© 2006 European Society for Medical Oncology
gastrointestinal tumors |
Prognostic value of expression of ERCC1, thymidylate synthase, and glutathione S-transferase P1 for 5-fluorouracil/oxaliplatin chemotherapy in advanced gastric cancer
1 Department of Internal Medicine
2 Department of Pathology
3 Department of Surgery, Dong-A University College of Medicine, Busan, Korea
* Correspondence to: Prof H.-J. Kim, Department of Internal Medicine, Dong-A University College of Medicine, 3-1 Dongdaeshin-dong, Seo-gu, Busan 602-715, Korea. Tel: +82-51-240-2951; Fax: +82-51-240-2951; E-mail: kimhj{at}dau.ac.kr
Background: The aim of this study was to determine whether expressions of the excision repair cross-complementing (ERCC1), thymidylate synthase (TS), and glutathione S-transferase P1 (GSTP1) predict clinical outcome in patients with advanced gastric cancer treated with fluorouracil (5-fluorouracil)/oxaliplatin chemotherapy.
Patients and methods: The study population consisted of 64 advanced gastric cancer patients (median age 51 years). Patients were treated with oxaliplatin 85 mg/m2 as a 2-h infusion at day 1 plus leucovorin 20 mg/m2 over 10 min, followed by 5-FU bolus 400 mg/m2 and 22-h continuous infusion of 600 mg/m2 at days 12. Treatment was repeated in 2-week intervals. The expressions of ERCC1, TS, and GSTP1 of primary tumors were examined by immunohistochemistry.
Results: The positive rates of ERCC1, TS, and GSTP1 were 70.3%, 29.7%, and 50.0%, respectively. The patients without ERCC1 expression were more likely to respond to chemotherapy (P = 0.045). There were no significant differences between response and TS or GSTP1 expression pattern (P = 0.813, P = 0.305, respectively). Median overall survival (OS) was significantly longer in patients without ERCC1 expression (P = 0.0396). TS or GSTP1 expression were not related to survival (P = 0.4578, P = 0.8121, respectively). Multivariate analysis revealed that ERCC1 expression significantly impacted on OS (hazard ratio 1.92, P = 0.037).
Conclusion: Immunohistochemical studies for ERCC1 may be useful in prediction of the clinical outcome in advanced gastric cancer patients treated with 5-FU and oxaliplatin.
Key words: ERCC1, Gastric Cancer, Oxaliplatin
Received for publication September 3, 2006. Revision received October 18, 2006. Accepted for publication October 18, 2006.
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
C. L Ronchi, S. Sbiera, L. Kraus, S. Wortmann, S. Johanssen, P. Adam, H. S Willenberg, S. Hahner, B. Allolio, and M. Fassnacht Expression of excision repair cross complementing group 1 and prognosis in adrenocortical carcinoma patients treated with platinum-based chemotherapy Endocr. Relat. Cancer, September 1, 2009; 16(3): 907 - 918. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. R. Bhagwat, V. Y. Roginskaya, M. B. Acquafondata, R. Dhir, R. D. Wood, and L. J. Niedernhofer Immunodetection of DNA Repair Endonuclease ERCC1-XPF in Human Tissue Cancer Res., September 1, 2009; 69(17): 6831 - 6838. [Abstract] [Full Text] [PDF] |
||||
![]() |
K R Fareed, P Kaye, I N Soomro, M Ilyas, S Martin, S L Parsons, and S Madhusudan Biomarkers of response to therapy in oesophago-gastric cancer Gut, January 1, 2009; 58(1): 127 - 143. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. K. Kim, K.-J. Cho, G. Y. Kwon, S.-I. Park, Y. H. Kim, J. H. Kim, H.-Y. Song, J. H. Shin, H. Y. Jung, G. H. Lee, et al. Patients with ERCC1-Negative Locally Advanced Esophageal Cancers May Benefit from Preoperative Chemoradiotherapy Clin. Cancer Res., July 1, 2008; 14(13): 4225 - 4231. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Smith, D. Su, I. A. Rigault de la Longrais, P. Schwartz, M. Puopolo, T. J. Rutherford, G. Mor, H. Yu, and D. Katsaros ERCC1 Genotype and Phenotype in Epithelial Ovarian Cancer Identify Patients Likely to Benefit From Paclitaxel Treatment in Addition to Platinum-Based Therapy J. Clin. Oncol., November 20, 2007; 25(33): 5172 - 5179. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.-C. Soria ERCC1-Tailored Chemotherapy in Lung Cancer: The First Prospective Randomized Trial J. Clin. Oncol., July 1, 2007; 25(19): 2648 - 2649. [Full Text] [PDF] |
||||




