骨桥蛋白与MMP-9在肝细胞癌中的表达及其临床意义

Expression of Osteopontin and MMP-9 in Hepatocellular Carcinoma and Its Clinical Significance

  • 摘要: 目的:探讨骨桥蛋白(OPN)和MMP-9在肝细胞癌组织中的表达及其与在肝癌转移复发的关系。方法:采用免疫组化法检测80例肝细胞癌组织中OPN和MMP-9的表达情况。结果:OPN及MMP-9在80例肝细胞癌组织中阳性表达率分别为72.5%(58/80)和52.5%(42/80)。OPN的表达与门脉癌栓、术后复发、肝外转移及肿瘤个数有关,与临床分期、肿瘤大小、血清AFP值及肿瘤分化程度无关。MMP-9的表达与临床分期,门脉癌栓,术后复发,肝外转移、肿瘤个数及肿瘤分化程度有关,与肿瘤大小、血清AFP值无关。OPN与MMP-9的表达呈显著正相关(γ=0.255,P=0.022)。结论:OPN与MMP-9的表达与肝癌侵袭转移的发生有密切关系,两者均阳性表达时对预测肝癌转移及预后具有参考意义。

     

    Abstract: Objective: To investigate the expression of osteopontin (OPN) and MMP-9 in hepatocellular carcinoma (HCC) and to explore its correlation with metastasis and recurrence. Methods: Immunohistochemisty was employed to determine the expression of OPN and MMP-9 in 80 HCC tissues. Results: The positive rates of OPN and MMP-9 expression in HCC tissues were 72.5%(58/80) and 52.5%(42/80), respectively. The expression of OPN in HCC tissues was significantly correlated with portal vein tumor thrombus, tumor recurrence, the presence of extrahepatic metastasis, and the number of tumors; it was not correlated with the clinical stage, the diameter of the tumor, the level of serum alpha-fetoprotein (AFP), and the differentiation of tumor. The expression of MMP-9 in the HCC tissue was significantly correlated with the clinical stage, portal vein tumor thrombus, tumor recurrence, the presence of extrahepatic metastasis, the number of tumors and the differentiation of tumor, but it was not correlated with the diameter of the tumor or the level of serum alpha-fetoprotein(AFP). There was a significant positive correlation between OPN and MMP-9. Conclusion: Both OPN and MMP-9 are significantly related to the metastasis of HCC and overexpression of both OPN and MMP-9 has a predictive value for metastasis and recurrence.

     

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