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机构地区:[1]河北医科大学附属第四医院肿瘤内科
出 处:《医学综述》2009年第3期327-331,共5页Medical Recapitulate
摘 要:机体DNA修复系统如核苷酸切除修复在维持基因组功能整体性、修复致癌因素所致的损伤及抗癌过程中有着重要作用。一些核酸修复基因,如切除修复交叉互补基因1(ERCC1)及人类着色性干皮病基因D(XPD/ERCC2)的水平下降,可能会成为某种或某几种肿瘤的易感因素;但如果此种基因的水平较高,修复损伤的能力提高,对化疗药物所致基因损伤的修复能力也就增强了,那么可能对化疗药物产生耐药现象。以上两种基因的单核苷酸多态与以DDP、5-FU为基础的化疗方案的疗效存在一定关系,而消化道肿瘤又多应用铂剂及5-FU治疗,故本文对ERCC1、XPD/ERCC2与几种常见消,匕道肿瘤的发生及其化疗疗效的关系予以综述。DNA repair Organism such as nucleotide excision repair which have an important role in the maintenance of genome integrity, repairing damage caused by cancer-causing factors and the anticancer process. A number of nucleic acid repair genes such as excision repair cross-complementing gene 1 ( ERCC1 ) and human xeroderma pigmentosum gene D( XPD/ERCC2 ), the level descent may be susceptible factors to one or certain kinds of tumors; but if these genes' level are higher,the ability to repair damage and chemotherapy-induced genetic damage will be enhanced,it may be resistance to chemotherapeutic drugs. The single nucleotide polymorphisms of the two genes have certain relationship with DDP,5-FU-based chemotherapy efficacy, and more application of gastrointestinal cancer use platinum agents and 5-FU treatment, so this paper will summarize the relationship of occurrence and effect between ERCC1, XPD / ERCC2 and several common gastrointestinal cancer.
关 键 词:切除修复交叉互补基因1 人类着色性干皮病基因D 单核苷酸多态 化疗
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