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Clinical significance of matrix metalloproteinase 2 and 9 in breast cancer
Ist Teil von
Indian journal of cancer, 2009-07, Vol.46 (3), p.194-202
Ort / Verlag
India: Medknow Publications on behalf of Indian Cancer Society
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
Background: Invasion and metastasis are the most strenuous problems in
the management of breast cancer. These events require diverse
proteolytic enzymes, among which MMP-2 and MMP-9 play a significant
role in degradation of type IV collagen, the major component of the
basement membrane. Therefore, the major objective of the study is to
evaluate the clinical usefulness of MMP-2 and MMP-9 with respect to
malignant tumor growth, invasion, and metastasis in breast cancer.
Materials and Methods: Gelatin zymography was performed on 157 tissue
extracts of malignant and adjacent normal breast tissues as well as
negative and positive lymph nodes from 49 breast cancer patients.
Statistical analysis was carried out using SPSS statistical software
(version 10). Results: ProMMP-2 levels were significantly higher in
adjacent normal tissues. Active MMP-2 and MMP-9 levels were higher in
malignant breast tissues. Activation ratios of MMP-2 and MMP-9 were
significantly higher in malignant breast tissues and in patients with
lymph node metastasis. ProMMP-2, active MMP-2, and active MMP-9 could
significantly discriminate between malignant and adjacent normal breast
tissues. The MMP-2 activation ratio showed significant discriminatory
efficacy between patients with and without lymph node metastasis and
significant association with increased risk of lymph node metastasis in
node-negative patients. Conclusion: The results indicate significant
clinical utility of these proteolytic enzymes in malignant tumor
growth, invasion, and metastasis in breast cancer.