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Updated: Jul 5, 2026

Investigating the Three-dimensional Flow Separation Induced by a Model Vocal Fold Polyp
Published on: February 3, 2014
Expression of matrix metalloproteinases (MMP-2 and MMP-9) in vocal fold polyps
Vaiva Lesauskaite1, Virgilijus Uloza, Vykintas Liutkevicius
1Laboratory of Cardiac Pathology, Institute of Cardiology, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania.
Objective:
Vocal fold polyps are the most common benign laryngeal lesions. Matrix metalloproteinases (MMP) play an important role in the physiological and pathological remodeling of tissues. The most important subgroup of MMP family consists of gelatinases A and B (MMP-2 and MMP-9). The objective of this study was investigation of the expression of MMP-2 and MMP-9 in vocal fold polyps and normal tissue of vocal folds.
Material And Methods:
The immunohistochemical expression of MMP-2 and MMP-9 was investigated in specimens taken by endolaryngeal microsurgery from vocal fold polyps (n=30) and normal tissue of vocal fold (n=13, control group). Expression of MMP-2 and MMP-9, both in epithelium and stroma cells, was graded on a semiquantitative scale, ranging from 0 (no expression) to 6 points (high expression).
Results:
A statistically significant increase was observed in the expression of MMP-2 in stroma cells (P=0.0176) of vocal fold polyps compared to control vocal fold group, whereas no significant difference in the expression of MMP-2 was found in epithelium cells (P=0.1487). Comparison of expression of MMP-2 and MMP-9 in epithelium cells revealed a statistically significant increase in MMP-9 expression (P<0.01) in both groups. However, there was no statistically significant difference in the expression of MMP-9 between groups of vocal fold polyps and control vocal folds.
Conclusion:
Expression of MMP-2 in stroma was significantly higher in polyps than in normal tissue of vocal folds. Our data draw attention to the role of MMP-2 in the development of vocal fold polyps and necessity of further investigations to define its function in morphogenesis of laryngeal benign, premalignant, and malignant lesions.
Insights
Matrix metalloproteinase-2 (MMP-2) expression is significantly higher in the stroma of vocal fold polyps compared to normal tissue. This finding highlights MMP-2's potential role in polyp development.
Area of Science:
- Laryngology
- Pathology
- Biochemistry
Background:
- Vocal fold polyps are common benign laryngeal lesions.
- Matrix metalloproteinases (MMPs), particularly gelatinases MMP-2 and MMP-9, are involved in tissue remodeling.
- Understanding MMP expression is crucial for laryngeal lesion research.
Purpose of the Study:
- To investigate the expression of MMP-2 and MMP-9 in vocal fold polyps.
- To compare MMP expression in polyp tissue versus normal vocal fold tissue.
Main Methods:
- Immunohistochemical analysis of MMP-2 and MMP-9 expression.
- Specimens from vocal fold polyps (n=30) and normal vocal folds (n=13) were analyzed.
- Expression was graded semiquantitatively (0-6) in epithelium and stroma cells.
Main Results:
- MMP-2 expression was significantly increased in the stroma of vocal fold polyps compared to controls (P=0.0176).
- No significant difference in MMP-2 expression was found in epithelium cells between groups (P=0.1487).
- MMP-9 expression increased significantly in epithelium cells in both groups, but not between groups.
Conclusions:
- Stromal MMP-2 expression is significantly elevated in vocal fold polyps.
- MMP-2 may play a role in the development of vocal fold polyps.
- Further research is needed to clarify MMP-2's function in laryngeal lesion morphogenesis.
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