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. 2005 Jun 7;11(21):3222-6.
doi: 10.3748/wjg.v11.i21.3222.

Relationship between matrix metalloproteinase-2 mRNA expression and clinicopathological and urokinase-type plasminogen activator system parameters and prognosis in human gastric cancer

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Relationship between matrix metalloproteinase-2 mRNA expression and clinicopathological and urokinase-type plasminogen activator system parameters and prognosis in human gastric cancer

Feng Ji et al. World J Gastroenterol. .

Abstract

Aim: To investigate the relationship between matrix metalloproteinase-2 (MMP-2) mRNA expression and clinicopathologic and urokinase-type plasminogen activator (uPA) system parameter and prognosis in human gastric cancer.

Methods: Expression of MMP-2 mRNA, uPA, and uPA-R mRNA in tumor tissues and > or =5 cm adjacent normal tissues from 67 cases of gastric cancer was studied using RT-PCR and Northern blot respectively. Survival analyses were done using the Kaplan-Meier method.

Results: The expression rates of MMP-2 mRNA, uPA and uPA-R mRNA in tumor tissues (31%, 41%, and 51%, respectively) were significantly higher than those in > or =5 cm adjacent tissues (19%, 11%, and 9%; chi(2) = 4.59, 43.58, and 53.24 respectively, P<0.05, 0.0001, and 0.0001, respectively). Expression of MMP-2 mRNA was significantly correlated with lymph node metastasis (metastasis: 61.9%, no metastasis: 39.1%, chi(2) = 7.61, P<0.05), Lauren's classification of diffuse/mixed types: 54.2%, intestinal type: 26.3%, chi(2) = 4.25, P<0.05, expression of uPA and uPA-R mRNA (uPA+: 55.1%, uPA-: 22.2% and uPA-R+: 54.9%, uPA-R-: 18.8%, chi(2) = 5.72 and 6.40 respectively, P<0.05). Kaplan-Meier survival analysis of MMP-2 mRNA expression did not show significant difference in all 67 cases, but revealed an association of the expression of MMP-2 mRNA, uPA, and uPA-R mRNA with worse prognosis (P = 0.0083, 0.0160, and 0.0094, respectively).

Conclusion: MMP-2 may play an important role in the development of invasion and metastasis of gastric cancer.

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Figures

Figure 1
Figure 1
Expression of MMP-2 mRNA in gastric cancerous tissues and tumor adjacent tissues. Lane M: DNA marker; lanes 1 and 2: gastric cancerous tissues where MMP-2 mRNA is overexpressed; lanes 3 and 4: tumor adjacent tissues; lane 5: normal control.
Figure 2
Figure 2
Expression of uPA and uPA-R mRNA in gastric cancerous tissues and tumor adjacent tissues. Lanes 1 and 4: normal controls; lanes 2 and 5: tumor adjacent tissues; lanes 3 and 6: gastric cancerous tissues where uPA and uPA-R mRNA are overexpressed; lanes 7: empty control.
Figure 3
Figure 3
No significant differences between positive cases and negative cases in Kaplan–Meier survival analysis of MMP-2 mRNA.

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