Lu X-H, Mao G-X, Zhang Y-Y, Chu Y-S, Yuan H-X, Zhu X-Q
Departments of Invasive Technology and Departments Chemotherapy, Affiliated Hospital of Nantong University, Nantong, China.
Eur Rev Med Pharmacol Sci. 2015 Sep;19(17):3218-23.
Our objective was to examine the association between single nucleotide polymorphisms of interleukin (IL)-8 (rs4073 and rs2227306) and IL-10 (rs1800871 and rs1800872) genes, and clinical effects of transcatheter arterial chemoembolization (TACE) and subsequent prognosis in patients with liver cancer.
115 patients with liver cancer underwent TACE. Venous blood specimens were collected for genomic DNA extraction. The restriction fragment length polymorphism-polymerase chain reaction (RFLP-PCR) analysis was used to detect the above variants of IL-8 and IL-10 genes. In addition, blood levels of alpha fetal protein (AFP) were quantified by radioimmunoassay. Patients were followed up to uncover the association of the above genotypes with treatment efficacy and survival.
Patients with the homozygous genotype AA or homozygous genotype TT (respectively, -251 and +781 sites) of IL-8 gene, and wild-type genotype TT or homozygous genotype AA (respectively, -819 and -592 sites) of IL-10 gene showed the best effectiveness of TACE. Furthermore, these patients also exhibited the lowest AFP levels and the longest survival after the treatment.
Clinical efficacy of TACE and patient survival in liver cancer are associated with specific variants of IL-8 and IL-10 genes.
我们的目的是研究白细胞介素(IL)-8(rs4073和rs2227306)和IL-10(rs1800871和rs1800872)基因的单核苷酸多态性与肝癌患者经动脉化疗栓塞术(TACE)的临床疗效及后续预后之间的关联。
115例肝癌患者接受了TACE治疗。采集静脉血标本用于提取基因组DNA。采用限制性片段长度多态性-聚合酶链反应(RFLP-PCR)分析检测IL-8和IL-10基因的上述变异。此外,采用放射免疫分析法对甲胎蛋白(AFP)的血药浓度进行定量分析。对患者进行随访,以揭示上述基因型与治疗效果和生存率之间的关联。
IL-8基因纯合基因型AA或纯合基因型TT(分别为-251和+781位点)以及IL-10基因野生型基因型TT或纯合基因型AA(分别为-819和-592位点)的患者TACE疗效最佳。此外,这些患者治疗后的AFP水平最低,生存期最长。
TACE的临床疗效和肝癌患者的生存率与IL-8和IL-10基因的特定变异有关。