体外MTT法预测卵巢上皮癌化疗药敏性与体内疗效相关性的评估

The Evaluation of MTT Assay in vitro for Prediction of the Correlativity between the sensitivity of Chemotherapeutic Agents in vitro and the Effect in vivo on Ovarian Epithelial Carcinoma

  • 摘要: 目的 :预测卵巢上皮癌体外化疗敏感性与体内疗效的关系。 方法 :运用MTT法检测7种临床常用化疗药物及6种经验组合方案对卵巢上皮癌的体外抑制率进行了检测并与体内疗效结果进行比较。 结果 :7种药物抑制率范围为6.25%~51.43%。其中PTX为51.43%最高,TXT为20.29%,DDP为18.57%,TPT为11.63%,ADM为11.43%,GEM8.82%及Vp-166.25%敏感性最差;6种联合方案的抑制率范围在10.00%~35.00%,TPT+PTX+DDP(35.00%)及PTX+DDP(30.00%)较好,其余4种TXT+DDP(20.59%),TPT+DDP(17.65%),GEM+DDP(11.76%)及Vp-16+ADM(10.00%)均较差。本组药物抑制率与试验前是否用过化疗药无关。体内、外敏感及耐药的总符合率为72.86%(51/70),不符合率27.14%(19/70),统计学有显著性差异(P<0.05)。 结论 :MTT法对卵巢上皮癌的个体化治疗计划有参考价值,能在一定程度上指导临床用药。

     

    Abstract: Objective :To assess the correlation between the sensitivity of some chemotherapeuti-cal agents in vitro and the effective rate of clinical treatment. Methods :Seven chemotherapeutical a-gents and 6 combined regimens were used to test the inhibition ratio for 70 cases with ovarian epithelialcarcinoma using MTT assay in vitro. Results : The effective rates for the agents and combined regimenswere 6.25%~51.43% and 10.00%~35.00%, respectively in 7 chemotherapeutical agents and 6 com-bined regimens, such as PTX (51.45%), TXT (20.29%), DDP (18.57%), TPT (11.63%), ADM (11.43%)and GEM(8.82%), as well as Vp 16 (6.25%). The PTX(51.45%) was the most sensitive agent for ovarianepithelial carcinoma compared with other 6 agents, especially the last 4, with a statistical significance(P<0.05) and TPT+PTX+DDP(35.00%), 8PTX+DDP(30.00%) as well as 4 others. TXT+DDP (20.59%)TPT+DDP (17.65%); GEM+DDP (11.76%), Vp 16 +ADM (10.00%). In the study, there was no correlationbetween the pharmaceutical inhibition ratio and the fact whether or not the drug has been used. The invivo, sensitive and drug-fast coincident rate was 72.86% (51/70) and the discrepancy was 27.14%(19/70). There was a statistical significance (P<0.05) between the overall coincidence and the discrepancy. Conclusion : The MTT assay in vitro has a referenced value for the individualized regimens on ovarianepithelioma and can, to some extent, direct the clinical medication.

     

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