Increased type-IV collagenase (MMP-2 and MMP-9) activity following preoperative radiotherapy in rectal cancer
2000

Effects of Radiotherapy on Collagenase Activity in Rectal Cancer

Sample size: 12 publication Evidence: moderate

Author Information

Author(s): Kumar A, Collins H M, Scholefield J H, Watson S A

Primary Institution: Academic Unit of Cancer Studies, Division of GI Surgery, University Hospital, Nottingham, NG7 2UH, UK

Hypothesis

The study investigates the effect of preoperative high-dose radiotherapy on the type-IV collagenase protein profile in patients with resectable rectal cancer.

Conclusion

Preoperative high-dose radiotherapy increases the activity of type-IV collagenases in patients with resectable rectal cancer.

Supporting Evidence

  • A significant increase in active MMP-2 was observed in malignant rectal mucosa after radiotherapy.
  • Pro MMP-2 levels also increased after radiotherapy.
  • The precursor form of MMP-9 showed a two- to threefold increase after treatment.

Takeaway

When patients with rectal cancer receive high-dose radiation before surgery, their bodies produce more enzymes that break down collagen, which might help in treatment.

Methodology

Biopsy samples from patients were analyzed using gelatin zymography to study collagenase expression before and after radiotherapy.

Participant Demographics

Patients with resectable rectal cancer.

Statistical Information

P-Value

P< 0.01, P = 0.047, P = 0.03

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.1999.1025

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