乳腺癌中MUC2和MMP-9的表达及其临床意义

Expression of MUC2 and MMP-9 in Breast Carcinoma and Its Clinical Significance

  • 摘要:
      目的  探讨MUC2和MMP-9在乳腺癌中的表达及其与临床病理特征之间的关系。
      方法  应用逆转录-聚合酶链反应(RT-PCR)方法检测68例乳腺良性疾病和186例乳腺癌中MUC2和MMP-9基因的表达,免疫印迹法观测MUC2和MMP-9蛋白表达情况。分析两者与乳腺癌临床病理特征之间的关系及两者的相关性。
      结果  MUC2和MMP-9 mRNA在乳腺癌中的表达明显高于乳腺良性疾病组。乳腺良性疾病组织中MUC2和MMP-9 mRNA的表达率分别为2.9%(2/68)、13.2%(9/68),均显著低于癌组织39.8%(53/186)、73.1%(136/186)(P < 0.05)。类似于基因表达,MUC2和MMP-9蛋白在乳腺癌中的表达相对较高。MUC2和MMP-9基因在乳腺癌中的表达与病理类型、淋巴结转移相关(P < 0.05),MMP-9表达还与肿瘤大小和组织学分级有关(P < 0.05),两者均与患者年龄无关(P>0.05)。乳腺癌组织中MUC2和MMP-9 mRNA的表达呈负相关(r=-0.814,P < 0.001)。
      结论  MUC2和MMP-9联合检测可作为诊断乳腺疾病的指标之一,为乳腺癌诊断和治疗提供参考。

     

    Abstract:
      Objective  To investigate the MUC2 and MMP-9 expression in breast carcinoma tissue and to analyze its relationships with clinical characteristics.
      Methods  Reverse transcription PCR was applied to detect the MUC2 and MMP-9 mRNA expression in benign breast diseases and breast cancer. The expression levels of MUC2 and MMP-9 were measured by Western blot. The correlations of MUC2 and MMP-9 with clinical characteristics and the relationship between these two proteins were analyzed.
      Results  The grayscale bands of the MUC2 and MMP-9 mRNAs in breast tumors were significantly higher than those in benign breast diseases. The expression levels of MUC2 mRNA in benign breast diseases and breast carcinoma were 2.9% (2/68) and 39.8% (53/186), respectively (P < 0.05), whereas those of MMP-9 mRNA were 13.2% (9/68) and 73.1% (136/186), respectively (P < 0.05). Moreover, the MUC2 and MMP-9 expression was significantly lower in benign diseases than in breast tumors. The MUC2 and MMP-9 mRNA expressions were correlated with the tumor type and lymph-node metastasis of breast carcinoma, respectively (P < 0.05). In addition, the MMP-9 mRNA expression was correlated with histological grade and tumor size. However, no significant associations were found between gene expression and patient age (P>0.05). The MMP-9 expression had a significantly inverse correlation with MUC2 (r= -0.814; P < 0.001).
      Conclusion   The MUC2 and MMP-9 expression may be indicators of breast cancer. They may be suitable indicies for diagnosis and treatment of breast carcinoma.

     

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