Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer

Purpose of the study. The study's objective is to investigate the expression level of tissue and serum markers of oncogenesis and nephrofibrosis transforming growth factor beta (TGF‑β) and matrix metalloproteinase‑9 (MMP‑9) in patients operated for various stages of renal cell carcinoma.Materia...

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Main Authors: A. I. Tarasenko, A. N. Rossolovskiy, O. L. Berezinets, A. B. Bucharskaya, S. S. Pakhomiy, A. O. Efimova, G. N. Maslyakova
Format: Article
Language:Russian
Published: QUASAR, LLC 2022-06-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/806
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author A. I. Tarasenko
A. N. Rossolovskiy
O. L. Berezinets
A. B. Bucharskaya
S. S. Pakhomiy
A. O. Efimova
G. N. Maslyakova
author_facet A. I. Tarasenko
A. N. Rossolovskiy
O. L. Berezinets
A. B. Bucharskaya
S. S. Pakhomiy
A. O. Efimova
G. N. Maslyakova
author_sort A. I. Tarasenko
collection DOAJ
description Purpose of the study. The study's objective is to investigate the expression level of tissue and serum markers of oncogenesis and nephrofibrosis transforming growth factor beta (TGF‑β) and matrix metalloproteinase‑9 (MMP‑9) in patients operated for various stages of renal cell carcinoma.Materials and methods. The study prospectively included medical data of 60 patients with kidney cancer with T1–3N0M0 who received surgical treatment in the Clinic of Urologynamed after S. R. Mirotvortsev of the State Medical University from 2016 to 2019. The patients were divided into 3 groups: Group 1 included 20 patients who underwent laparoscopic kidney resection; Group 2–20 patients who underwent laparoscopic nephrectomy; Group 3–20 patients who underwent open nephrectomy. The control group consisted of 15 healthy volunteers without chronic kidney diseases. All patients signed an informed consent to participate in the study. All patients at the preoperative stage, in the early (7–10 days) and remote postoperative periods (after 1 and 2 years) were tested by solid‑phase ELISA on a StatFax 4200 analyzer using eBiosence and Cloud‑Clone Corp reagent kits for the serum concentration of oncogenesis markers MMP‑9 and TGF‑β1.Results. Initial increase of MMP‑9 concentration was detected in all groups of PCC patients compared to the control group (p ≤ 0.05). According to the results of ROC analysis, this indicator has high specificity and sensitivity for prognosis of preoperative stage of renal cell carcinoma. The sensitivity and specificity of MMP‑9 were 87.5 % and 62 %, respectively, and the diagnostically significant level of MMP‑9 was 958 ng/ml. A comprehensive analysis of the content of MMP‑9 and TGF‑β1 oncogenesis markers in serum and tumor cells revealed the correlation of these indicators in various biological objects.Conclusion. Markers of oncogenesis and nephrofibrosis TGF‑β1 and MMP‑9 provide an opportunity for non‑invasive monitoring of tumor progression and probability of metastasis in the clinical setting. Serum MMP‑9 are a reliable predictor of tumor growth. Serum TGF‑β1 concentration isn't a sufficiently reliable marker of tumor progression.
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issn 2410-1893
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series Исследования и практика в медицине
spelling doaj-art-ca45c5570bbd44cc9557d5f1ee16f1262025-02-03T07:12:12ZrusQUASAR, LLCИсследования и практика в медицине2410-18932022-06-01929610610.17709/2410-1893-2022-9-2-8448Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancerA. I. Tarasenko0A. N. Rossolovskiy1O. L. Berezinets2A. B. Bucharskaya3S. S. Pakhomiy4A. O. Efimova5G. N. Maslyakova6I. M. Sechenov First Moscow State Medical University (Sechenov University)Saratov State Medical University named after V. I. RazumovskySaratov State Medical University named after V. I. RazumovskySaratov State Medical University named after V. I. RazumovskySaratov State Medical University named after V. I. RazumovskyCentral Clinical Hospital of the Federal Customs Service of RussiaSaratov State Medical University named after V. I. RazumovskyPurpose of the study. The study's objective is to investigate the expression level of tissue and serum markers of oncogenesis and nephrofibrosis transforming growth factor beta (TGF‑β) and matrix metalloproteinase‑9 (MMP‑9) in patients operated for various stages of renal cell carcinoma.Materials and methods. The study prospectively included medical data of 60 patients with kidney cancer with T1–3N0M0 who received surgical treatment in the Clinic of Urologynamed after S. R. Mirotvortsev of the State Medical University from 2016 to 2019. The patients were divided into 3 groups: Group 1 included 20 patients who underwent laparoscopic kidney resection; Group 2–20 patients who underwent laparoscopic nephrectomy; Group 3–20 patients who underwent open nephrectomy. The control group consisted of 15 healthy volunteers without chronic kidney diseases. All patients signed an informed consent to participate in the study. All patients at the preoperative stage, in the early (7–10 days) and remote postoperative periods (after 1 and 2 years) were tested by solid‑phase ELISA on a StatFax 4200 analyzer using eBiosence and Cloud‑Clone Corp reagent kits for the serum concentration of oncogenesis markers MMP‑9 and TGF‑β1.Results. Initial increase of MMP‑9 concentration was detected in all groups of PCC patients compared to the control group (p ≤ 0.05). According to the results of ROC analysis, this indicator has high specificity and sensitivity for prognosis of preoperative stage of renal cell carcinoma. The sensitivity and specificity of MMP‑9 were 87.5 % and 62 %, respectively, and the diagnostically significant level of MMP‑9 was 958 ng/ml. A comprehensive analysis of the content of MMP‑9 and TGF‑β1 oncogenesis markers in serum and tumor cells revealed the correlation of these indicators in various biological objects.Conclusion. Markers of oncogenesis and nephrofibrosis TGF‑β1 and MMP‑9 provide an opportunity for non‑invasive monitoring of tumor progression and probability of metastasis in the clinical setting. Serum MMP‑9 are a reliable predictor of tumor growth. Serum TGF‑β1 concentration isn't a sufficiently reliable marker of tumor progression.https://www.rpmj.ru/rpmj/article/view/806renal cell carcinomammp-9kidney resectionbiomarkersmarkers of renal function
spellingShingle A. I. Tarasenko
A. N. Rossolovskiy
O. L. Berezinets
A. B. Bucharskaya
S. S. Pakhomiy
A. O. Efimova
G. N. Maslyakova
Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
Исследования и практика в медицине
renal cell carcinoma
mmp-9
kidney resection
biomarkers
markers of renal function
title Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
title_full Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
title_fullStr Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
title_full_unstemmed Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
title_short Prognostic value of matrix metalloproteinases and transforming growth factor – β in kidney cancer
title_sort prognostic value of matrix metalloproteinases and transforming growth factor β in kidney cancer
topic renal cell carcinoma
mmp-9
kidney resection
biomarkers
markers of renal function
url https://www.rpmj.ru/rpmj/article/view/806
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AT olberezinets prognosticvalueofmatrixmetalloproteinasesandtransforminggrowthfactorbinkidneycancer
AT abbucharskaya prognosticvalueofmatrixmetalloproteinasesandtransforminggrowthfactorbinkidneycancer
AT sspakhomiy prognosticvalueofmatrixmetalloproteinasesandtransforminggrowthfactorbinkidneycancer
AT aoefimova prognosticvalueofmatrixmetalloproteinasesandtransforminggrowthfactorbinkidneycancer
AT gnmaslyakova prognosticvalueofmatrixmetalloproteinasesandtransforminggrowthfactorbinkidneycancer