RT Journal Article SR Electronic T1 Overexpression of Tissue Inhibitor of Metalloproteinase-1 Gene Correlates with Poor Outcomes in Colorectal Cancer JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 4127 OP 4130 VO 30 IS 10 A1 DAISUKE INAGAKI A1 TAKASHI OSHIMA A1 KAZUE YOSHIHARA A1 SHUZO TAMURA A1 AMANE KANAZAWA A1 TAKANOBU YAMADA A1 NAOTO YAMAMOTO A1 TSUTOMU SATO A1 MANABU SHIOZAWA A1 SOICHIRO MORINAGA A1 MAKOTO AKAIKE A1 SHOICHI FUJII A1 KAZUSHI NUMATA A1 CHIKARA KUNISAKI A1 YASUSHI RINO A1 KATSUAKI TANAKA A1 MUNETAKA MASUDA A1 TOSHIO IMADA YR 2010 UL http://ar.iiarjournals.org/content/30/10/4127.abstract AB Tissue inhibitor of metalloproteinase-1 (TIMP-1) is a major endogenous regulator of matrix metalloproteinases. This study examined the relation between TIMP-1 gene expression and postoperative mortality in patients with colorectal cancer (CRC). Specimens of CRC were obtained from 202 patients. The relative expression levels of TIMP-1 mRNA in cancer and in normal adjacent mucosa were measured by quantitative real-time reverse-transcriptase polymerase chain reaction. The expression level of the TIMP-1 gene was categorized as low or high according to the median value. The TIMP-1 level did not correlate with any clinicopathological feature. On Kaplan-Meier analysis, the 5-year overall survival rate was significantly lower in patients with high TIMP-1 (62.6%) than in those with low TIMP-1 (80.6%; p=0.0113). High TIMP-1 mRNA expression was associated with significantly poorer overall survival on univariate Cox regression analysis (p=0.0013) and multivariate analysis (p=0.0070). Overexpression of TIMP-1 thus correlated with poor outcomes in patients with CRC. Our results suggest that the TIMP-1 gene expression level might be a useful, independent prognostic factor in CRC.