网络首发:2001-09-20,
纸质出版:2000
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张惠忠. 食管鳞癌基质金属蛋白酶及其抑制因子的表达及其意义[J]. 中山大学学报(医学科学版), 2000,21(5).
Expression and Significance of Matrix Metalloproteinase 2 and Its Tissue Inhibitors in Esophageal Squamous Carcinoma[J]. Journal of Sun Yat-sen University (Medical Sciences), 2000, 21(5).
【目的】研究食管鳞癌(ESC)组织中基质金属蛋白酶-2(MMP-2)及其抑制因子-2(TIMP-2)的表达与ESC 生物学 行为之间的关系
探讨两者与ESC 组织分化程度、TNM 分期、淋巴结转移和预后的关系。【方法】采用免疫组织化学链霉素 抗生物素蛋白-过氧化物酶(SP)法检测65 例ESC 组织中MMP-2、TIMP-2 的表达。【结果】MMP-2 在ESC 组织的阳性率为 66 %
且其表达越强
组织分化程度越低(P =0.031)、病程越晚(ⅡB 期和Ⅲ 期
P =0.000)、淋巴结转移率越高(P = 0.000)、2 年生存率越低(P =0.000);TIMP-2 在ESC 组织的阳性率为40 %
且其表达越强
病程越早(Ⅰ 期和ⅡA 期
P = 0.027)、淋巴结转移率越低(P =0.027)、2 年生存率越高(P =0.03)。【结论】ESC 组织中的MM P-2 和TIMP-2 的表达
与 ESC 的分化程度、TNM 分期、淋巴结转移情况和预后有密切关系。检测ESC 组织中的MMP-2 和TIMP-2 的表达
对预后的 评价有一定的价值。
【Object ive】To investigate expression of matrix metalloproteinase-2(MMP-2)and tissue inhibitors of metallopro teinase-2(T IMP-2)in esophageal squamous carcinoma (ESC)and the relationship betw een the expression and the biological behavior of ESC .【Methods】The expression of MMP-2 and TIMP-2 of 65 cases of ESC w ere detected by immunohistochemistry (the method of st reptaridin-peroxidase
SP).【Results】The expressive rate of MMP-2 of ESC w as 66 %
and more expression w as closely related to poorer dif ferentiation(P =0.031)
later TNM grade(ⅡB and Ⅲ
P =0.000)
hig her rate of lymph node metastasis (P =0.000)and lower survival rate of tw o years(P =0.000).The expressive rate of TIMP-2 of ESC w as 40 %
and more expression w as closely related to earlier TNM grade(Ⅰ and ⅡA
P =0.027)
low er rate of lymph node metastasis (P =0.027)and hig her survival rate of two years (P =0.03).【Conclusions】The expression of MMP-2 and TIMP-2 has a close relationship wi th the differentiation
TNM g rade
lymph node metastasis and survival time of ESC .Examination of MMP-2 and TIMP-2 may be of prognostic value .
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