MMP-9 (Gelatinase B) Expression is Associated With Disease-Free Survival and Disease-Specific Survival in Colorectal Cancer Patients

Author: Bendardaf Riyad   Buhmeida Abdelbaset   Hilska Marja   Laato Matti   Syrjänen Stina   Syrjänen Kari   Collan Yrjö   Pyrhönen Seppo  

Publisher: Informa Healthcare

ISSN: 0735-7907

Source: Cancer Investigation, Vol.28, Iss.1, 2010-01, pp. : 38-43

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Abstract

ABSTRACTExtracellular matrix degradation is required for invasion and metastasis formation in colorectal carcinoma (CRC), therefore, we have examined matrix metalloproteinases MMP-9 expression in tumors from patients with CRC. The study comprises of 360 patients who underwent bowel resection for stage II, III, IV tumors. Paraffin-embedded CRC tissue samples were used for immunohistochemical staining. Negative MMP-9 expression levels correlated with longer survival time as evaluated by disease-free survival and disease-specific survival (p =.023, p =.006). In multivariate survival (Cox) analysis, MMP9 was a significant independent predictor of DFS (p =.014), but not of DSS, which was independently predicted by disease recurrence, stage and localization. The detection of MMP-9 expression may be valuable in finding patients who are at high risk of developing disease recurrence.

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