MMP-2, MMP-9 and TIMP-2 expression in pituitary neuroendocrine tumors and their relationship with cavernous sinus invasion

Abstract

Objective: To evaluate the expression of matrix metalloproteinases-2 (MMP-2) and -9 (MMP-9) and tissue inhibitor of metalloproteinase-2 (TIMP-2) in pituitary tumors, and investigate their correlation with circulating plasma proteins and cavernous sinus invasion. Additionally, the Ki-67 index was also assessed. Methods: Seventy-four patients (37 females) with pituitary adenomas were included, with preoperative peripheral blood collected in 29 cases. Tumor samples were evaluated for MMP-2, MMP-9, TIMP-2, and Ki-67 expression by immunohistochemistry. Protein plasma was semi-quantitatively detected using a commercial membrane antibody array. Results: Sixteen patients presented tumors invading the cavernous sinus. MMP-2 and TIMP-2 were slightly increased in these tumors compared to the non-invasive group, but the difference was not statistically significant. MMP-9 and TIMP-2 plasma concentrations did not correlate with tumor protein expression and also did not differ between the two groups. MMP-2 was not detected in plasma in any case. No statistically significant difference was observed when different tumors subtypes were considered. A significant difference was observed in tumor size [3.4 cm (2.8-4.9) vs. 1.9 cm (1.3-2.6); p < 0.001] and in the Ki-67 index [1.8% (0.3-2.5) vs. 0.5% (0.2-1.0); p = 0.01] between the invasive and non-invasive groups, respectively. Conclusions: In this cohort, we found no significant correlation between tissue and plasma levels of MMP-2, MMP-9, and TIMP-2 and cavernous sinus invasion in pituitary tumors. Further investigation is needed to elucidate the potential role of these markers in invasiveness of pituitary tumors.