陈亦欣, 李先明, 文飞球, 许瑞莲, 王树滨. GSTP1遗传多态性对铂类化疗敏感性的影响[J]. 中国肿瘤临床, 2011, 38(17): 999-1001. DOI: 10.3969/j.issn.1000-8179.2011.17.002
引用本文: 陈亦欣, 李先明, 文飞球, 许瑞莲, 王树滨. GSTP1遗传多态性对铂类化疗敏感性的影响[J]. 中国肿瘤临床, 2011, 38(17): 999-1001. DOI: 10.3969/j.issn.1000-8179.2011.17.002
Yixin CHEN, Xianming LI, Feiqiu WEN, Ruilian XU, Shubin WANG. Effect of GSTP1 Genetic Polymorphism on Sensitivity of Platinum- Based Chemotherapy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(17): 999-1001. DOI: 10.3969/j.issn.1000-8179.2011.17.002
Citation: Yixin CHEN, Xianming LI, Feiqiu WEN, Ruilian XU, Shubin WANG. Effect of GSTP1 Genetic Polymorphism on Sensitivity of Platinum- Based Chemotherapy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(17): 999-1001. DOI: 10.3969/j.issn.1000-8179.2011.17.002

GSTP1遗传多态性对铂类化疗敏感性的影响

Effect of GSTP1 Genetic Polymorphism on Sensitivity of Platinum- Based Chemotherapy

  • 摘要: 研究谷胱甘肽-S-转移酶P1(glutathione S-transferases P1,GSTP1)基因第105位点的遗传多态性与恶性肿瘤患者对铂类药物化疗敏感性的关系。方法:收集50例经病理确诊且CT扫描证实有可测量病灶并接受以顺铂为主的化疗的恶性肿瘤患者,于化疗前抽取外周静脉血,采用基因测序的方法对GSTP1基因第105位点的单核苷酸多态性(single nucleotide polymorphisms,SNPs)进行检测,观察这些患者经2~4个周期化疗后的疗效,分析各基因分型与铂类药物化疗敏感性的关系。结果:GSTP1基因第105位点基因型的分布与病种无关(P>0.05)。携带GSTP1基因第105位密码子的Ile/Ile、Ile/Val和Val/Val 3种基因型的患者对铂类药物化疗有效率分别为20.0%、36.4%和87.5%,携带纯合突变型Ⅴal/Ⅴal基因分型的患者的敏感性明显高于携带另外2种基因分型的患者(P<0.05)。结论:GSTP1基因单核苷酸多态性可能与铂类药物化疗敏感性相关。

     

    Abstract: To investigate the relationship between genetic polymorphism in 105 codons of the glutathione S-transferase P1 ( GSTP1 ) gene and patient sensitivity to platinum-based chemotherapy. Method: A total of 50 cancer patients were enrolled in our study, which were confirmed by pathologic diagnosis and CT scanning to have measurable lesions and then subjected to platinum-based chemotherapy. Peripheral blood was obtained before the therapy, and direct sequencing was performed to detect single nucleotide polymorphisms ( SNPs ) in the 105 codons of GSTP1 in peripheral blood. The clinical responses of these patients after 2 to 4 cycles of chemotherapy were observed. The relationship between SNPs of the GSTP1 gene and clinical responses was analyzed. Results: No correlation was found between the distribution of GSTP1 genotypes and different cancers ( P > 0.05 ). The response rates to chemotherapy in patients with the Ile/Ile, Ile/Val, and Val/Val genotypes in the 105 GSTP1 codons were 20.0%, 36.4% and 87.5%, respectively. The response rate was higher in the patients with the homozygous Val/Val mutant genotype than in those with the Ile/Ile or Ile/Val genotypes ( P  < 0.05 ). Conclusion: Single nucleotide polymorphisms of the GSTP1 gene may be associated with sensitivity to platinum-based chemotherapy.

     

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