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血管内皮生长因子 A、血小板衍生生长因子 BB 和 c-MET 在转移性结直肠癌患者中的预后意义。

The prognostic importance of VEGF-A, PDGF-BB and c-MET in patients with metastatic colorectal cancer.

机构信息

Department of Medical Oncology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Department of Internal Medicine, Kayseri Education Research Hospital, Kayseri, Turkey.

出版信息

J Oncol Pharm Pract. 2020 Dec;26(8):1878-1885. doi: 10.1177/1078155220904151. Epub 2020 Feb 17.

Abstract

INTRODUCTION

We aimed to assess the effect of VEGF-A, PDGF-BB, and c-Met expression levels on survival in patients with metastatic colorectal cancer receiving bevacizumab therapies.

PATIENTS AND METHODS

A total of 105 patients diagnosed with metastatic colorectal cancer between the years 2006 and 2016 were included in the research retrospectively.

RESULTS

The progression-free survival (PFS) durations of patients with high expression levels of VEGF-A and with low expression levels of VEGF-A were 11 months and 10 months (p = 0.44), respectively. The PFS durations of patients with high PDGF-BB expression and low PDGF-BB expression were 12 months and 10 months (p = 0.16), respectively, while the PFS durations of patients with high and low c-Met expression were 8 months and 13 months (p = 0.005), respectively. Metastatic overall survival was 27 months and 18 months (p = 0.05) in patients with high and low VEGF-A expression levels, respectively, 31 months and 21 months (p = 0.16) in patients with high and low PDGF-BB expression levels, respectively, and 21 months and 26 months (p = 0.11) in patients with high and low c-Met expression levels, respectively.

CONCLUSION

The results of this research revealed a high c-Met expression relationship with worse PFS and low VEGF-A expression associated with poor metastatic overall survival in patients with metastatic colorectal cancer receiving bevacizumab therapies.

摘要

简介

本研究旨在评估血管内皮生长因子 A(VEGF-A)、血小板衍生生长因子-BB(PDGF-BB)和 c-Met 表达水平对接受贝伐珠单抗治疗的转移性结直肠癌患者生存的影响。

患者与方法

本研究回顾性纳入了 2006 年至 2016 年间诊断为转移性结直肠癌的 105 例患者。

结果

VEGF-A 高表达组和 VEGF-A 低表达组患者的无进展生存期(PFS)分别为 11 个月和 10 个月(p=0.44)。PDGF-BB 高表达组和 PDGF-BB 低表达组患者的 PFS 分别为 12 个月和 10 个月(p=0.16),c-Met 高表达组和 c-Met 低表达组患者的 PFS 分别为 8 个月和 13 个月(p=0.005)。VEGF-A 高表达和低表达患者的转移性总生存期分别为 27 个月和 18 个月(p=0.05),PDGF-BB 高表达和低表达患者的转移性总生存期分别为 31 个月和 21 个月(p=0.16),c-Met 高表达和低表达患者的转移性总生存期分别为 21 个月和 26 个月(p=0.11)。

结论

本研究结果表明,在接受贝伐珠单抗治疗的转移性结直肠癌患者中,c-Met 高表达与较差的 PFS 相关,而 VEGF-A 低表达与转移性总生存期不良相关。

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