温浙盛, 马骏, 侯景辉, 罗荣珍, 何洁华. ERCC1β-tubulin Ⅲ与ⅢA-N2期非小细胞肺癌辅助化疗的临床研究[J]. 中国肿瘤临床, 2011, 38(15): 886-889. DOI: 10.3969/j.issn.1000-8179.2011.15.005
引用本文: 温浙盛, 马骏, 侯景辉, 罗荣珍, 何洁华. ERCC1β-tubulin Ⅲ与ⅢA-N2期非小细胞肺癌辅助化疗的临床研究[J]. 中国肿瘤临床, 2011, 38(15): 886-889. DOI: 10.3969/j.issn.1000-8179.2011.15.005
Zhesheng WEN, Jun MA, Jinghui HOU, Rongzhen LUO, and Jiehua HE. Expression of ERCC1 and β-tubulin III and Clinical Response to Adjuvant Chemotherapy in ⅢA-N2 Non-Small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(15): 886-889. DOI: 10.3969/j.issn.1000-8179.2011.15.005
Citation: Zhesheng WEN, Jun MA, Jinghui HOU, Rongzhen LUO, and Jiehua HE. Expression of ERCC1 and β-tubulin III and Clinical Response to Adjuvant Chemotherapy in ⅢA-N2 Non-Small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(15): 886-889. DOI: 10.3969/j.issn.1000-8179.2011.15.005

ERCC1β-tubulin Ⅲ与ⅢA-N2期非小细胞肺癌辅助化疗的临床研究

Expression of ERCC1 and β-tubulin III and Clinical Response to Adjuvant Chemotherapy in ⅢA-N2 Non-Small Cell Lung Cancer

  • 摘要: 探讨ERCC1、β-tubulin Ⅲ在ⅢA-N2期非小细胞肺癌中的表达与辅助化疗药物铂类、紫杉类的相关性,为非小细胞肺癌个体化辅助化疗提供依据。方法:应用免疫组化方法检测ERCC1、β-tubulin Ⅲ在89例手术完全切除并行含铂辅助化疗的ⅢA~N2期非小细胞肺癌中的表达。应用统计学软件SPSS 16.0行数据处理,回顾性分析ERCC1、β-tubulin Ⅲ的表达与患者预后的关系。结果:本组ⅢA~N2期非小细胞肺癌中ERCC1、β-tubulin Ⅲ阳性表达率分别为46.1%,53.9%。ERCC1表达阴性者在含铂化疗组有更长的无瘤生存期(P=0.000)和总生存期(P=0.000);β-tubulin Ⅲ表达阴性者在含紫杉类化疗药物组有更长的无瘤生存期(P=0.003)和总生存期(P=0.004)。ERCC1和β-tubulin Ⅲ表达均阴性者在铂类联合紫杉类化疗组有更长的无瘤生存期(P=0.000)和总生存期(P=0.001)。结论:ERCC1表达阳性、组织病理分化低、全肺切除是影响ⅢA~N2期非小细胞肺癌预后的危险因素。ERCC1的表达与铂类化疗相关,β-tubulin Ⅲ的表达与紫杉类化疗相关,表达阴性者预后较好;ERCC1、β-tubulin Ⅲ表达均阴性者在铂类联合紫杉类化疗组中预后最好。

     

    Abstract: Abstract Objective: To retrospectively analyze the expression of excision repair cross-complementation group 1 ( ERCC1 ) and β-tubulin Ⅲ in completely resected stage ⅢA-N2 non-small-cell lung cancer ( NSCLC ) and to examine the association between the molecular markers and response to the adjuvant chemotherapy to verify whether these markers are useful in selecting patients for adjuvant chemotherapy. Methods: Immunohistochemical analysis was used to determine the expression of ERCC1 and β-tubulin Ⅲproteins in resected stage ⅢA-N2 NSCLC specimens. The correlation among marker expression and the clinicopathologic factors and prognoses were analyzed. All analyses were performed using SPSS ( 16.0 ). Results: Among the 89 tumor patients, the positive expression rates of ERCC1 and β-tubulin Ⅲ were 46.1% and 53.9%, respectively. Platinum-based adjuvant chemotherapy significantly prolonged the disease-free survival ( DFS ) ( P = 0.000 ) and overall survival ( OS ) ( P = 0.000 ) in the tumor patients with negative expression of ERCC1. Paclitaxel ( Taxol ) significantly extended the DFS ( P = 0.003 ) and OS ( P = 0.004 ) in the patients with negative β-tubulin Ⅲ expression. Platinum + paclitaxel ( Taxol ) adjuvant chemotherapy significantly prolonged the DFS ( P = 0.000 ) and OS ( P = 0.001 ) in ERCC1-negative and β-tubulin Ⅲ-negative patients. Conclusion: ERCC1-positive expression, poorly differentiated or undifferentiated histologic grade, and pneumonectomy are independent prognostic factors for NSCLC. ERCC1 expression is associated with platinum-based regimens, and that of β-tubulinⅢ is related to tubulin-binding agents. Low expression of these markers indicates better outcomes. After administration of adjuvant chemotherapy with a platinum plus paclitaxel (Taxol) regimen, the prognosis was satisfactory both in the ERCC1-negative and in the β-tubulin Ⅲ-negative patients.

     

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