背景与目的趋化因子激素受体(CC chemokine receptor7,CCR7)与非小细胞肺癌(non-small celllung cancer,NSCLC)的淋巴结转移密切相关,但CCR7促进其淋巴结转移的机制尚不明了。本研究通过观察CCR7和MMP-9在NSCLC组织中的表达和相互关系,探讨CCR7促进NSCLC淋巴结转移的机制。方法应用免疫组织化学染色(SP法)检测90例NSCLC组织中CCR7、MMP-9的表达;将BE1细胞经趋化因子CCL19处理24h后,应用RT-PCR和Western blot方法检测MMP-9mRNA和蛋白表达水平。结果免疫组织化学结果显示:CCR7主要表达于癌细胞胞质和(或)胞膜,MMP-9主要表达于癌细胞胞质,NSCLC中CCR7、MMP-9阳性表达率分别为70%(63/90)和65.5%(59/90),χ2检验显示CCR7和MMP-9表达与NSCLC的临床病理分期(P=0.003,P=0.001)和淋巴结转移(P=0.004,P=0.003)密切相关,而与年龄、组织学类型、分化程度无关(P〉0.05)。此外,CCR7和MMP-9表达正相关(r=0.342,P=0.001)。CCL21处理组BE1细胞后MMP-9mRNA和蛋白水平均上调(P〈0.05)。结论 CCR7和MMP-9表达与NSCLC侵袭转移密切相关,CCL19/CCR7通过上调NSCLC中MMP-9表达促进其转移。
Background and objective It has been proven that CC chemokine receptor 7 (CCR7) is closely related with the lymph node metastasis of non-small cell lung cancer (NSCLC),but the mechanism of NSCLC metastasis is not very clear.The aim of this study is to investigate the expressions of CCR7 and MMP-9 in NSCLC and the relationship of their expressions,and to explore the mechanism of CCR7 promoting NSCLC metastasis.Methods The expressions of CCR7 and MMP-9 protein were detected in 90 specimens of human primary NSCLC by immunohistochemical SP method.Human large lung cell line BE1 cells were pre-incubated with CCL19 for 24 h;the changes of MMP-9 were detected by RT-PCR and Western blot.Results Immunohistochemistry showed that CCR7 was distributed in cytoplasm and/or membrane of tumor cells and MMP-9 was distributed in cytoplasm of cancer cells.The expressions of CCR7 and MMP-9 protein were found to be 70% (63/90) and 65.5% (59/90) in NSCLC,respectively.The expressions of CCR7 and MMP-9 protein were closely related to the clinical stages (P=0.003,P=0.001) and lymph node metastasis (P=0.004,P=0.003) of NSCLC,but there was no correlation with age,gender,histology (P0.05).Furthermore,a significant correlation was found between CCR7 and MMP-9 (r=0.342,P=0.001).In addition,the expressions of MMP-9 mRNA and protein levels were increased in CCL19 pre-incubated group (P0.05).Conclusion The expressions of CCR7 and MMP-9 are significantly associated with NSCLC invasion and metastasis.The upregulation of MMP-9 is regulated by CCR7 in NSCLC.