Thangaraju M, Rameshbabu J, Vasavi H, Ilanchezhian S, Vinitha R, Sachdanandam P
Department of Medical Biochemistry, Dr.ALMP-GIBMS, University of Madras, Tamilnadu, India.
Mol Cell Biochem. 1998 Aug;185(1-2):85-94. doi: 10.1023/a:1006874005764.
Tumour markers correlate strongly with prognosis based on tumour burden and surgical resectability. If chemotherapy is extremely effective in certain stage of the disease, the sensitive marker may be of great use in monitoring disease response and drug treatment. Hence, this study was launched to evaluate the changes in tumour marker enzymes like lactate dehydrogenase (LDH), glutamate oxaloacetate transaminase (SGOT), glutamate pyruvate transaminase (SGPT), alkaline phosphatase, and acid phosphatase in before and after 3 and 6 months tamoxifen treated breast cancer patients. In addition, the changes in serum glycoproteins viz., hexose, hexosamine, and sialic acid and lysosomal enzymes such as N-acetyl-beta-D-glucosaminidase, beta-D-galactosidase, and beta-D-glucuronidase were analysed in these patients. These values were compared with their age matched healthy control subjects. At 6 months evaluation, the tamoxifen treated postmenopausal breast cancer women showed a statistically significant decreased (p < 0.001, 0.05 respectively) levels of LDH, SGOT, SGPT, alkaline and acid phosphatases than their baseline values. Similarly, the levels of hexose, hexosamine, and sialic acid and N-acetyl-beta-D-glucosaminidase, beta-D-galactosidase, and beta-D-glucuronidase were decreased significantly (p < 0.001) in tamoxifen received postmenopausal women. The result of this study suggested that tamoxifen potentially retard the metastasis of breast cancer as well as the bone demineralisation in postmenopausal breast cancer women. Thus, tamoxifen may also have its antitumour activity through its beneficial effects on tumour marker enzymes and serum proteins in breast cancer women.
肿瘤标志物与基于肿瘤负荷和手术可切除性的预后密切相关。如果化疗在疾病的某些阶段极其有效,那么敏感的标志物在监测疾病反应和药物治疗方面可能会有很大用处。因此,本研究旨在评估他莫昔芬治疗3个月和6个月前后乳腺癌患者中乳酸脱氢酶(LDH)、谷草转氨酶(SGOT)、谷丙转氨酶(SGPT)、碱性磷酸酶和酸性磷酸酶等肿瘤标志物酶的变化。此外,还分析了这些患者血清糖蛋白(即己糖、氨基己糖和唾液酸)以及溶酶体酶(如N - 乙酰 - β - D - 葡萄糖胺酶、β - D - 半乳糖苷酶和β - D - 葡萄糖醛酸酶)的变化。将这些值与年龄匹配的健康对照受试者进行比较。在6个月评估时,接受他莫昔芬治疗的绝经后乳腺癌女性的LDH、SGOT、SGPT、碱性和酸性磷酸酶水平与基线值相比有统计学意义的下降(分别为p < 0.001、0.05)。同样,接受他莫昔芬治疗的绝经后女性中己糖、氨基己糖、唾液酸以及N - 乙酰 - β - D - 葡萄糖胺酶、β - D - 半乳糖苷酶和β - D - 葡萄糖醛酸酶的水平也显著下降(p < 0.001)。本研究结果表明,他莫昔芬可能会延缓绝经后乳腺癌女性的乳腺癌转移以及骨质脱矿。因此,他莫昔芬也可能通过对乳腺癌女性肿瘤标志物酶和血清蛋白的有益作用而具有抗肿瘤活性。