Abstract

To explore the expression of RECK and relevant matrix metalloproteinases (MMPs) in hepatoblastoma (HB) and neuroblastoma (NB) and their clinical significance in the tumor metastasis. Forty-five wax-stone samples of HB and 43 wax-stone samples of NB removed by surgical resection and confirmed by pathology in Linyi Yishui Central Hospital were selected. According to presence and absence of metastasis, both NB and HB samples were divided into metastatic group and non-metastatic group, namely NB metastatic group (n=28), NB non-metastatic group (n=15), HB metastatic group (n=15) and HB non-metastatic group (n=30). The expression of RECK, membrane type-1 matrix metalloproteinase (MT1-MMP) in HB tissue and RECK, MMP-14 in NB tissue was detected using immunohistochemical method, and the correlation between RECK and MT1-MMP, MMP-14 was analyzed. The metastatic rate of NB was dramatically higher than that of HB, with statistical significance (P=0.003). The positive rate of RECK expression in NB group (30.2%) was slightly lower than in HB group (40.0%), but no significant difference was presented (P=0.338). The positive rate of MMPs expression in NB metastatic group was evidently higher than in HB metastatic group (P=0.024). The results of Spearman correlation analysis revealed that the expression of RECK in HB and NB tissues had a significantly-negative correlation with MT1-MMP and MMP-14, respectively (r=-0.499, P=0.012; r=-0.636, P=0.000). In HB and NB tissues, RECK is expressed lowly, while relevant MMPs highly, and RECK inhibits the tumor invasion and metastasis through negative regulation of relevant MMPs.

Highlights

  • Both hepatoblastoma (HB) and neuroblastoma (NB) are commonly-encountered malignant tumors in children

  • The results of Spearman correlation analysis revealed that the expression of RECK in HB and NB tissues had a significantly-negative correlation with MT1-matrix metalloproteinases (MMPs) and MMP-14, respectively (r=-0.499, P=0.012; r=-0.636, P=0.000)

  • The positive signals of RECK and membrane type-1 matrix metalloproteinase (MT1-MMP) proteins in HB tissue were located in tumor cytoplasma, 4008 Asian Pacific Journal of Cancer Prevention, Vol 16, 2015

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Summary

Introduction

Both hepatoblastoma (HB) and neuroblastoma (NB) are commonly-encountered malignant tumors in children. HB originates from pluripotent stem cells in undifferentiated embryonic tissue which can differentiate into biliary epithelial cells and liver cells, approximately accounting for two-thirds primary malignant tumors in the liver. Deriving from original neural crest, NB pertains to an embryonic tumor in sympathetic nervous system and the children at the age of 1~5 tend to be attacked. Metastasis can occur at an early stage of NB, and malignant degree is rather high. The recurrence rate of NB is still high in a progressive period after comprehensive treatment, such as radiotherapy, chemotherapy and surgery, and the long-term survival rate is only 20%~40% (Yáñez et al, 2015). The study has confirmed that distant metastasis tends to appear in NB than HB, especially bone marrow metastasis (Morandi et al, 2015)

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