Prognostic Significance of Matrix Metalloproteinase‐7 (MMP‐7) Expression at the Invasive Front in Gastric Carcinoma

To evaluate the clinicopathological significance of matrix metalloproteinase‐7 (MMP‐7) expression in gastric carcinoma, we investigated immunohistochemically MMP‐7 expression in 214 gastric carcinomas, and examined its relations with the clinicopathologic parameters including patient prognosis. MMP‐...

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Veröffentlicht in:Cancer science 2002-03, Vol.93 (3), p.291-295
Hauptverfasser: Liu, Xiu Ping, Kawauchi, Shigeto, Oga, Atsunori, Tsushimi, Kureo, Tsushimi, Mutsuo, Furuya, Tomoko, Sasaki, Kohsuke
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container_issue 3
container_start_page 291
container_title Cancer science
container_volume 93
creator Liu, Xiu Ping
Kawauchi, Shigeto
Oga, Atsunori
Tsushimi, Kureo
Tsushimi, Mutsuo
Furuya, Tomoko
Sasaki, Kohsuke
description To evaluate the clinicopathological significance of matrix metalloproteinase‐7 (MMP‐7) expression in gastric carcinoma, we investigated immunohistochemically MMP‐7 expression in 214 gastric carcinomas, and examined its relations with the clinicopathologic parameters including patient prognosis. MMP‐7 expressed predominantly in cancer cells, and MMP‐7‐positive tumor cells were preferentially found in deeply invading nests, especially at the invasive front. The mean MMP‐7 labeling index (LI) at the invasive front was significantly higher in tumors invading or penetrating the muscularis propria and in stages II‐IV than within the submucosal layer and in stage I, respectively (P
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MMP‐7 expressed predominantly in cancer cells, and MMP‐7‐positive tumor cells were preferentially found in deeply invading nests, especially at the invasive front. The mean MMP‐7 labeling index (LI) at the invasive front was significantly higher in tumors invading or penetrating the muscularis propria and in stages II‐IV than within the submucosal layer and in stage I, respectively (P&lt;0.001). Statistical analysis revealed that MMP‐7 LI at the invasive front was related to lymph node metastasis, vascular invasion, and lymphatic permeation, when all 214 cases were examined as one group (P&lt;0.05 for all), and the cases with high MMP‐7 expression at the invasive front showed significantly more unfavorable prognosis as compared with that of low MMP‐7 expression tumors (P&lt;0.01). Multivariate analysis revealed that TNM stage and MMP‐7 expression status at the invasive front were independent prognostic factors (P=0.0017, relative risk (RR)=3.12; P=0.0019, RR=2.67, respectively). Our findings indicated that expression of MMP‐7 at the invasive front is closely associated with local invasiveness, and might be a reliable prognostic marker for patients with gastric carcinoma.</description><identifier>ISSN: 0910-5050</identifier><identifier>ISSN: 1347-9032</identifier><identifier>EISSN: 1349-7006</identifier><identifier>EISSN: 1876-4673</identifier><identifier>DOI: 10.1111/j.1349-7006.2002.tb02171.x</identifier><identifier>PMID: 11927011</identifier><identifier>CODEN: GANNA2</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Biomarkers, Tumor - metabolism ; Blotting, Western ; Carcinoma ; Female ; Gastric cancer ; Gastric carcinoma ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Immunoenzyme Techniques ; Immunohistochemistry ; Invasiveness ; Lymph nodes ; Lymphatic Metastasis ; Male ; Matrix metalloproteinase ; Matrix Metalloproteinase 7 - metabolism ; Matrix metalloproteinase‐7 (MMP‐7) ; Medical prognosis ; Medical sciences ; Metalloproteinase ; Metastases ; Middle Aged ; Multivariate analysis ; Neovascularization, Pathologic ; Prognosis ; Statistical analysis ; Stomach Neoplasms - blood supply ; Stomach Neoplasms - enzymology ; Stomach Neoplasms - pathology ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Survival Rate ; Tumor cells ; Tumor Cells, Cultured ; Tumors</subject><ispartof>Cancer science, 2002-03, Vol.93 (3), p.291-295</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright John Wiley &amp; Sons, Inc. 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MMP‐7 expressed predominantly in cancer cells, and MMP‐7‐positive tumor cells were preferentially found in deeply invading nests, especially at the invasive front. The mean MMP‐7 labeling index (LI) at the invasive front was significantly higher in tumors invading or penetrating the muscularis propria and in stages II‐IV than within the submucosal layer and in stage I, respectively (P&lt;0.001). Statistical analysis revealed that MMP‐7 LI at the invasive front was related to lymph node metastasis, vascular invasion, and lymphatic permeation, when all 214 cases were examined as one group (P&lt;0.05 for all), and the cases with high MMP‐7 expression at the invasive front showed significantly more unfavorable prognosis as compared with that of low MMP‐7 expression tumors (P&lt;0.01). Multivariate analysis revealed that TNM stage and MMP‐7 expression status at the invasive front were independent prognostic factors (P=0.0017, relative risk (RR)=3.12; P=0.0019, RR=2.67, respectively). Our findings indicated that expression of MMP‐7 at the invasive front is closely associated with local invasiveness, and might be a reliable prognostic marker for patients with gastric carcinoma.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Blotting, Western</subject><subject>Carcinoma</subject><subject>Female</subject><subject>Gastric cancer</subject><subject>Gastric carcinoma</subject><subject>Gastroenterology. Liver. Pancreas. 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Anus</subject><subject>Survival Rate</subject><subject>Tumor cells</subject><subject>Tumor Cells, Cultured</subject><subject>Tumors</subject><issn>0910-5050</issn><issn>1347-9032</issn><issn>1349-7006</issn><issn>1876-4673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqVkdFu0zAUhiMEYt3gFZAFAsFFgk8cxzUXSFPVjUmrmARcWyeO07lK7c5Ou-5uj8Az8iQkWrQCd_jGls53fp3jL0leA82gPx9XGbBCpoLSMsspzbOuojkIyPZPkslj6WkyoRJoyimnR8lxjCtKQdAyf54cAchcUIBJcnsV_NL52FlNvtmls43V6LQhviEL7ILdk4XpsG39JvjOWIfR_Lr_Kcj7xeJqeHwg8_0mmBitdwQ70l0bcuF2GO3OkLPgXUesI-cY-yxNZhi0dX6NL5JnDbbRvBzvk-TH2fz77Et6-fX8YnZ6meoy55BywQFrPeUCoaxlNTVTbhgWja6Lpi4KA1iArPOmMkaCLhCrpqgQNEx1WVNkJ8nnh9zNtlqbWhvXBWzVJtg1hjvl0aq_K85eq6XfKS7zUpasD3g3BgR_szWxU2sbtWlbdMZvoxLAORVC9uCbf8CV3wbXL6dyJiXnjHHoqU8PlA4-xmCax1GAqsGuWqlBoRoUqsGuGu2qfd_86s9lDq2jzh54OwIYNbZN6FXaeOBYWVBg7PArt7Y1d_8xgpqdznMJ7De0CMW1</recordid><startdate>200203</startdate><enddate>200203</enddate><creator>Liu, Xiu Ping</creator><creator>Kawauchi, Shigeto</creator><creator>Oga, Atsunori</creator><creator>Tsushimi, Kureo</creator><creator>Tsushimi, Mutsuo</creator><creator>Furuya, Tomoko</creator><creator>Sasaki, Kohsuke</creator><general>Blackwell Publishing Ltd</general><general>Japanese Cancer Association</general><general>John Wiley &amp; Sons, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200203</creationdate><title>Prognostic Significance of Matrix Metalloproteinase‐7 (MMP‐7) Expression at the Invasive Front in Gastric Carcinoma</title><author>Liu, Xiu Ping ; Kawauchi, Shigeto ; Oga, Atsunori ; Tsushimi, Kureo ; Tsushimi, Mutsuo ; Furuya, Tomoko ; Sasaki, Kohsuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6251-5751adc857a16d9b8e85e3a4fcd4fd44e1a419d2fbee91c4aabf4ba1c18c6d0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Blotting, Western</topic><topic>Carcinoma</topic><topic>Female</topic><topic>Gastric cancer</topic><topic>Gastric carcinoma</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Immunoenzyme Techniques</topic><topic>Immunohistochemistry</topic><topic>Invasiveness</topic><topic>Lymph nodes</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Matrix metalloproteinase</topic><topic>Matrix Metalloproteinase 7 - metabolism</topic><topic>Matrix metalloproteinase‐7 (MMP‐7)</topic><topic>Medical prognosis</topic><topic>Medical sciences</topic><topic>Metalloproteinase</topic><topic>Metastases</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Neovascularization, Pathologic</topic><topic>Prognosis</topic><topic>Statistical analysis</topic><topic>Stomach Neoplasms - blood supply</topic><topic>Stomach Neoplasms - enzymology</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Survival Rate</topic><topic>Tumor cells</topic><topic>Tumor Cells, Cultured</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Xiu Ping</creatorcontrib><creatorcontrib>Kawauchi, Shigeto</creatorcontrib><creatorcontrib>Oga, Atsunori</creatorcontrib><creatorcontrib>Tsushimi, Kureo</creatorcontrib><creatorcontrib>Tsushimi, Mutsuo</creatorcontrib><creatorcontrib>Furuya, Tomoko</creatorcontrib><creatorcontrib>Sasaki, Kohsuke</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Xiu Ping</au><au>Kawauchi, Shigeto</au><au>Oga, Atsunori</au><au>Tsushimi, Kureo</au><au>Tsushimi, Mutsuo</au><au>Furuya, Tomoko</au><au>Sasaki, Kohsuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic Significance of Matrix Metalloproteinase‐7 (MMP‐7) Expression at the Invasive Front in Gastric Carcinoma</atitle><jtitle>Cancer science</jtitle><addtitle>Jpn J Cancer Res</addtitle><date>2002-03</date><risdate>2002</risdate><volume>93</volume><issue>3</issue><spage>291</spage><epage>295</epage><pages>291-295</pages><issn>0910-5050</issn><issn>1347-9032</issn><eissn>1349-7006</eissn><eissn>1876-4673</eissn><coden>GANNA2</coden><abstract>To evaluate the clinicopathological significance of matrix metalloproteinase‐7 (MMP‐7) expression in gastric carcinoma, we investigated immunohistochemically MMP‐7 expression in 214 gastric carcinomas, and examined its relations with the clinicopathologic parameters including patient prognosis. MMP‐7 expressed predominantly in cancer cells, and MMP‐7‐positive tumor cells were preferentially found in deeply invading nests, especially at the invasive front. The mean MMP‐7 labeling index (LI) at the invasive front was significantly higher in tumors invading or penetrating the muscularis propria and in stages II‐IV than within the submucosal layer and in stage I, respectively (P&lt;0.001). Statistical analysis revealed that MMP‐7 LI at the invasive front was related to lymph node metastasis, vascular invasion, and lymphatic permeation, when all 214 cases were examined as one group (P&lt;0.05 for all), and the cases with high MMP‐7 expression at the invasive front showed significantly more unfavorable prognosis as compared with that of low MMP‐7 expression tumors (P&lt;0.01). Multivariate analysis revealed that TNM stage and MMP‐7 expression status at the invasive front were independent prognostic factors (P=0.0017, relative risk (RR)=3.12; P=0.0019, RR=2.67, respectively). Our findings indicated that expression of MMP‐7 at the invasive front is closely associated with local invasiveness, and might be a reliable prognostic marker for patients with gastric carcinoma.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>11927011</pmid><doi>10.1111/j.1349-7006.2002.tb02171.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biomarkers, Tumor - metabolism
Blotting, Western
Carcinoma
Female
Gastric cancer
Gastric carcinoma
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Immunoenzyme Techniques
Immunohistochemistry
Invasiveness
Lymph nodes
Lymphatic Metastasis
Male
Matrix metalloproteinase
Matrix Metalloproteinase 7 - metabolism
Matrix metalloproteinase‐7 (MMP‐7)
Medical prognosis
Medical sciences
Metalloproteinase
Metastases
Middle Aged
Multivariate analysis
Neovascularization, Pathologic
Prognosis
Statistical analysis
Stomach Neoplasms - blood supply
Stomach Neoplasms - enzymology
Stomach Neoplasms - pathology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Rate
Tumor cells
Tumor Cells, Cultured
Tumors
title Prognostic Significance of Matrix Metalloproteinase‐7 (MMP‐7) Expression at the Invasive Front in Gastric Carcinoma
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