TS, DHFR and GARFT Expression in Non-squamous Cell Carcinoma of NSCLC and Malignant Pleural Mesothelioma Patients Treated with Pemetrexed

作者: Takeshi Hanagiri , Hidetaka Uramoto , Hidehiko Shimokawa , Takamitsu Onitsuka

DOI:

关键词: PathologyPemetrexedEpidermoid carcinomaCarcinomaPrimary tumorLung cancerCancerThymidylate synthaseCancer researchMedicineMesothelioma

摘要: Background Recently, pemetrexed (PEM), a new generation antifolate, has been used for the treatment of patients with advanced non-squamous cell carcinoma (SQ) non-small lung cancer (NSCLC) and malignant pleural mesothelioma (MPM). However, no useful markers selecting appropriate candidates exist at present. Materials methods Tumor specimens were collected from 5 non-SQ 8 MPM who underwent surgery received PEM. Real-time PCR immunohistochemical (IHC) staining primary tumor to analyze mRNA protein expressions thymidylate synthase (TS)/dihydrofolate reductase (DHFR), glycinamide ribonucleotide formyltransferase (GARFT), compare expression status clinical outcomes. Results TS, DHFR, GARFT levels had median value 2.39, 1.70, 1.40 in samples NSCLC patients. The TS DHFR mean total score 2 4 5.55, 3.73, 3.52 1 3 No significant correlation was identified between TS/DPD/GARFT response treated Conclusion may not be predicting Japanese MPM. Further investigations are necessary order develop biomarkers determine benefits PEM treatment.

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