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Immunohistochemical expression of matrix metalloproteinase‐1, matrix metalloproteinase‐2 and matrix metalloproteinase‐9, myofibroblasts and Ki‐67 in actinic cheilitis and lip squamous cell carcinoma
Authors:Bianca C. Bianco  Fernanda M. Scotti  Daniella S. C. Vieira  Michelle T. Biz  Renata G. Castro  Filipe Modolo
Affiliation:1. Federal University of Santa Catarina, Florianopolis, Brazil;2. Pathology Department, Federal University of Santa Catarina, Florianopolis, Brazil;3. Morphology Sciences Department and Dentistry Graduate Program, Federal University of Santa Catarina, Florianopolis, Brazil;4. Dentistry Department, Federal University of Santa Catarina, Florianopolis, Brazil;5. Pathology Department and Dentistry Graduate Program, Federal University of Santa Catarina, Florianopolis, Brazil
Abstract:
Matrix metalloproteinases (MMPs), myofibroblasts (MFs) and epithelial proliferation have key roles in neoplastic progression. In this study immunoexpression of MMP‐1, MMP‐2 and MMP‐9, presence of MFs and the epithelial proliferation index were investigated in actinic cheilitis (AC), lip squamous cell carcinoma (LSCC) and mucocele (MUC). Thirty cases of AC, thirty cases of LSCC and twenty cases of MUC were selected for immunohistochemical investigation of the proteins MMP‐1, MMP‐2, MMP‐9, α‐smooth muscle actin (α‐SMA) and Ki‐67. The MMP‐1 expression in the epithelial component was higher in the AC than the MUC and LSCC. In the connective tissue, the expression was higher in the LSCC. MMP‐2 showed lower epithelial and stromal immunostaining in the LSCC when compared to the AC and MUC. The epithelial staining for MMP‐9 was higher in the AC when compared to the LSCC. However, in the connective tissue, the expression was lower in the AC compared to other lesions. The cell proliferation rate was increased in proportion to the severity of dysplasia in the AC, while in the LSCC it was higher in well‐differentiated lesions compared to moderately differentiated. There were no statistically significant differences in number of MFs present in the lesions studied. The results suggest that MMPs could affect the biological behaviour of ACs and LSCCs inasmuch as they could participate in the development and progression from premalignant lesions to malignant lesions.
Keywords:actinic cheilitis  cell proliferation  immunohistochemistry  lip cancer  matrix metalloproteinase‐1  matrix metalloproteinase‐2  matrix metalloproteinase‐9  myofibroblasts  oral cancer  squamous cell carcinoma
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