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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2009-2-12
pubmed:abstractText
Anemia is a unique side effect in Korean gastric cancer patients after S-1 monotherapy. We studied gastric cancer patients from a phase II trial of S-1 monotherapy with a 2-week treatment and 1-week rest schedule. Patients from a phase II trial of S-1 monotherapy with a 4-week treatment and 2-week rest were used as a reference group. The patients were categorized into two groups based on the degree of hemoglobin reduction per cycle of S-1: the mild reduction group (MRG DeltaHb/cycle < or =1.0) or severe reduction group (SRG DeltaHb/cycle >1.0). DeltaHb/cycle was calculated from maximum reduction of hemoglobin per one cycle of the treatment. Microarray-CGH was performed using a 17K cDNA microarray containing 15,723 unique genes. We selected genes with copy number variation defined as amplification (log2R/G >0.68) or deletion (log2R/G <-0.68), and a genetic aberration frequency difference of > or =30% between the MRG and the SRG. There were no differences in clinical factors, S-1 treatment-related factors (dose, dose intensity), toxicity, S-1 metabolism-related gene copy numbers (CYP2A6, DPD), or progression-free survival between the MRG and the SRG. Three genes were selected from microarray-CGH and logistic regression model: logit LN(Z) = (1.321) + (1.038 x PTX1) + (0.211 x MYO5A) + (0.516 x ZNF664). In the SRG, all 3 genes showed a trend of higher copy numbers than the MRG. There were no common anemia-related genes identified from different chemotherapy schedule of S-1 monotherapy. The logistics obtained from 3 genes predicted the hemoglobin reduction with an accuracy of 78%. The AUC was 0.744 for the final regression model. The combined copy number changes of the 3 genes can be developed into a biomarker in predicting S-1 treatment-related anemia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1019-6439
pubmed:author
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
787-96
pubmed:meshHeading
pubmed-meshheading:19212683-Adult, pubmed-meshheading:19212683-Aged, pubmed-meshheading:19212683-Anemia, pubmed-meshheading:19212683-Antimetabolites, Antineoplastic, pubmed-meshheading:19212683-Disease-Free Survival, pubmed-meshheading:19212683-Dose-Response Relationship, Drug, pubmed-meshheading:19212683-Drug Administration Schedule, pubmed-meshheading:19212683-Drug Combinations, pubmed-meshheading:19212683-Female, pubmed-meshheading:19212683-Gene Dosage, pubmed-meshheading:19212683-Hemoglobins, pubmed-meshheading:19212683-Humans, pubmed-meshheading:19212683-Male, pubmed-meshheading:19212683-Middle Aged, pubmed-meshheading:19212683-Oxonic Acid, pubmed-meshheading:19212683-Stomach Neoplasms, pubmed-meshheading:19212683-Survival Rate, pubmed-meshheading:19212683-Tegafur, pubmed-meshheading:19212683-Treatment Outcome
pubmed:year
2009
pubmed:articleTitle
Copy number changes can be a predictor for hemoglobin reduction after S-1 monotherapy in gastric cancer.
pubmed:affiliation
Cancer Metastasis Research Center, Yonsei Cancer Center, Yonsei University College of Medicine, Seodaemun-Ku, Seoul 120-752, Korea.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Clinical Trial, Phase II