PMID- 37600570 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230823 IS - 1735-5303 (Print) IS - 2345-3656 (Electronic) IS - 1735-5303 (Linking) VI - 18 IP - 2 DP - 2023 Spring TI - MMP-9 and CCR7 as Possible Predictors of Lymph Node Metastasis in Laryngeal Squamous Cell Carcinoma. PG - 156-164 LID - 10.30699/ijp.2023.563014.2986 [doi] AB - BACKGROUND & OBJECTIVE: The expression of matrix metalloproteinase-9 (MMP-9) and chemokine receptor 7 (CCR7) is significantly associated with tumor invasion and metastasis. Little is known regarding the potential of these markers in predicting cancer metastasis in Laryngeal Squamous Cell Carcinoma (LSCC). Therefore, this study aimed to dissect the potential of these markers in predicting the lymph node metastasis in LSCC patients. METHODS: Sixty tissue samples were obtained from the patients diagnosed pathologically with LSCC who underwent partial or total laryngectomy. The expression of MMP-9 and CCR7 was measured using the immunohistochemistry staining in the tissue samples of LSCC patients. The ROC (receiver operating characteristic) curve was used to determine the most significant cut-off points of expression according to the highest sensitivity and specificity of both the markers to predict the lymph node metastasis in LSCC. Then, the relationship between the clinicopathology features and the expression of MMP-9 and CCR7 was evaluated. RESULTS: The expression of both MMP-9 and CCR7 was significantly correlated with the lymph node metastasis in LSCC (P<0.001). Furthermore, CCR7 expression exhibited the highest prediction accuracy (AUC 95.7%) and sensitivity (100%) in predicting the lymph node metastasis in LSCC compared to that of MMP-9 (AUC 92.9%, sensitivity 90%). We also found that patients with larger tumor size (> 4 cm) had significantly higher expression of MMP-9 and CCR7 (P<0.002 and P<0.001, respectively). The Elevated expression level of CCR7 statistically correlated with higher MMP-9 expression (P<0.001). CONCLUSION: MMP-9 and CCR7 might be beneficial as predictors of lymph node metastasis in LSCC patients. FAU - Rachmadi, Lisnawati AU - Rachmadi L AD - Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia /Cipto Mangunkusumo Hospital, Jakarta, Indonesia. FAU - Laelasari, Ela AU - Laelasari E AD - Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia /Cipto Mangunkusumo Hospital, Jakarta, Indonesia. FAU - Susanto, Yayi Dwina Billianti AU - Susanto YDB AD - Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia /Cipto Mangunkusumo Hospital, Jakarta, Indonesia. FAU - Kusmardi, Kusmardi AU - Kusmardi K AD - Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia /Cipto Mangunkusumo Hospital, Jakarta, Indonesia. LA - eng PT - Journal Article DEP - 20230620 PL - Iran TA - Iran J Pathol JT - Iranian journal of pathology JID - 101515128 PMC - PMC10439748 OTO - NOTNLM OT - CCR7 OT - Laryngeal Squamous Carcinoma OT - Lymph Node Metastasis OT - MMP-9 COIS- There are no conflict of interests declared by the authors. EDAT- 2023/08/21 06:42 MHDA- 2023/08/21 06:43 PMCR- 2023/03/01 CRDT- 2023/08/21 04:47 PHST- 2022/10/10 00:00 [received] PHST- 2022/01/31 00:00 [accepted] PHST- 2023/08/21 06:43 [medline] PHST- 2023/08/21 06:42 [pubmed] PHST- 2023/08/21 04:47 [entrez] PHST- 2023/03/01 00:00 [pmc-release] AID - 10.30699/ijp.2023.563014.2986 [doi] PST - ppublish SO - Iran J Pathol. 2023 Spring;18(2):156-164. doi: 10.30699/ijp.2023.563014.2986. Epub 2023 Jun 20.