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血清标志物对晚期胃癌化疗疗效的预测价值
引用本文:王腾,华东,郁皓,刘爱宁,高翔. 血清标志物对晚期胃癌化疗疗效的预测价值[J]. 临床肿瘤学杂志, 2010, 15(3): 242-245
作者姓名:王腾  华东  郁皓  刘爱宁  高翔
作者单位:214062 江苏无锡 无锡市第四人民医院肿瘤科
基金项目:无锡市科技局指导性课题(CSZ00834)
摘    要:
目的 探索晚期胃癌患者血清中可以预测化疗疗效的标志物。方法 共选取42例初治晚期胃腺癌患者,采用DCF方案(多西他赛+顺铂+氟尿嘧啶)一线化疗。于治疗开始前以及每2周期结束后抽取外周静脉血,直至出现进展或不可耐受的副反应。ELISA法检测患者血清中人富含半胱氨酸的酸性分泌蛋白(SPARC)、Dickkopf1(DKK- 1)以及人血管内皮生长因子(VEGF)的蛋白表达水平。结果 血清中SPARC蛋白的差异表达出现在敏感组和原发耐药组患者间,VEGF蛋白的差异表达出现在敏感组患者化疗前后以及原发耐药患者化疗前后。各组间未观察到DKK-1水平的显著差异。结论 胃癌患者血清中SPARC水平可以作为DCF方案化疗疗效的预测指标,VEGF水平的变化与化疗疗效有关。

关 键 词:胃癌  化学治疗  SPARC  DKK-1  VEGF
收稿时间:2009-08-20
修稿时间:2009-10-21

Prognostic value of expression of serum protein for DCF chemotherapy in advanced gastric cancer
WANG Teng,HUA Dong,YU Hao,LIU Ai-ning,GAO Xiang. Prognostic value of expression of serum protein for DCF chemotherapy in advanced gastric cancer[J]. Chinese Clinical Oncology, 2010, 15(3): 242-245
Authors:WANG Teng  HUA Dong  YU Hao  LIU Ai-ning  GAO Xiang
Affiliation:WANG Teng,HUA Dong,YU Hao,LIU Ai-ning,GAO Xiang.Department of Internal Oncology,Wuxi No.4 Hospital,Wuxi 214062,China
Abstract:
Objective To determine the prognostic value of the serum protein for chemotherapy in patients with advanced gastric cancer.Methods Forty-two advanced gastric adenocarcinoma patients without prior chemotherapy or prior radiotherapy were eligible for this study,and were treated with DCF(docetaxel+cisplatin+5-fluorouracil) as the first line treatment.Responses to chemotherapy in measurable lesions were evaluated after 2 cycles according to RECIST and were classified as complete response(CR),partial response(PR...
Keywords:Gastric cancer  Chemotherapy  SPARC  DKK-1  VEGF  
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