MMP-9及TIMP-1mRNA在甲状腺肿瘤中的表达及临床意义

Clinical Significance and Expression of MMP-9 mRNA and TIMP-1 mRNA in Thyroid Tumor

  • 摘要: 目的: 研究MMP-9及TIMP-1 mRNA在不同类型甲状腺肿瘤组织及不同临床病理特征甲状腺乳头状癌(PTC)中的表达,探讨其在甲状腺癌浸润、转移中的作用。 方法: 采用石蜡切片、原位杂交法检测了20例甲状腺乳头状癌,20例甲状腺腺瘤,20例结节性甲状腺肿和20例癌旁正常甲状腺组织中MMP-9、TIMP-1 mRNA的表达。 结果: 与癌旁正常甲状腺比较各类型肿瘤组织中MMP-9mRNA杂交信号均呈增强的趋势(P<0.01),与甲状腺癌比较,结节性甲状腺肿和甲状腺腺瘤组织中MMP-9 mRNA杂交信号均呈减弱的趋势(P<0.05);同时,MMP-9 mRNA在甲状腺癌中的表达与肿瘤的大小、临床分期、淋巴结转移、预后指数呈正性调节关系(MMP-9 mRNA表达高者恶性度高、预后差,P<0.05或P<0.01)。TIMP-1 mRNA在癌旁正常甲状腺组织、良性甲状腺结节及甲状腺癌中均有不同程度的表达,与癌旁正常甲状腺组织比较各类型肿瘤组织中TIMP-1 mRNA表达均呈增加的趋势,但只有甲状腺癌组明显高于正常甲状腺组,差异有显著(P<0.05);与甲状腺癌比较,结节性甲状腺肿和甲状腺腺瘤组织中TIMP-1 mRNA表达没有明显改变(P>0.05);同时TIMP-1mRNA在甲状腺癌中的表达与临床病理特征呈负性调节关系(TIMP-1 mRNA表达低者恶性度高、预后差,P<0.05或P<0.01)。 结论: MMP-9及TIMP-1 mRNA的表达与甲状腺癌的浸润、转移密切相关,MMP-9及TIMP-1 mRNA表达有望成为判断甲状腺乳头状癌浸润、转移和预后较可靠的指标。

     

    Abstract: Objective : To investigate the expression of Matrix Metalloproteinase-9 mRNA(MMP-9m RNAJand Tissue Inhib ito rs of M etalloproteinase-1 mRNA (TIM P-1m RNA) and in different tissues and explore their correlation with metastasis and prognosis in thyroid tumor, to discuss the ir function in the invasion and metastsis of papillary thyroid carcinoma (PTC). Methods :Paraffin slices and in situ hybridization (ISH) were used to exam ine mRNA expression of MMP-9, TIMP-1 in 20 PTC,20 thyroid adenoma,20 nodular goiter and 20 normal thyroid tissue (harvest from sideward carcinoma). Results : MMP-9 mRNA positive expression was rem arkably strong in PTC (P<0.01), and rather weak in norm al thyroid tissue (P <0.01). There was significantly positive m odulating correlation between MMP-9 mRNA expression and PTC clinopathological factors (Tum or size, C linical stage, Lymphnode,prognostic index) (P<0.05 or P<0.01). For the case of TIM P-1mRNA, it showed positive expression in norm al thyroid tissue, benign thyroid nod and PTC. Among them, the expression of TIMP-1 m RNA was the strongest in PTC, and the weakest in norm al thyroid (P<0.05). While there was significantly negative modulating correlation between TIMP-1mRNA expression and PTC clinopathological factors (P <0.05 or P <0.01), that is, with the down -graduate of TIMP -1 m RNA, the PTC put up high malignant and bad prognostic. Conclusions : The expressions of MMP-9 mRNA and TIMP -1 mRNA have a close relation with the invasion and metastsis of PTC, and their overexpression can act as a standard reference to evaluate metastsis and unfavourable prognosis of PTC.

     

/

返回文章
返回