Okita Atsushi, Tsukuda Kazunori, Murakami Masakazu, Ota Tetsuya, Doihara Hiroyoshi, Suda Manabu, Nakano Tomoharu, Matsuoka Kinya, Suzuki Eiji, Naito Minoru, Andou Akio, Shimizu Nobuyoshi
Department of Surgery, National Hospital Organization, Shikoku Cancer Center, Matsuyama, Japan.
Surg Today. 2006;36(4):348-53. doi: 10.1007/s00595-005-3145-x.
Thymidine phosphorylase (TP) and dihydropyrimidine dehydrogenase (DPD) are important enzymes related to the metabolism of 5-fluorouracil and its derivatives. We evaluated the association between the clinicopathological factors and these enzymes in patients with T3 colorectal carcinoma.
The TP and DPD expression levels in 15 patients with T3 colorectal carcinomas were measured in tumor and adjacent normal tissue specimens by enzyme-linked immunosorbent assay. Correlations between each enzyme and clinicopathological factors were also statistically evaluated.
The TP levels in tumor and normal tissue specimens were 77.9 +/- 33.6 and 24.7 +/- 10.3, respectively (P < 0.001). The DPD levels in tumor and normal tissue specimens were 44.1 +/- 18.2 and 53.1 +/- 24.1, respectively (P = 0.46). The TP/DPD ratios in tumor and normal tissue specimens were 1.84 +/- 0.52 and 0.53 +/- 0.26, respectively (P < 0.001). The tumor/normal ratios of TP level in patients with and without liver metastasis were 1.79 +/- 0.91 and 4.67 +/- 2.51, respectively (P = 0.024).
The measurement of the enzyme expression levels of TP and DPD is considered to be useful for better understanding the conditions of tumor progression. The mechanisms of regulation of these enzymes thus require further evaluation.
胸苷磷酸化酶(TP)和二氢嘧啶脱氢酶(DPD)是与5-氟尿嘧啶及其衍生物代谢相关的重要酶。我们评估了T3期结直肠癌患者临床病理因素与这些酶之间的关联。
采用酶联免疫吸附测定法测量15例T3期结直肠癌患者肿瘤组织和癌旁正常组织标本中TP和DPD的表达水平。还对每种酶与临床病理因素之间的相关性进行了统计学评估。
肿瘤组织和正常组织标本中的TP水平分别为77.9±33.6和24.7±10.3(P<0.001)。肿瘤组织和正常组织标本中的DPD水平分别为44.1±18.2和53.1±24.1(P=0.46)。肿瘤组织和正常组织标本中的TP/DPD比值分别为1.84±0.52和0.53±0.26(P<0.001)。有肝转移和无肝转移患者的肿瘤/正常TP水平比值分别为1.79±0.91和4.67±2.51(P=0.024)。
测量TP和DPD的酶表达水平被认为有助于更好地了解肿瘤进展情况。因此,这些酶的调节机制需要进一步评估。