Activation of
matrix metalloproteinase-2 (MMP-2) is a common event in
head and neck squamous cell carcinoma. An OSC-19 cell line, derived from human
oral squamous cell carcinoma and known to metastasize to cervical lymph nodes, was implanted into the lingual margin of mice. The effect of
marimastat (BB-2516), a broad
MMP inhibitor, on the suppression of regional cervical
lymph node metastasis was evaluated with an orthotopic implantation nude mice model.
Marimastat was given immediately after OSC-19 implantation and continuously administered by an osmotic pump. The mice were divided into three groups by
marimastat dose; Group A; 0 mg/kg/day, Group B; 30 mg/kg/day, and Group C; 150 mg/kg/day. Twenty-one days after implantation, primary oral
tumors and cervical lymph nodes were resected. Cervical lymph node status was microscopically examined. Activation of MMP-2 in primary oral
tumor was examined by
gelatin zymography. Both cervical
lymph node metastasis and activation of MMP-2 were significantly suppressed in Group C (P < 0.05). Moreover, the Group C mice had a significantly better survival than group A (P = 0.0026). There was a significant difference between Group A and Group C in terms of proliferation of
tumor cells by
proliferating cell nuclear antigen immunostaining (P = 0.0120). These results suggest a positive role for
marimastat in the inhibition of MMP-2 activation and prevention of cervical
lymph node metastasis in
oral squamous cell carcinoma (OSCC). Improvement of survival in patients with OSCC could be expected using adjuvant
therapy with
marimastat.