Publications of Faculty of Medicine:Matrix Metalloproteinase-19 Expression, Cytokine Production and Proliferation in Cutaneous Squamous Cell Carcinoma: Abstract

Title:
Matrix Metalloproteinase-19 Expression, Cytokine Production and Proliferation in Cutaneous Squamous Cell Carcinoma
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Abstract:

Background: Matrix' metalloproteinases (MMPs) have been implicated in the progression of tumors and specifically in extracellular matrix degradation and remodelling. MMP- 19 differs from the others by its unique chromosomal location (12q14). It also lacks several structural features known to be present in other MMPs subclasses. Objectives: To investigate the distribution patterns of MMP-19 in cutaneous squamous cell carcinoma (SCC) as well as expression of the cytokine (TNF-a) and keratinocyte proliferative capacity, using anti-Ki-67 antibody. Material and Methods: Nineteen SCC skin specimens and Five normal skin controls were formalin-fixed, paraffinembedded and stained immunohistochemically with anti- MMP-19, TNF-a and Ki-67 monoclonal antibodies. The standard Sterpt avidin biotin and APAAP methods were applied. Results: MMP-19 was absent in normal skin epidermis. In SCC, positive expression was seen in well-differentiated tumors and absent in poorly differentiated ones. Its distribution pattern was mainly central in contrast to highly proliferating invasive front. TNF-a was positive in apoptotic bodies and malignant nests. Conclusion: In contrary to other MMPs. MMP-19 does not correlate to invasive and metastatic potential in cutaneous SCC. It rather plays an indirect "protective" role. Its expression in well differentiated SCC and absence in moderate and poorly differentiated SCC, suggests its upregulation in the epidermis early during oncogenesis in a host-response manner to reconstitute normal cell adhesion