胃癌c-Jun 和MMP-9 表达与其生物学行为的关系*

The Expression of c-Jun and MMP- 9 in Gastric Carcinoma and Its Relationship with the Biological Behaviors

  • 摘要: 目的:研究转录因子c-Jun 及下游蛋白MMP-9 在胃癌组织中的表达状况,分析其与临床病理特征和生存之间的关系。方法:应用免疫组化SP法,采用组织芯片技术,分析189 例胃癌组织、54例癌旁组织、41例淋巴结转移灶及32例正常对照组织中c-Jun 和MMP-9 蛋白表达。结果:胃癌中c-Jun 和MMP-9 蛋白的阳性表达率分别为73.0% 和78.3% 。c-Jun 蛋白的表达与分化程度有关(P<0.05);MMP-9 的表达与浸润深度、淋巴结转移、分化程度及Lauren 分型有关(P<0.05)。 胃癌中c-Jun 和MMP-9 蛋白表达水平呈正相关(P<0.05)。 41例淋巴结转移灶和相对应的41例胃癌组织各因子表达比较发现,MMP-9 阳性表达率有显著性差异(P<0.05),c-Jun 阳性表达率无显著性差异(P>0.05)。 单因素生存分析显示c-Jun 和MMP-9 阳性组对胃癌患者生存期的影响有统计学意义(P<0.05),COX
    多元回归分析显示c-Jun 和MMP-9 的异常表达均不可作为影响胃癌预后的独立因素(P>0.05)。 结论:c-Jun 和MMP-9 在胃癌组织中均有高表达。c-Jun 阳性表达与胃癌的组织学分级密切相关,提示其异常表达可能是胃癌发生过程中的一个早期分子事件。MMP-9 阳性表达与肿瘤的浸润、转移密切相关,可作为判断胃癌恶性行为的重要生物学标记物。c-Jun 和MMP-9 蛋白表达水平呈正相关。c-Jun 和MMP-9 蛋白阳性表达对于胃癌患者是一个不利的预后因素,尚不能作为一个独立的预后指标。

     

    Abstract: Objective: To investigate the expression of c-Jun and MMP- 9 in gastric cancer tissues, pa -ra-cancerous tissues and metastastic lymph nodes, and to explore its role and significance for the clinicopath -ology and prognosis. Methods:Immunohistochemistry was employed to detect the expression of c-Jun and MMP-9 in tissue microarrays containing gastric normal mucosa (n=32), para-cancerous tissues ( n=54), metas -tastic lymph nodes ( n=41), and gastric cancer tissues (n=189 ). Results: The positive rates for c-Jun and MMP-9 expression in gastric cancer were73.0% and 78.3%, respectively. The positive rates of c-Jun protein was significantly associated with the degree of differentiation ( P<0.05), but was not associated with the depth of invasion, lymph node metastasis, Lauren type, sex, age or size of tumor (P>0.05). The positive rates of MMP-9 was significantly associated with the depth of invasion, lymph node metastasis, Lauren type and de -gree of differentiation (P<0.05), but was not associated with sex, age or size of tumor ( P>0.05). The positive rates of MMP- 9 expression in the 41gastric cancer tissue samples and 41metastastic lymph node tissue samples were significantly different (P<0.05). In metastastic lymph nodes, the positive rate of MMP-9 expres-sion was higher. Kaplan-Meier survival analysis showed that the survival rate of patients with negative c-Jun and MMP- 9 expression was higher than that of patients with positive c-Jun and MMP-9 expression (P<0.05). COX regression analysis showed that c-Jun and MMP-9 expression was not independent prognostic factor for gastric cancer. Conclusion:The expression of c-Jun is positively associated with the degree of differentiation. The increased c-Jun expression maybe an early indicator of gastric cancer. The high expression of MMP-9 may involve the occurrence, development, invasion, and metastasis of gastric cancer. C-Jun and MMP-9 are useful markers for predicting the outcome of gastric cancer, but they are not independent prognostic factors.

     

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