›› 2014, Vol. 5 ›› Issue (2): 77-80.

• 论著 • 上一篇    下一篇

口腔颌面部鳞癌SNCG、MMP-9的表达及其临床意义

薛昌敖1,张建华2,刘 炜2,吴煜农3   

  1. 1. 南京医科大学附属南京第一医院口腔科
    2. 南京医科大学附属南京第一医院
    3. 南京医科大学口腔医学研究所
  • 收稿日期:2014-04-08 修回日期:2014-05-19 出版日期:2014-06-25 发布日期:2014-06-23
  • 通讯作者: 薛昌敖 E-mail:xuechangao@126.com
  • 基金资助:
    南京市科技局科技发展指导性计划基金资助项目

Expression of SNCG and MMP-9 in oral and maxillofacial carcinoma and its clinical significance

  • Received:2014-04-08 Revised:2014-05-19 Online:2014-06-25 Published:2014-06-23

摘要: 目的:探讨神经突触核蛋白-γ(synuclein gamma,SNCG)及基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)在鳞状细胞癌及癌旁组织的表达,分析其与肿瘤的临床及病理特征相关性。方法:采用免疫组化EnVision二步法检测150例鳞状细胞癌及癌旁组织中SNCG及MMP-9的表达。结果:口腔颌面部鳞癌组织中的SNCG及MMP-9的阳性率分别为78.0%(117/150)及68.68%(103/150),而癌旁组织中SNCG及MMP-9的阳性率分别为8.0%(11/150)及14.0%(21/150),均有显著性差异(P<0.001)。低分化、中分化肿瘤的SNCG及MMP-9的表达阳性率显著高于高分化肿瘤中的阳性率(P<0.001),然而低分化与中分化肿瘤之间SNCG及MMP-9的表达阳性率无显著性差异(P>0.05)。肿瘤分期分析结果显示,Ⅲ~Ⅳ期SNCG及MMP-9的表达阳性率显著高于Ⅰ~Ⅱ期,有显著性差异(SNCG:χ2=4.20,P=0.041;MMP-9:χ2=26.66,P=0.000)。转移的肿瘤组织中的SNCG及MMP-9的表达阳性率分别为90.77%和93.85%,高于其在无转移的肿瘤组织表达阳性率,有显著性差异(SNCG:χ2=10.09,P=0.001;MMP-9:χ2=33.80,P=0.000)结论:SNCG、MMP-9在与口腔颌面部鳞癌中呈现高表达,与肿瘤的病理与临床分级、分期呈正相关,提示检测口腔颌面部鳞癌组织中SNCG及MMP-9的表达可以为肿瘤的病情进展和预后判断提供依据。

Abstract: Objective: To analyze the correlation between synuclein gamma (SNCG) and matrix metalloproteinase-9 (MMP-9) and the clinicopathological features of tumor,we investigated the expression of SNCG and MMP-9 in oral and maxillofacial carcinoma and its adjacent tissues. Methods:Immunohistochemistry method was used to detect the expression of SNCG and MMP-9 in oral and maxillofacial carcinoma and its adjacent tissues. Results:The incidence rate of SNCG and MMP-9 in oral and maxillofacial carcinoma was 78.0% (117/150) and 68.68%(103/150), respectively. While that of SNCG and MMP-9 in its adjacent tissues was 8.0%(11/150) and 14.0%(21/150), respectively. There were significantly differences in SNCG and MMP-9 between them(P<0.001). The incidence rates of SNCG and MMP-9 were higher in poorly or medium differentiated (P<0.001). However, the expression of SNCG and MMP-9 between poorly differentiated and well differentiated carcinoma had no significant difference. According to stages, the incidence rates of SNCG and MMP-9 in Ⅲ-Ⅳ period were significantly higher than those inⅠ-Ⅱ period, and there were significant difference (SNCG: χ2=4.20, P=0.041; MMP-9: χ2=26.66, P=0.000). The expression of SNCG and MMP-9 in metastatic tumor were higher (SNCG: 90.77%;MMP-9:93.85% ) than that in non-metastatic tumor (SNCG: 68.24%; MMP-9: 49.41%), and there were significant difference(SNCG: χ2=10.09, P=0.0014; MMP-9: χ2=33.80, P=0.000). Conclusions:The excessive expression of SNCG and MMP-9 in oral and maxillofacial carcinoma,which was positively associated with the pathologic process, differentiation degree of carcinoma, and TNM stages of tumor.The expression of SNCG and MMP-9 are expected to be the marker in the tumor of oral and maxillofacial carcinoma for the judgment of advancement and prognosis.