Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2010-9-29
pubmed:abstractText
To improve the prognosis of advanced esophageal cancer, neoadjuvant chemotherapy (NACT) followed by surgery is a promising treatment strategy. NACT has been shown to improve the prognosis of responders. However, non-responders not only suffer from side-effects, but they also lose precious time to take advantage of other possible treatments. Therefore, it is crucial to establish a reliable method that allows prediction of response before chemotherapy. A biopsy sample can provide valuable information on the biological characteristics of an individual esophageal cancer, which can affect chemosensitivity. Comprehensive gene expression profiling (GEP) using oligonucleotide microarray covering 30,000 human probes was performed in 50 pretreatment endoscopic biopsy samples from 25 patients with esophageal squamous cell cancer (ESCC) who underwent cisplatin-based chemotherapy (two samples per patient). Chemotherapeutic responses were evaluated by the reduction rate of the tumor area on CT scans. Responders were defined as patients with reduction rates of ?50% and non-responders were defined as patients with <50% decrease. The diagnostic system, that predicts responses to chemotherapy, was constructed with the 199 most informative genes, and showed 82% of accuracy. Furthermore, the predictive performance of this system was confirmed using an additional ten samples with an accuracy of 80%. This study shows that GEP of pretreatment ESCC biopsy samples has the potential to predict responses to chemotherapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1791-2423
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1113-20
pubmed:meshHeading
pubmed-meshheading:20878059-Aged, pubmed-meshheading:20878059-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:20878059-Biopsy, pubmed-meshheading:20878059-Carcinoma, Squamous Cell, pubmed-meshheading:20878059-Cisplatin, pubmed-meshheading:20878059-Cluster Analysis, pubmed-meshheading:20878059-Doxorubicin, pubmed-meshheading:20878059-Drug Resistance, Neoplasm, pubmed-meshheading:20878059-Esophageal Neoplasms, pubmed-meshheading:20878059-Female, pubmed-meshheading:20878059-Fluorouracil, pubmed-meshheading:20878059-Gene Expression Profiling, pubmed-meshheading:20878059-Humans, pubmed-meshheading:20878059-Male, pubmed-meshheading:20878059-Middle Aged, pubmed-meshheading:20878059-Neoadjuvant Therapy, pubmed-meshheading:20878059-Neoplasm Staging, pubmed-meshheading:20878059-Oligonucleotide Array Sequence Analysis, pubmed-meshheading:20878059-Prognosis, pubmed-meshheading:20878059-Reverse Transcriptase Polymerase Chain Reaction
pubmed:year
2010
pubmed:articleTitle
Prediction of the response to chemotherapy in advanced esophageal cancer by gene expression profiling of biopsy samples.
pubmed:affiliation
Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Osaka 565-0871, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't