[1]王黎洲,李 兴,宋 杰,等.血管内皮生长因子基因型对介入化疗栓塞 治疗原发性肝癌预后的评估[J].介入放射学杂志,2015,(05):396-399.
 WANG Li zhou,LI Xing,SONG Jie,et al.Application of polymorphisms of vascular endothelial growth factor in evaluating the prognosis of hepatocellular carcinoma patients after transcatheter arterial chemoembolization treatment[J].journal interventional radiology,2015,(05):396-399.
点击复制

血管内皮生长因子基因型对介入化疗栓塞 治疗原发性肝癌预后的评估 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年05期
页码:
396-399
栏目:
肿瘤介入
出版日期:
2015-05-25

文章信息/Info

Title:
Application of polymorphisms of vascular endothelial growth factor in evaluating the prognosis of hepatocellular carcinoma patients after transcatheter arterial chemoembolization treatment
作者:
王黎洲 李 兴 宋 杰 蒋天鹏 吴晓萍 周 石
Author(s):
WANG Li zhou LI Xing SONG Jie JIANG Tian peng WU Xiao ping ZHOU Shi
Department of Radiology, Affiliated Hospital of Guiyang Medical College, Guiyang, Guizhou Province 550004, China
关键词:
【关键词】 临床结果 多态性 肝癌 血管内皮生长因子
文献标志码:
A
摘要:
【摘要】 目的 通过检测血管内皮生长因子(VEGF)的基因类型,探讨不同类型基因与原发性肝癌(HCC)患者TACE术后生存率的关系。方法 通过384孔板DNA提取试剂盒检测2007年1月到2008年1月156例经过病理确诊2个月内接受TACE治疗HCC患者的VEGF基因型并收集所有患者的临床资料,分析不同基因类型与患者预后的关系。结果 本研究共检测出VEGF 2578C/A,VEGF 1154G/A,VEGF 634C/G和VEGF 1498T/C 4种基因型,患者的5年生存率为55.47%。经多变量分析显示,肿瘤分期(TMN)、癌灶转移、VEGF 2578 AA和VEGF 1154 AA基因型是独立预后因素。肝癌TMN分期为Ⅲ至Ⅳ期将极大增加肝癌患者死亡风险(HR=3.64,95%,CI=1.67-6.79;HR=2.91,CI=1.30-6.27)。然而VEGF 2578 AA和VEGF 1154 AA基因类型患者相比野生基因类型死亡风险更高(HR=3.65,95%CI=1.35-11.13;HR=7.13, 95%CI=1.46-65.8)。结论 VEGF 2578C/A和VEGF 1154G/A基因类型与接受TACE治疗的原发性肝癌患者预后密切相关,可能对预测介入治疗HCC的预后有一定帮助。

参考文献/References:

[1] Jemal A, Bray F, Center MM, et al. Global cancer statistics[J]. CA Cancer J Clin, 2011, 61: 69 90.
[2] Wu KT, Wang CC, Lu LG, et al. Hepatocellular carcinoma: clinical study of long term survival and choice of treatment modalities[J]. World J Gastroenterol, 2013, 19: 3649 3657.
[3] Bruix J, Sherman M. Management of hepatocellular carcinoma: an update[J]. Hepatology, 2011, 53: 1020 1022.
[4] Lewandowski RJ, Mulcahy MF, Kulik LM, et al. Chemoembo lization for hepatocellular carcinoma: comprehensive imaging and survival analysis in a 172 patient cohort[J]. Radiology, 2010, 255: 955 965.
[5] Sáenz López P, Vazquez F, Cozar JM, et al. VEGF polymorphisms are not associated with an increased risk of developing renal cell carcinoma in Spanish population[J]. Hum Immunol, 2013, 74: 98 103.
[6] Oh SY, Kwon HC, Kim SH, et al. The relationship of vascular endothelial growth factor gene polymorphisms and clinical outcome in advanced gastric cancer patients treated with FOLFOX: VEGF polymorphism in gastric cancer[J]. BMC Cancer, 2013, 13: 43.
[7] Sun SF, Huang DB, Cao C, et al. Polymorphism of VEGF 460C/T associated with the risk and clinical characteristics of lung cancer in Chinese population[J]. Med Oncol, 2013, 30: 410.
[8] 李 丁, 向 华. 血管内皮生长因子在原发性肝癌中的诊断及预后意义[J]. 介入放射学杂志, 2014, 23: 1018 1021.
[9] Absenger G, Szkandera J, Stotz M, et al. A common and functional gene variant in the vascular endothelial growth factor a predicts clinical outcome in Early Stage breast cancer[J]. Mol Carcinog, 2013, 52: 96 102.
[10] Chien MH, Liu YF, Hsin CH, et al. Impact of VEGF C gene polymorphisms and environmental factors on oral cancer susceptibility in Taiwan[J]. PLoS One, 2013, 8: e60283.
[11] Luo T, Chen L, He P, et al.Vascular endothelial growth factor (VEGF) gene polymorphisms and breast cancer risk in a Chinese population[J]. Asian Pac J Cancer Prev, 2013, 14: 2433 2437.
[12] Sa Nguanraksa D, Chuangsuwanich T, Pongpruttipan T, et al. Vascular endothelial growth factor 634G/C polymorphism is associated with increased breast cancer risk and aggressiveness[J]. Mol Med Rep, 2013, 8: 1242 1250.
[13] Wu X, Xin Z, Zhang W, et al. Polymorphisms in the VEGFA promoter are associated with susceptibility to hepatocellular carcinoma by altering promoter activity[J]. Int J Cancer, 2013, 133: 1085 1093.
[14] Tamura T, Kuwahara A, Yamamori M, et al.VEGF 634C/G genotype is predictive of long term survival after treatment with a definitive 5 fluorouracil/cisplatin based chemoradiotherapy in Japanese patients with esophageal squamous cell carcinoma[J]. Int J Med Sci, 2012, 9: 833 837.
[15] 杨柏帅, 施裕新, 袁 敏, 等. TACE治疗既往有肝功能衰竭史肝癌患者七例[J]. 介入放射学杂志, 2014, 23: 805 808.

相似文献/References:

[1]丁 远,王黎洲,宋 杰,等.细胞色素P450酶2C19基因多态性对TIPS术后患者服用氯吡格雷效果的影响 [J].介入放射学杂志,2017,(07):588.
 DING Yuan,WANG Lizhou,SONG Jie,et al.The influence of CYP2C19 gene polymorphism on the curative effect of clopidogrel in patients after receiving TIPS[J].journal interventional radiology,2017,(05):588.

备注/Memo

备注/Memo:
(收稿日期:2015-01-09)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-05-19