p53 protein overexpression and response to biomodulated 5-fluorouracil chemotherapy in patients with advanced colorectal cancer

作者: Martin C. Brett , Mark Pickard , Bryan Green , Amanda Howel-Evans , David Smith

DOI: 10.1016/S0748-7983(96)90827-6

关键词:

摘要: Biomodulated 5-fluorouracil (5-FU) chemotherapy may limit disease progression in up to 50% of patients with metastatic or unresectable carcinoma the colorectum. However, treatment is expensive and be toxic. Thus any predictors response clinically economically valuable. The p53 gene mutated more than colorectal tumours, usually resulting overexpression. It regulate cell cycle cellular DNA damage. principal anticancer activity 5-FU due its ability induce Fifty-nine received bolus intravenous 5-FU/folinic acid over 3 months. Response was assessed by CAT scan (WHO criteria). protein overexpression determined immunohistochemically from paraffin sections original primary tumour resected metastases. Tumour expression associated a lower rate reponse higher deterioration both radiologically ( P 2 test for trend), but did not predict survival start treatment. unrelated age, sex, grade, site schedule. alone cannot used select advanced cancer useful association other markers biology.

参考文章(27)
Stephen J. Benkovic, Raymond L. Blakley, Folates and pterins Wiley. ,(1984)
M A Poon, M J O'Connell, C G Moertel, H S Wieand, S A Cullinan, L K Everson, J E Krook, J A Mailliard, J A Laurie, L K Tschetter, Biochemical modulation of fluorouracil: evidence of significant improvement of survival and quality of life in patients with advanced colorectal carcinoma. Journal of Clinical Oncology. ,vol. 7, pp. 1407- 1418 ,(1989) , 10.1200/JCO.1989.7.10.1407
Bert Vogelstein, David Sidransky, Ruth W. Craig, Michael B. Kastan, Onyinye Onyekwere, Participation of p53 Protein in the Cellular Response to DNA Damage Cancer Research. ,vol. 51, pp. 6304- 6311 ,(1991)
M Pickard, C Dive, AR Kinsella, Differences in resistance to 5-fluorouracil as a function of cell cycle delay and not apoptosis. British Journal of Cancer. ,vol. 72, pp. 1389- 1396 ,(1995) , 10.1038/BJC.1995.519
Scott W. Lowe, H.Earl Ruley, Tyler Jacks, David E. Housman, p53-dependent apoptosis modulates the cytotoxicity of anticancer agents Cell. ,vol. 74, pp. 957- 967 ,(1993) , 10.1016/0092-8674(93)90719-7
J.L. Grem, P.H. Fischer, Enhancement of 5-fluorouracil's anticancer activity by dipyridamole Pharmacology & Therapeutics. ,vol. 40, pp. 349- 371 ,(1989) , 10.1016/0163-7258(89)90084-3
Bert Vogelstein, Kenneth W Kinzler, p53 function and dysfunction Cell. ,vol. 70, pp. 523- 526 ,(1992) , 10.1016/0092-8674(92)90421-8
D. P. Lane, p53, guardian of the genome Nature. ,vol. 358, pp. 15- 16 ,(1992) , 10.1038/358015A0