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利用尿中多胺排泄模式预测上皮性卵巢癌患者对化疗的反应。

Predicting response to chemotherapy for patients with epithelial ovarian cancer using urinary polyamine excretion patterns.

作者信息

Lawton F G, Griffin M, Slack J A, Blackledge G

机构信息

Academic Department of Obstetrics and Gynaecology, University of Birmingham, UK.

出版信息

Br J Cancer. 1990 Oct;62(4):692-4. doi: 10.1038/bjc.1990.359.

Abstract

Urinary polyamine (UPA) excretion patterns were measured in 39 patients with clinically evaluable epithelial ovarian cancer immediately before they were treated with a cycle of chemotherapy and 24-48 h after chemotherapy to ascertain if changes in UPA excretion patterns correlated with eventual response to treatment. Almost all of the 19 patients who responded to chemotherapy had a rise in the excretion of all UPA fractions after treatment while most patients with chemoresistant cancer showed only an increase in the excretion of the putrescine and spermine fractions. However, a two-fold increase in excretion of the spermidine fractions occurred exclusively in patients who would eventually respond to chemotherapy. This phenomenon was not seen in patients with chemoresistant cancer. If, 48 h after chemotherapy, a patient with epithelial ovarian cancer does not show at least a doubling of the urinary levels of spermidine, acetylspermidine or total polyamine excretion that chemotherapy should be stopped since it is unlikely to be effective.

摘要

对39例临床可评估的上皮性卵巢癌患者在接受化疗周期前及化疗后24 - 48小时测量尿多胺(UPA)排泄模式,以确定UPA排泄模式的变化是否与最终治疗反应相关。几乎所有19例对化疗有反应的患者在治疗后所有UPA组分的排泄量均增加,而大多数化疗耐药的癌症患者仅腐胺和精胺组分的排泄量增加。然而,亚精胺组分排泄量增加两倍仅发生在最终对化疗有反应的患者中。化疗耐药的癌症患者未出现这种现象。如果上皮性卵巢癌患者在化疗后48小时尿中亚精胺、乙酰亚精胺或总多胺排泄量未至少增加一倍,则应停止化疗,因为化疗不太可能有效。

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本文引用的文献

3
Urinary polyamines for evaluating the course of disease for patients with small cell carcinoma of the lung.
Cancer. 1983 Nov 1;52(9):1684-90. doi: 10.1002/1097-0142(19831101)52:9<1684::aid-cncr2820520923>3.0.co;2-k.
4
Elevation of monoacetylated polyamines in human breast cancers.人类乳腺癌中一乙酰化多胺水平的升高。
Eur J Cancer Clin Oncol. 1985 Sep;21(9):1057-62. doi: 10.1016/0277-5379(85)90291-3.
5
Common epithelial cancer of the ovary (2).常见的卵巢上皮性癌(2)。
N Engl J Med. 1985 Feb 21;312(8):474-83. doi: 10.1056/NEJM198502213120804.

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