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论著·临床研究 | 更新时间:2023-09-21
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XRCC6基因多态性与术后化疗胃癌患者预后的关系
Relation of XRCC6 gene polymorphism with prognosis of postoperative chemotherapy for patients with gastric cancer

广西医学 2023第45卷14期 页码:1671-1674

作者机构:陈媛,本科,主治医师,研究方向:肿瘤。

基金信息:河北省秦皇岛市科学技术研究与发展计划(202004A039)

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨X-射线修复交叉互补蛋白6(XRCC6)基因多态性与术后化疗胃癌患者预后的关系。方法选取99例术后行奥沙利铂+替吉奥化疗方案治疗的胃癌患者作为研究对象,检测其入院时外周血XRCC6基因rs2267437位点基因型。随访患者化疗36个月后的生存情况,将其分为存活组56例和死亡组43例。比较两组患者的临床病理资料和XRCC6基因基因型的分布频率,并采用COX回归模型分析XRCC6基因多态性与术后化疗胃癌患者预后的关系。结果死亡组肿瘤直径>5 cm、肿瘤临床分期为Ⅲ期、发生淋巴结转移、存在远处转移的患者比例更高(均P<0.05)。两组患者的XRCC6基因的基因型分布频率差异有统计学意义(P<0.05),其中死亡组患者的XRCC6基因CG基因型、GG基因型频率低于存活组。COX回归分析结果显示,校正相关临床病理特征后,携带XRCC6基因CG/GG基因型的术后化疗胃癌患者的预后更好(P<0.05)。结论XRCC6基因多态性与术后化疗的胃癌患者的预后密切相关,携带CG/GG基因型的患者预后更好。
ObjectiveTo explore the relation of X-ray repair cross complementing 6 (XRCC6) gene polymorphism with prognosis of postoperative chemotherapy for patients with gastric cancer. MethodsA total of 99 patients with gastric cancer who received postoperative chemotherapy regimen of oxaliplatin+tegafur for treatment were selected as the research subjects, and their genotype of XRCC6 gene at locus rs2267437 in peripheral blood was detected on admission. The survival status of patients after 36 months of chemotherapy was followed up, and patients were assigned to survival group (56 cases) or death group (43 cases). The clinicopathological data and distribution frequency of genotype of XRCC6 gene were compared between patients of the two groups. The relation of XRCC6 gene polymorphism with prognosis of postoperative chemotherapy for patients with gastric cancer was analyzed by using the COX regression model. ResultsThe death group exhibited higher proportions of patients with tumor diameter>5 cm, tumor clinical stage in Ⅲ stage, presence of lymph node metastasis, and presence of distant metastasis (all P<0.05). There was statistically significant difference in genotype distribution frequency of XRCC6 gene between patients of the two groups (P<0.05), therein patients in the death group obtained a lower frequency of CG genotype and GG genotype of XRCC6 gene as compared with the survival group. The results of COX regression analysis revealed that after correcting for relevant clinicopathological features, gastric cancer patients undergoing postoperative chemotherapy who carried CG/GG genotype of XRCC6 gene obtained a superior prognosis (P<0.05). ConclusionXRCC6 gene polymorphism is closely related to prognosis of postoperative chemotherapy for patients with gastric cancer. Patients carrying CG/GG genotype have a superior prognosis.【

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