Topoisomerase-1, thymidylate synthase primary tumour expression and clinical efficacy of 5-FU/CPT-11 chemotherapy in advanced colorectal cancer patients

Topoisomerase-1, thymidylate synthase primary tumour expression and clinical efficacy of 5-FU/CPT-11 chemotherapy in advanced colorectal cancer patients
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DOI:
10.1002/ijc.20208
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发表时间:
2004-08-20
影响因子:
6.4
通讯作者:
Colucci, G
Colucci, G
中科院分区:
医学1区
文献类型:
--
作者:
Paradiso, A;Xu, JM;Colucci, G

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虽然有几项研究报告胸苷酸合成酶(TS)肿瘤表达可以作为晚期结直肠癌患者对5-氟尿嘧啶(5-FU)临床应答的可靠预测标志物,但只有少数研究搜索了伊立替康(CPT-11)临床应答的预测因素。本研究的目的是验证免疫组织化学拓扑异构酶-I(Topo-I)和TS原发肿瘤表达的预测价值,在连续系列的62例接受一线5-FU/CPT-11化疗的晚期结直肠癌患者。TS和Topo-I免疫染色分别在76%和43%的肿瘤中观察到,导致每个肿瘤内的显著相关性(r=0.365,p
While several studies have reported that thymidylate synthase (TS) tumour expression can be a reliable predictive marker of clinical response to 5-Fluorouracil (5-FU) for advanced colorectal cancer patients, only a few studies that searched for predictive factors of irinotecan (CPT-11) clinical response are available. The aim of the present study has been to verify the predictive value of immunohistochemical topoisomerase-I (Topo-I) and TS primary tumour expression in a consecutive series of 62 advanced colorectal cancer patients that received a first line 5-FU/CPT-11 chemotherapy. TS and Topo-I immunostaining was observed in 76% and 43% of tumours, respectively, resulting in a significant relationship within each tumour (r=0.365, p