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논문 기본 정보

자료유형
학술저널
저자정보
서상범 (인제대학교) 서병조 (인제대학교) 김준희 (인제대학교) 유항종 (인제대학교)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.73 No.4
발행연도
2007.10
수록면
294 - 301 (8page)

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Purpose: Docetaxel (Taxotere<SUP>ⓡ</SUP>) and capecitabine are used in combination to treat advanced gastric cancer. Thymidine phosphorylase (TP) is an essential enzyme for the activation of capecitabine in tumors. This study sought to identify the best combination therapy with capecitabine and using two different schedules for docetaxel, a TP up-regulator, to enhance capecitabine’s efficacy.
Methods: The human gastric cancer cell line SNU-484 was cultured and docetaxel (2㎍/㎖) was added to the 24-well plates that contained 5×105 cells/well. The total RNA was isolated and RT-PCR was done to identify the TP expression. Four- or five-week-old BALB/c-nu/nu mice were subcutaneously inoculated with the SNU-484 cells. The nude mice were divided into two groups and they were given capecitabine 539 ㎎/㎡ p.o. from days 1 to 14: Group 1 was given docetaxel 15 ㎎/㎡ i.v. on day 1; Group 2 was given docetaxel 7.5㎎/㎡ on days 1 and 8. Tumor tissues were excised on days 1, 8 and 15 to measure the TP and bcl-2 levels.
Results: TP was expressed 2 hours after docetaxel administration. Group 2 had a higher TP concentration in the tumor tissues and a better antitumor effect than did Group 1. There was no difference in the bcl-2 concentration in the two groups.
Conclusion: These results suggest that docetaxel stimulates the TP expression in tumor tissues and it enhances the antitumor activity of capecitabine. A weekly docetaxel injection with capecitabine administration can be used to treat gastric cancer more effectively than when docetaxel is injected once per cycle. Capecitabine had no bcl-2 suppressive effect in this study.

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UCI(KEPA) : I410-ECN-0101-2013-514-002670962