RRC ID 38451
著者 Yamasaki M, Makino T, Masuzawa T, Kurokawa Y, Miyata H, Takiguchi S, Nakajima K, Fujiwara Y, Matsuura N, Mori M, Doki Y.
タイトル Role of multidrug resistance protein 2 (MRP2) in chemoresistance and clinical outcome in oesophageal squamous cell carcinoma.
ジャーナル Br J Cancer
Abstract BACKGROUND:Although multidrug resistance protein 2 (MRP2) confers chemoresistance in some cancer types, its implication on oesophageal squamous cell carcinoma (ESCC) remains unclear.
METHODS:We evaluated MRP2 expression by immunohistochemistry and RT-PCR using 81 resected specimens from ESCC patients who did or did not receive neo-adjuvant chemotherapy (NACT), including 5-fluorouracil, doxorubicin, and cisplatin (CDDP). Correlation between MRP2 expression and response to chemotherapy was also examined in 42 pre-therapeutic biopsy samples and eight ESCC cell lines.
RESULTS:MRP2-positive immunostaining was more frequently observed in ESCCs with NACT than in those without NACT (27.3 vs 5.4%). The MRP2-positive patients showed poorer prognosis than MRP2-negative patients (5-year survival rate, 25.6 vs 55.7%). Concordantly, ESCC with NACT showed 2.1-fold higher mRNA expression of MRP2 than those without NACT (P=0.0350). In pre-therapeutic biopsy samples of patients with NACT, non-responders showed 2.9-fold higher mRNA expression of MRP2 than responders (P=0.0035). Among the panel of ESCC cell lines, TE14 showed the highest MRP2 mRNA expression along with the strongest resistance to CDDP. Inhibition of MRP2 expression by small-interfering RNA reduced chemoresistance to CDDP.
CONCLUSION:Our data suggested that MRP2 is one of molecules, which regulate the sensitivity to chemotherapy including CDDP in advanced ESCC patients.
巻・号 104(4)
ページ 707-13
公開日 2011-2-15
DOI 10.1038/sj.bjc.6606071
PII 6606071
PMID 21206495
PMC PMC3049584
MeSH Adult Aged Aged, 80 and over Antineoplastic Combined Chemotherapy Protocols / therapeutic use Biomarkers, Pharmacological / analysis Biomarkers, Pharmacological / metabolism Biomarkers, Tumor / analysis Biomarkers, Tumor / genetics Biomarkers, Tumor / metabolism Carcinoma, Squamous Cell / drug therapy Carcinoma, Squamous Cell / genetics* Carcinoma, Squamous Cell / metabolism Carcinoma, Squamous Cell / mortality Cell Line, Tumor Cisplatin / administration & dosage Doxorubicin / administration & dosage Drug Resistance, Multiple / drug effects Drug Resistance, Multiple / genetics Drug Resistance, Neoplasm / drug effects Drug Resistance, Neoplasm / genetics* Esophageal Neoplasms / drug therapy Esophageal Neoplasms / genetics* Esophageal Neoplasms / metabolism Esophageal Neoplasms / mortality Female Fluorouracil / administration & dosage Gene Expression Regulation, Neoplastic / drug effects Humans Immunohistochemistry Male Middle Aged Multidrug Resistance-Associated Protein 2 Multidrug Resistance-Associated Proteins / genetics Multidrug Resistance-Associated Proteins / metabolism Multidrug Resistance-Associated Proteins / physiology* Neoadjuvant Therapy RNA, Small Interfering / pharmacology Survival Analysis
IF 5.791
引用数 73
WOS 分野 ONCOLOGY
リソース情報
ヒト・動物細胞 TE-1(RCB1894) TE-5(RCB1949) TE-6(RCB1950) TE-9(RCB1988) TE-10(RCB2099) TE-11(RCB2100) TE-14(RCB2101) TE-15(RCB1951)