统计学意义(均P<0.01);TIMP-2阳性表达率分别为45.00%和40.00%,差异无统计学意义。②癌组织中,MMP-2、MMP-14的表达与肿瘤分化程度、浸润深度、淋巴结有无转移和TNM临床分期密切相关(均P<0.01)。TIMP-2的表达仅与淋巴结有无转移相关(P<0.05)。③生存期<2年患者的MMP-2、MMP-14表达率明显高于生存期≥2年患者(均P<0.01)。结论胃癌组织中,MMP-2、MMP-14高表达,联合检测MMP-2、MMP-14或MMP-2、MMP-14、TIMP-2可作为胃癌恶性程度及预后判断的指标。
Objective To examine the expression of MMP-2, MMP-14 and TIMP-2 in gastric cancer and its clinical signifi- cance. Methods The expression of MMP-2, MMP-14 and TIMP-2 was immunohistochemically detected in 80 samples of gastric cancer tissues and 30 adjacent normal gastric tissues. Results The positive expression rate of MMP-2 and MMP-14 was 75.00% and 82.50 %, respectively, in gastric cancer tissues, significantly higher than that in normal gastric tissues（36.67 % and 33.33 %, respectively） （P〈0. 01）. The positive expression rate of TIMP-2 was 45.00% and 40.00% in gastric cancer tissues and normal gastric tissues with no significant difference being found. The expression of MMP-2 and MMP-14 in gastric cancer tissues was closely correlated to the cell differentiation,invasion,lymph node metastasis and TNM stages（P〈0.01）. But the expression of TIMP-2 in gastric cancer tissues was only related to the lymph node metastasis（P〈0. 05）. The expression levels of MMP-2 and MMP-14 were significantly higher in survival time 〈2 years group than in survival time ≥2 years group（P〈0.01）. Conclusion MMP-2 and MMP-14 are over-expressed in gastric cancer. Combined detection for MMP-2/MMP-14 or MMP-2/MMP-14/TIMP-2 may help evaluate the malignancy of gastric cancer and predict the prognosis of patients with gastric cancer.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2013年第2期227-230,共4页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
