孟庆雨,王述民,许世广.ERCC1、TYMS、RRM1、TUBB3表达与非小细胞肺癌化疗疗效的相关性和意义[J].中国肿瘤,2013,22(8):661-665.
ERCC1、TYMS、RRM1、TUBB3表达与非小细胞肺癌化疗疗效的相关性和意义
The Relationship of ERCC1,TYMS,RRM1,TUBB3 Expression with Chemotherapeutic Efficacy in Patients with NSCLC and its Significance
投稿时间:2013-03-08  
DOI:10.11735/j.issn.1004-0242.2013.08.A011
中文关键词:  非小细胞肺癌  疗效  ERCC1  TYMS  RRM1  TUBB3  化疗
英文关键词:NSCLC  efficacy  ERCC1  TYMS  RRM1  TUBB3  chemotherapy
基金项目:
作者单位
孟庆雨 沈阳军区总医院 
王述民 沈阳军区总医院 
许世广 沈阳军区总医院 
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中文摘要:
      摘 要:[目的] 探讨非小细胞肺癌(NSCLC)术后标本中ERCC1、TYMS、RRM1、TUBB3表达与化疗疗效的相关性。[方法] 回顾性分析我院病理确诊的72例NSCLC患者手术切除的肿瘤标本,通过分支DNA-液相芯片法,检测ERCC1、TYMS、RRM1、TUBB3基因mRNA表达水平。[结果] ERCC1、TYMS、RRM1、TUBB3阳性表达率分别为38.9%(28/72)、62.5%(45/72)、55.6%(46/72)和47.2%(34/72);4者表达与年龄、性别、吸烟、组织学类型、TNM分期、 淋巴结转移均无关(P>0.05),TYMS、TUBB3在高、中分化组中的阳性表达率显著低于低分化组 (P=0.003,P<0.001)。ERCC1、TYMS、RRM1和TUBB3阳性表达的化疗患者1年生存率均显著低于阴性表达者(61.5% vs 95.5%,P=0.048;53.5% vs 94.9%,P=0.035;58.6%vs 92.9%,P=0.039;47.8% vs 97.4%,P=0.014)。[结论] ERCC1、TYMS、RRM1、TUBB3阴性表达者化疗生存率高。ERCC1、TYMS、RRM1、TUBB3阴性表达可作为NSCLC患者临床化疗受益的指标。
英文摘要:
      Abstract:[Purpose] To investigate the relationship of the expression of ERCC1,TYMS,RRM1 and TUBB3 with chemotherapeutic efficacy in patients with NSCLC postoperation.[Methods] Seventy-two cases with NSCLC pathologically proven were analyzed retrospectively. The mRNA expressions of ERCC1,TYMS,RRM1 and TUBB3 gene were detected by branches DNA-liquid chip method. [Results] The positive rate of ERCC1,TYMS,RRM1and TUBB3 was 38.9%(28/72),62.5%(45/72),55.6%(40/72) and 47.2%(34/72) respectively.The expression of them were not related to age,gender,smoking,histological type,TNM stage and lymph nodes metastasis(P>0.05). The positive rate of TYMS,TUBB3 in high and moderate differentiation group was lower than those in low differentiation group(P=0.003,P<0.001).The 1-year survival in patients with ERCC1,TYMS,RRM1and TUBB3 positive expression was significantly lesser than that in patients with negative expression (95.5% vs 61.5%,P=0.048;94.9% vs 53.5%,P=0.035;92.9% vs 58.6%,P=0.039;97.4% vs 47.8%,P=0.014).[Conclusions] The survival is high in NSCLC patients undergoing chemotherapy with ERCC1,TYMS,RRM1and TUBB3 negative expression. The negative expression of ERCC1,TYMS,RRM1 and TUBB3 may be the indicators for patients benefits from chemotherapy.
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