Kimura Masahiro, Kuwabara Yoshiyuki, Mitsui Akira, Ishiguro Hideyuki, Sugito Nobuyoshi, Tanaka Tatsuya, Shiozaki Midori, Naganawa Yasuhiro, Takeyama Hiromitsu
Department of Gastroenterological Surgery, Nagoya City University, Graduate School of Medical Science, Nagoya 467-8601, Japan.
Oncol Lett. 2011 Mar;2(2):297-301. doi: 10.3892/ol.2010.227. Epub 2010 Dec 16.
This study investigated the mRNA levels of thymidylate synthetase (TYMS) and dihydropyrimidine dehydrogenase (DPYD) in esophageal squamous cell carcinoma (ESCC). TYMS and DPYD gene expression was quantified using real-time RT-PCR in 56 patients with ESCC, co-amplified with glyceraldehyde-3-phosphate dehydrogenase as an internal standard. The results were analyzed with reference to the clinicopathological characteristics and the prognosis of the ESCC patients. The TYMS and DPYD expression levels in patients positive with lymphatic invasion were significantly higher compared to those in patients who exhibited negative lymphatic invasion (TYMS P=0.0127, DPYD P=0.0127). Patients were classified into the groups high TYMS/DPYD, high TYMS but low DPYD, low TYMS but high DPYD and low TYMS/DPYD. The highest survival rate was found in the group with low TYMS/DPYD and the lowest survival rate in the group with high TYMS/DPYD (P=0.017). It was concluded that, on the basis of the multivariate analysis, TYMS mRNA expression is a candidate that serves as an independent prognostic factor for ESCC patients.
本研究调查了食管鳞状细胞癌(ESCC)中胸苷酸合成酶(TYMS)和二氢嘧啶脱氢酶(DPYD)的mRNA水平。采用实时逆转录聚合酶链反应(RT-PCR)对56例ESCC患者的TYMS和DPYD基因表达进行定量分析,并以甘油醛-3-磷酸脱氢酶作为内参进行共扩增。结合ESCC患者的临床病理特征和预后对结果进行分析。与无淋巴转移的患者相比,有淋巴转移的患者中TYMS和DPYD的表达水平显著更高(TYMS P = 0.0127,DPYD P = 0.0127)。患者被分为高TYMS/DPYD组、高TYMS但低DPYD组、低TYMS但高DPYD组和低TYMS/DPYD组。低TYMS/DPYD组的生存率最高,高TYMS/DPYD组的生存率最低(P = 0.017)。多因素分析结果表明,TYMS mRNA表达可作为ESCC患者独立的预后因素。