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2017 ; 10
(ä): 5099-5105
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The matrix metalloproteinase and insulin-like growth factor system in oral cancer
- a prospective clinical study
#MMPMID29123408
Schiegnitz E
; Kämmerer PW
; Schön H
; Gülle C
; Berres M
; Sagheb K
; Al-Nawas B
Onco Targets Ther
2017[]; 10
(ä): 5099-5105
PMID29123408
show ga
AIM: The absence of reliable single serum biomarkers for oral premalignant lesion
(OPL) and oral squamous cell carcinoma (OSCC) limits early diagnosis, monitoring
of advanced disease, and prediction of prognosis. METHODS: In this prospective
study, serum levels of matrix metalloproteinase (MMP)-2, MMP-3, MMP-13,
insulin-like growth factor (IGF)-1, and IGF-binding protein (IGFBP)-3 were
measured in 81 untreated OSCC patients, 49 healthy subjects, and 75 individuals
with OPLs, and correlated with clinicopathological parameters. RESULTS: Serum
levels of MMP-3 were significantly higher in OSCC patients compared to healthy
subjects (p=0.004). Mean IGF-1 and IGFBP-3 levels in OSCC patients were
significantly lower in healthy subjects (p=0.001 and p<0.001). OSCC patients with
an IGF-1 serum value <130 ng/mL (median) showed a significantly lower survival
rate compared to ?130 ng/mL (p=0.049). Combined use of IGF-1 (<130 ng/mL) and
IGFBP-3 (<3.1 ?g/mL) resulted in a significantly lower 12-month cumulative
survival compared to the complementary set (78.5% vs 93.8%; p=0.031). There was a
significantly positive correlation between IGF-1 and IGFBP-3 serum values (r(s)
=0.625, p<0.001). CONCLUSION: This study shows that IGF-1 and IGFBP-3 have a
vital role in the pathogenesis of OSCC and indicates for the first time that
IGF-1 and IGFBP-3 in combination may be applied as potential tools for prognosis
of OSCC.