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肺癌患者铂类耐药相关基因变异与预后的相关性

Association of variations in platinum resistance-related genes and prognosis in lung cancer patients.

作者信息

Zhou Yuan-Kang, Li Xiang-Ping, Yin Ji-Ye, Zou Ting, Wang Zhan, Wang Ying, Cao Lei, Chen Juan, Liu Zhao-Qian

机构信息

Department of Clinical Pharmacology and National Clinical Research Center for Geriatric Disorder, Xiangya Hospital, Central South University, Changsha 410008, China.

Institute of Clinical Pharmacology, Central South University, Hunan Key Laboratory of Pharmacogenetics, Changsha 410078, P. R. China.

出版信息

J Cancer. 2020 Apr 27;11(15):4343-4351. doi: 10.7150/jca.44410. eCollection 2020.

Abstract

: We aimed to investigate the association of single-nucleotide polymorphisms (SNPs) in , , and with prognosis in lung cancer patients with platinum-based chemotherapy. : We have recruited 348 lung cancer patients treated with platinum. Log-rank test and Cox regression analysis were used to assess overall survival (OS) and progression-free survival (PFS) among SNP genotypes. : The results revealed that patients carrying TC or CC genotype in rs462779 (HR=0.67, 95% CI=0.51-0.90, =0.007) and AG or GG genotype in rs1045411 (HR=0.61, 95% CI=0.38-0.99, =0.046) had a better overall survival. Additionally, carrying TC or TT genotype in rs462779 had a lower risk (OR=0.38, 95% CI=0.17-0.89, =0.025) of lymph node metastasis, carrying AG or AA genotype in rs1045411 was significantly related to early T stage (OR=0.47, 95% CI=0.29-0.76, =0.002). In stratified analysis, patients with TC or CC genotype in rs462779 were significantly associated with overall survival in male patients, never-smokers, patients with younger age (≤56), no family history of cancer, adenocarcinoma, advanced stage (stage III or IV), or ECOG PS 0-1. While patients with AG or GG genotype in rs1045411 were significantly associated with overall survival in patients with advanced stage (stage III or IV) or ECOG PS 0-1. : Our results indicate that the TC or CC genotype in rs462779 and AG or GG genotype in rs1045411 are contributed to better overall survival. The rs462779 and rs1045411 may serve as prognosis markers in lung cancer patients with platinum-based chemotherapy.

摘要

我们旨在研究[基因名称1]、[基因名称2]和[基因名称3]中的单核苷酸多态性(SNP)与接受铂类化疗的肺癌患者预后的相关性。我们招募了348例接受铂类治疗的肺癌患者。采用对数秩检验和Cox回归分析评估SNP基因型之间的总生存期(OS)和无进展生存期(PFS)。结果显示,[基因名称1] rs462779携带TC或CC基因型的患者(HR=0.67,95%CI=0.51-0.90,P=0.007)以及[基因名称2] rs1045411携带AG或GG基因型的患者(HR=0.61,95%CI=0.38-0.99,P=0.046)总生存期更好。此外,rs462779携带TC或TT基因型发生淋巴结转移的风险较低(OR=0.38,95%CI=0.17-0.89,P=0.025),rs1045411携带AG或AA基因型与早期T分期显著相关(OR=0.47,95%CI=0.29-0.76,P=0.002)。在分层分析中,rs462779携带TC或CC基因型的患者在男性患者、从不吸烟者、年龄较小(≤56岁)、无癌症家族史、腺癌、晚期(III期或IV期)或ECOG PS 0-1的患者中与总生存期显著相关。而rs1045411携带AG或GG基因型的患者在晚期(III期或IV期)或ECOG PS 0-1的患者中与总生存期显著相关。我们的结果表明,rs462779的TC或CC基因型以及rs1045411的AG或GG基因型有助于更好的总生存期。[基因名称1] rs462779和[基因名称2] rs1045411可能作为接受铂类化疗的肺癌患者的预后标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/089e/7255368/af642c85ea10/jcav11p4343g001.jpg

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