Expression and clinical significance of RRM1 protein in non-small cell lung cancer at stage of Ⅱb/Ⅲa
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Expression and clinical significance of RRM1 protein in non-small cell lung cancer at stage of Ⅱb/Ⅲa
Journal of Chongqing Medical UniversityVol. 37, Issue 8, Pages: 698-702(2012)
作者机构:
1. 南方医科大学研究生学院,广州,510515
2. 广州医学院第一附属医院胸外科广州呼吸疾病研究所,广州,510120
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Published:2012,
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ZHAO Meiling, YANG Haihong, ZHANG Yalei, et al. Expression and clinical significance of RRM1 protein in non-small cell lung cancer at stage of Ⅱb/Ⅲa. [J]. Journal of Chongqing Medical University 37(8):698-702(2012)
DOI:
ZHAO Meiling, YANG Haihong, ZHANG Yalei, et al. Expression and clinical significance of RRM1 protein in non-small cell lung cancer at stage of Ⅱb/Ⅲa. [J]. Journal of Chongqing Medical University 37(8):698-702(2012)DOI:
Expression and clinical significance of RRM1 protein in non-small cell lung cancer at stage of Ⅱb/Ⅲa
Objective:To investigate the postoperative expression of ribonucleotide reductase subunit M1(RRM1) protein in non-small cell lung cancer(NSCLC) at stage of Ⅱ b/Ⅲ and to discuss the effect of RRM1 protein expression on disease free survival(DFS) of patients underwent adjuvant chemotherapy. Methods:Totally 100 patients with NSCLC at stage of Ⅱb/Ⅲa who underwent radical surgery were included in this study. The expression of RRM1 protein in tumor specimens was assayed by streptavidin-perosidase(SP)immunohistochemistry retrospectively. Correlations between the expression of RRM1 protein and the clinical features or DFS time af-ter operation were analyzed. SPSS 13.0 was used to analyze the effect of RRM1 protein expression on the patients’ prognosis. Results:(1)No difference in the expression of RRM1 protein was found among patients with different genders,ages,smoking habits,patho-logical differentiation and stages(P>0.05). RRM1 protein expression was increased in squamous carcinoma than in non-squamous car-cinoma although there was no significant difference(44.1% vs. 30.3%,P=0.172);(2)Patients with lower RRM1 protein expression ex-perienced longer DFS time compared with those with higher RRM1 protein expression(median DFS,14 months vs. 8 months,P=0.019 4);(3)In patients with adjuvant chemotherapy of Gemcitabine/Cisplatin,squamous carcinoma led to longer DFS time than non squamous carcinoma(median DFS,14 months vs. 11 months,P=0.011 9);lower RRM1 protein expression led to longer DFS time than higher RRM1 protein expression(median DFS,13 months vs. 6 months,P=0.021 7). No difference in the length of DFS time was found in the patients with only surgery(median DFS,15.5 months vs. 13 months,P >0.05). (4)COX multivariate regression analysis showed that the expression of RRM1 protein and pathological type were the independent prognostic factors of DFS in NSCLC at stage of Ⅱb/Ⅲa. Conclusion:RRM1 protein is a valuable predictive factor for Gemcitabine/Cisplatin adjuvant chemotherapy in NSCLC at stage of Ⅱb/Ⅲa.
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