Immunohistochemical Evaluation of Matrix Metalloproteinase-9 Expression in Oral Epithelial Dysplasia and Oral Squamous Cell Carcinoma: A Clinicopathological Study
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2701Keywords:
Matrix Metalloproteinase-9, Oral squamous cell carcinoma, Dysplasia, ImmunohistochemistryAbstract
Abstract
Background This study aimed to evaluate the immunohistochemical expression of MMP-9 in Oral Epithelial Dysplasia and Oral Squamous Cell Carcinoma, and to correlate these findings with histological grading. Methods: A prospective observational study was conducted on 100 formalin-fixed paraffin-embedded oral tissue samples, including benign, premalignant, and malignant lesions. Immunohistochemistry was performed using monoclonal MMP-9. Expression was graded based on staining intensity and proportion. Statistical significance was assessed using Chi-square tests. Result A statistically significant association was found between MMP-9 expression (proportion and intensity) and histopathological diagnosis (p= 0.001). Higher expression scores correlated with increasing grades of epithelial dysplasia and poorer differentiation of OSCC. Conclusion: MMP-9 expression increases with disease severity and tumour aggressiveness in oral epithelial lesions. Its evaluation may serve as a useful adjunctive biomarker for understanding tumour progression and improving prognostic assessment. Larger multicentric studies are recommended to validate its clinical utility.
References
Laprise C, Madathil SA, Allison P, Abraham P, Raghavendran A, Shahul HP, Thekke Purakkal AS, Castonguay G, Coutlée F, Schlecht NF, Rousseau MC, Franco EL, Nicolau B. No role for human papillomavirus infection in oral cancers in a region in southern India. Int J Cancer. 2016 Feb 15;138(4):912- 7. https://doi.org/10.1002/ijc.29827
Dimitrios A. Andreadis, DDS, PhD, and Achilleia-Maria Pavlou, DDS, MSc, an Associate Professor in the Department of Pathology at B.R.D. Medical College, Gorakhpur, Uttar Pradesh, India. She is actively involved in &Prashanth Panta MDS. Oral Cancer Detection: Novel Strategies and Clinical Impact- Chapter Biopsy and Oral Squamous Cell Carcinoma Histopathology
La Rocca G, Pucci-Minafra I, Marrazzo A, Taormina P, Minafra S. Zymographic detection and clinical correlations of MMP-2 and MMP-9 in breast cancer sera. Br J Cancer. 2004 Apr 5;90(7):1414-21 https://doi.org/10.1038/sj.bjc.6601725
Ranuncolo SM, Armanasco E, Cresta C, Bal De Kier Joffe E, Puricelli L. Plasma MMP-9 (92 kDa-MMP) activity is useful in the follow-up and in the assessment of prognosis in breast cancer patients. Int J Cancer2003; 106: 745-751 https://doi.org/10.1002/ijc.11288
Shah PK. Inflammation, metalloproteinases, and increased proteolysis: an emerging pathophysiological paradigm in aortic aneurysm. Circulation. 1997 Oct 7;96(7):2115-7. https://doi.org/10.1161/01.CIR.96.7.2115
Kumar, V., Abbas, A. K., & Aster, J. C. (Eds.). (2018). Robbins ' Basic Pathology (10th ed.). Elsevier.
Jose D, Mane DR. Correlation of matrix metalloproteinase-9 expression with morphometric analysis of mucosal vasculature in oral squamous cell carcinoma, oral epithelial dysplasia, and normal oral mucosa. Int J Health Sci (Qassim). 2018 Nov-Dec;12(6):36-43.
Pallavi Nayak, Subrat Kumar Behera. Clinicopathological Study of Premalignant and Malignant Lesions of the Oral Cavity. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2017; 16:20-23 https://doi.org/10.9790/0853-1602052325
Balasundaram, P., Singh, M.K., Dinda, A.K. et al. Study of β-catenin, E cadherin, and vimentin in oral squamous cell carcinoma with and without lymph node metastases. Diagn Pathol 2014;9: 145 https://doi.org/10.1186/1746-1596-9-145
Krishna A, Singh RK, Singh S, Verma P, Pal US, Tiwari S. Demographic risk factors, affected anatomical sites and clinicopathological profile for oral squamous cell carcinoma in a North Indian population. Asian Pac J Cancer Prev 2014; 15:6755-60 https://doi.org/10.7314/APJCP.2014.15.16.6755
Moore C, Catlin D. Anatomic origins and locations of oral cancer. Am J Surg. 1967 Oct;114(4):510-3. https://doi.org/10.1016/0002-9610(67)90008-6
Maurya, Shashi Bhal; Shetty, Devi Charan1; Rathore, Ajit Singh1; Juneja, Saurabh1; Jain, Anshi1; Banga, Akanksha1. Immunolocalization of epithelial cell adhesion molecule and matrix metalloproteinase-9 in oral epithelial dysplasia and oral squamous cell carcinoma. Journal of Cancer Research and Therapeutics 19(7): P 1775-1780, Oct-Dec 2023. | DOI: 10.4103/jcrt.jcrt_1012_21. https://doi.org/10.4103/jcrt.jcrt_1012_21
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Dr Archana Bundela, Dr. Kumari Priyanka, , Dr. Shalini Singh, Dr Rajesh Kumar Rai

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
















