Key Enzymes of the Extracellular Matrix in Colorectal Cancer

Key Enzymes of the Extracellular Matrix in Colorectal Cancer
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DOI:
10.1007/s10517-009-0507-1
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发表时间:
2009-03-01
影响因子:
0.7
通讯作者:
Golovkov, D. A.
Golovkov, D. A.
中科院分区:
医学4区
文献类型:
--
作者:
Golovkov, D. A.

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The role of extracellular matrix enzymes in the development of distant metastases of colorectal cancer was studied. The expression of types 2 and 9 matrix metalloproteinases was evaluated in primary colorectal adenocarcinomas (264 patients) and their metastases in the lymph nodes (127 patients) and liver (109 patients). Increased expression of matrix metalloproteinase-9 was associated with the probable progress of tumor process and with a low level of histological differentiation of the tumor (p=0.048), deeper invasion of the tumor in the intestinal wall (p=0.012), unfavorable outcome (p=0.037), high risk of metastases in the liver, and worse overall and uneventful survival of patients with colorectal cancer (p=0.001 and p=0.01, respectively). High expression of matrix metalloproteinase-2 was less significant for the invasive potential and prognosis of colorectal tumors. It is suggested that matrix metalloproteinase-9 is an important marker for analysis of the postoperative prognosis and risk of metastases in the liver in patients with colorectal cancer.