马洁云,王建红,张一心.CYP3A5基因多态性与晚期非小细胞肺癌紫杉醇化疗敏感性关系的研究[J].中国肿瘤,2014,23(10):869-872.
CYP3A5基因多态性与晚期非小细胞肺癌紫杉醇化疗敏感性关系的研究
The Relationship between CYP3A5 Gene Polymorphisms and Sensitivity to Paclitaxel-based Chemotherapy in Advanced Non-small Cell Lung Cancer
投稿时间:2014-04-12  
DOI:10.11735/j.issn.1004-0242.2014.10.A017
中文关键词:  CYP3A5  基因多态性  紫杉醇  非小细胞肺癌  化疗敏感性
英文关键词:CYP3A5  gene polymorphism  paclitaxel  non-small cell lung cancer  chemosensitivity
基金项目:
作者单位
马洁云 南通市肿瘤医院 
王建红 南通市肿瘤医院 
张一心 南通市肿瘤医院 
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中文摘要:
      摘 要:[目的] 探讨CYP3A5基因多态性与晚期非小细胞肺癌紫杉醇化疗敏感性的关系。[方法] 对接受以紫杉醇为基础化疗方案进行化疗的60例晚期非小细胞肺癌患者,采用PCR-RFLP方法检测外周血CYP3A5 *1/*3基因多态性,比较不同基因型之间紫杉醇化疗近期疗效的差异。[结果] 60例患者中,CYP3A5基因为 *1/*1、*1/*3和 *3/*3型的患者数分别有6例(10.00%)、20例(33.33%)和34例(56.67%)。*1/*1和*1/*3基因型患者的有效率为19.23%,*3/*3基因型患者的有效率为55.88%,*1/*1和*1/*3基因型患者的有效率明显低于*3/*3基因型患者(P=0.004)。[结论] 对非小细胞肺癌患者治疗前进行CYP3A5基因型的测定,可预测紫杉醇的化疗疗效。
英文摘要:
      Abstract:[Purpose] To investigate the relationship between CYP3A5 gene polymorphisms and sensitivity to paclitaxel-based chemotherapy in patients with advanced non-small cell lung cancer(NSCLC).[Methods] Sixty cases with advanced NSCLC undergoing paclitaxel-based chemotherapy were enrolled. CYP3A5 genotypes were determined by PCR-RFLP,and the short term response was compared in patients with different CYP3A5 genotypes. [Results] The *1/*1,*1/*3 and *3/*3 genotypes were presented in 6 patients(10.00%),20 patients(33.33%) and 34 patients(56.67%),respectively. The response to paclitaxel-based chemotherapy was 19.23% in patients with CYP3A5 *1/*1 and *1/*3,and 55.88% in patients with CYP3A5 *3/*3. Patients with CYP3A5 *3/*3 genetype had a higher response than that with CYP3A5 *1/*1 and *1/*3(P=0.04). [Conclusion] CYP3A5 may be as an indicator for sensitivity to paclitaxel-based chemotherapy in patients with advanced non-small cell lung cancer.
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