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Published in: Annals of Surgical Oncology 3/2012

01-07-2012 | Translational Research and Biomarkers

Clinical Significance of Molecular Detection of Matrix metalloproteinase-1 in Bone Marrow and Peripheral Blood in Patients with Gastric Cancer

Authors: Yoshimasa Kosaka, MD, PhD, Koshi Mimori, MD, PhD, Takeo Fukagawa, MD, PhD, Kenji Ishikawa, MD, Tsuyoshi Etoh, MD, PhD, Hitoshi Katai, MD, PhD, Takeshi Sano, MD, PhD, Masahiko Watanabe, MD, PhD, Mitsuru Sasako, MD, PhD, Masaki Mori, MD, PhD, FACS

Published in: Annals of Surgical Oncology | Special Issue 3/2012

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Abstract

Purpose

Matrix metalloproteinases are responsible for proteolytic degradation of basement membrane and extracellular matrix. In tumor tissues, elevated expression of matrix metalloproteinase-1 (MMP-1) has been associated with tumor invasion and metastasis. However, little is known about the expression of MMP-1 in peripheral blood (PB) and bone marrow (BM) in gastric cancer patients. Thus, the aim of the present study is to determine MMP-1 messenger RNA (mRNA) expression levels in BM and PB of patients with gastric cancer.

Methods

The study group consisted of 857 patients with gastric cancer (577 males and 280 females) ranging in age from 27 to 87 years (average 61.6 years). MMP-1 mRNA expression levels in BM and PB were evaluated quantitatively by real-time reverse-transcription polymerase chain reaction (RT-PCR).

Results

Expression of MMP-1 mRNA in BM and PB of patients with gastric cancer was significantly higher than in noncancer patients. High levels of MMP-1 mRNA expression were significantly associated with differentiated histology, tumor size, tumor invasiveness, lymph node metastasis, liver metastasis, and clinical stage. Particularly importantly, MMP-1 mRNA expression in PB was an independent factor of distant metastasis.

Conclusions

We disclosed that MMP-1 mRNA expression in peripheral blood and bone marrow of gastric cancer patients was very high, precisely reflecting staging of gastric cancer. MMP-1 mRNA expression in peripheral blood may be a useful marker for distant metastasis in gastric cancer.
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Metadata
Title
Clinical Significance of Molecular Detection of Matrix metalloproteinase-1 in Bone Marrow and Peripheral Blood in Patients with Gastric Cancer
Authors
Yoshimasa Kosaka, MD, PhD
Koshi Mimori, MD, PhD
Takeo Fukagawa, MD, PhD
Kenji Ishikawa, MD
Tsuyoshi Etoh, MD, PhD
Hitoshi Katai, MD, PhD
Takeshi Sano, MD, PhD
Masahiko Watanabe, MD, PhD
Mitsuru Sasako, MD, PhD
Masaki Mori, MD, PhD, FACS
Publication date
01-07-2012
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2012
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-011-1905-y

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