Disrupted Balance of MMPs/TIMPs in Gastric Carcinogenesis-Paradoxical Low MMP-2 Expression in Tumor and Stromal Compartments as a Potential Marker of Unfavorable Outcome

Cancer Invest. 2015;33(7):286-93. doi: 10.3109/07357907.2015.1024316. Epub 2015 May 12.

Abstract

The aim of the study was to find correlations between MMP/TIMP reactivity and the expression of angiogenic factors, and relationships between these parameters and clinicopathological features of gastric cancer patients. Receiver Operating Characteristic curve analysis was used to find cut-off points that enabled fair decision-making in survival analysis. Low levels of MMP-2 expression in tumor and stromal compartments were significantly associated with poor prognosis-the probability that a patient would die within 60 months of surgery if their MMP-2 was low, and was about 0.8 in both neoplastic and stromal compartments.

Keywords: Biostatistics; Cancer biomarkers; Carcinogenesis; Stomach cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Angiogenic Proteins / metabolism
  • Biomarkers, Tumor / metabolism*
  • Female
  • Humans
  • Male
  • Matrix Metalloproteinase 2 / metabolism*
  • Middle Aged
  • ROC Curve
  • Stomach Neoplasms / metabolism*
  • Stomach Neoplasms / pathology*
  • Stomach Neoplasms / surgery
  • Stromal Cells / metabolism*
  • Stromal Cells / pathology
  • Survival Analysis
  • Tissue Inhibitor of Metalloproteinases / metabolism*
  • Treatment Outcome

Substances

  • Angiogenic Proteins
  • Biomarkers, Tumor
  • Tissue Inhibitor of Metalloproteinases
  • MMP2 protein, human
  • Matrix Metalloproteinase 2