标题：Integrin αvβ6 and matrix metalloproteinase 9 correlate with survival in gastric cancer
作者：Pei-Long Lian;Zhao Liu;Guang-Yun Yang;Rui Zhao;Zhao-Yang Zhang;Yue-Guang Chen;Zhuo-Nan Zhuang;Ke-Sen Xu
作者机构：[Pei-Long Lian;Zhao Liu;Guang-Yun Yang;Rui Zhao;Zhao-Yang Zhang;Yue-Guang Chen;Zhuo-Nan Zhuang;Ke-Sen Xu]Department of Hepatobiliary Surgery;[Pei-Long 更多
通讯作者地址：[Xu, KS]Shandong Univ, Qilu Hosp, Dept Hepatobiliary Surg, 107 Wenhuaxi Rd, Jinan 250012, Shandong, Peoples R China.
摘要：AIM: To investigate the expression of integrin αvβ6 and matrix metalloproteinase 9(MMP-9), their association with prognostic factors and to assess their predictive role in gastric cancer patients.METHODS: Immunohistochemistry was used to determine the expressions of integrin αvβ6 and MMP-9 in 126 specimens from patients with primary gastric carcinoma. Associations between immunohistochemical staining and various clinic pathologic variables of tissue specimens were evaluated by the χ2 test and Fisher’s exact test. Expression correlation of αvβ6 and MMP-9 was assessed using bivariate correlation analysis. The patients were followed-up every 3 mo in the first two years and at least every 6 mo afterwards, with a median follow-up of 56 mo(ranging from 2 mo to 94 mo).Four different combinations of αvβ6 and MMP-9 levels(that is, both markers positive, both markers negative, αvβ6 positive with MMP-9 negative, and αvβ6 negative with MMP-9 positive) were evaluated for their relative effect on survival. The difference in survival curves was evaluated with a log-rank test. Survival analysis was conducted using the Kaplan-Meier survival and Cox proportional hazards model analysis.RESULTS: The expressions of integrin αvβ6 and MMP-9 were investigated in 126 cases, among which 34.92% were positive for αvβ6 expression, and 42.06% for MMP-9 expression. The expression of αvβ6 was associated with Lauren type, differentiation, N stage, and TNM stage(the P values were 0.006, 0.038, 0.016, and 0.002, respectively). While MMP-9 expression was associated with differentiation, T stage, N stage, and TNM stage(the P values were 0.039, 0.014, 0.033, and 0.008, respectively). The positive correlation between αvβ6 and MMP-9 in gastric cancer was confirmed by a correlation analysis. The Kaplan-Meier survival analysis showed that patients with expression of αvβ6 or MMP-9 alone died earlier than those with negative expression and that patients who were both αvβ6 and MMP-9 positive had a shorter overall survival than tho