ERCC1基因表达对胰腺癌铂类药物化疗效果影响的研究进展
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李江, Email: 13888836057@163.com

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云南省财政厅省属公立医院专项能力提升补助资助项目(2100201综合医院)。


Research progress of influence of ERCC1 gene expression on the efficacy of platinum-based chemotherapy for pancreatic cancer 
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    摘要:

    胰腺癌起病隐匿,进展迅速,绝大部分患者就诊时已处于进展期,即使根治性切除,半数以上的患者仍在术后早期复发,其5年生存率极低。系统化疗虽可提高胰腺癌患者的总生存率,但较其他腺癌患者,其疗效仍然欠佳。铂类是胰腺癌化疗方案的主要药物,但高表达ERCC1的肿瘤细胞可能对其产生耐受,使肿瘤对化疗出现原发耐药。能否通过检测胰腺癌细胞ERCC1的表达预测其对铂类化疗药的敏感性,以及能否对其调控来提高化疗敏感性,有可能成为提高胰腺癌化疗效果的突破点。目前此类研究仍处在较早阶段,笔者对相关研究进展进行简要综述,以期对后续研究提供线索。

    Abstract:

    Pancreatic cancer has an insidious onset but rapid progress. Most patients are in advanced stage at the time of admission to the hospital. More than half of the patients still relapse early even after a radical resection, with an extremely low 5-year survival rate. Although systemic chemotherapy can improve the overall survival rate of pancreatic cancer patients, its efficacy is still worse than inpatients with other adenocarcinomas. Platinum compounds are the main agents for chemotherapy of pancreatic cancer, to which, resistance may arise in tumor cells with high expression of ERCC1, causing primary drug resistance of the tumor to the chemotherapy. Whether the sensitivity of the pancreatic cancer cells to platinum-based chemotherapy regimen can be predicted by determining the their ERCC1 expression levels, and whether their response to chemotherapy can be improved by regulating the ERCC1 expression may be the breakthrough for increasing the chemotherapy efficacy of pancreatic cancer. At present, the researches in this field are still in their infancy. Here, the authors briefly review the relevant research progress, so as to provide assistance for future studies.

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何腾俊, 李江, 赵棁预, 蔡晓蓓. ERCC1基因表达对胰腺癌铂类药物化疗效果影响的研究进展[J].中国普通外科杂志,2020,29(3):363-368.
DOI:10.7659/j. issn.1005-6947.2020.03.015

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  • 收稿日期:2019-06-21
  • 最后修改日期:2020-01-24
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  • 在线发布日期: 2020-03-25