دورية أكاديمية

Clinical significance of survivin mRNA expression (BIRC5) in colorectal cancer ; Клиническое значение экспрессии мРНК сурвивина (BIRC5) при колоректальном раке

التفاصيل البيبلوغرافية
العنوان: Clinical significance of survivin mRNA expression (BIRC5) in colorectal cancer ; Клиническое значение экспрессии мРНК сурвивина (BIRC5) при колоректальном раке
المؤلفون: Andrey V. Orekhva, E. A. Shlyakhtunov, V. M. Semenov, I. V. Zhiltsov, A. V. Erushevich, G. M. Shappo, Ya. N. Lyakh, Alina V. Orekhva, Андрей В. Орехва, Е. А. Шляхтунов, В. М. Семенов, И. В. Жильцов, А. В. Ерушевич, Г. М. Шаппо, Я. Н. Лях, Алина В. Орехва
المساهمون: The work was carried out in accordance with the scientific research plan of the Vitebsk State Medical University. The authors did not receive financial support from drug manufacturers., Работа выполнялась в соответствии с планом научных исследований УО «Витебский государственный медицинский университет». Финансовой поддержки со стороны компаний-производителей лекарственных препаратов авторы не получали.
المصدر: Surgery and Oncology; Том 13, № 4 (2023); 17-37 ; Хирургия и онкология; Том 13, № 4 (2023); 17-37 ; 2949-5857
بيانات النشر: "PH "ABV-Press"", LLC
سنة النشر: 2024
المجموعة: Oncological Coloproctology (E-Journal) / Онкологическая колопроктология
مصطلحات موضوعية: колоректальный рак, survivin, minimal residual disease, circulating tumor cells, colorectal cancer, сурвивин, минимальная остаточная болезнь, циркулирующие опухолевые клетки
الوصف: Aim. To evaluate the clinical significance of survivin (BIRC5) mRnA expression in circulating tumor cells (CTCs) and tumor material from colorectal cancer (CRC).Materials and methods. The study was organized according to the principle of a continuous prospective non-randomized study. The expression of survivin (BIRC5) mRnA in CTCs and tumor material was determined using RT-pCR.Results. The study included 130 patients (study group – 109 patients with colorectal cancer and observation group – 21 patients with colon adenomas). All patients underwent complete tumor removal (radical surgery – 93.6 %), cytoreductive – 6.4 %).A high level of survivin (BIRC5) mRnA expression was detected in colorectal adenocarcinoma in comparison with adenomas (pMann–whitney < 0.001) M ± SD (1.678 ± 2.45 and 0.023 ± 0.07). In the study and observation group, the expression of survivin mRnA (BIRC5) in CTCs both before surgery M ± SD (1.175 ± 1.33 and 0.052 ± 0.11) and after 3 months M ± SD (1.015 ± 0.93 and 0.018 ± 0.002) was significantly different (pMann–whitney <0.001).During adjuvant chemotherapy, a decrease in the level of survivin expression in CTCs was observed (p 9 months after surgery, CTCs remain in the bloodstream even despite adjuvant chemotherapy (p = 0.015 and p = 0.012). Overexpression of survivin in CTCs before surgery correlates with damage to regional lymph nodes (p = 0.03, r = 0.21), stage of the tumor process (p = 0.01, r = 0.25), degree of tumor differentiation (p = 0.03, r = 0.21). Overexpression of survivin in CTCs 9 months after surgery significantly affects relapse-free survival HR (95 % CI HR) = 3.1 (95 % CI 1.56–6,08, p = 0.0012) and overall survival of patients HR (95 % CI HR) =6.8 (95 % CI 2.65–17.33, p = 0.0001).Conclusions. Overexpression of survivin mRnA in colorectal cancer is a negative prognosis factor for the disease and directly depends on the tumor involvement of regional lymph nodes, the stage of the disease, degree of tumor differentiation, promoting the development of disease relapse, and ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: Russian
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DOI: 10.17650/2949-5857-2023-13-4-17-37
الإتاحة: https://doi.org/10.17650/2949-5857-2023-13-4-17-37Test
https://doi.org/10.1126/scitranslmed.3007094Test
https://doi.org/10.1126/scitranslmed.aaf6219Test
https://doi.org/10.1093/annonc/mdz390Test
https://doi.org/10.1016/j.currproblcancer.2017.11.002Test
https://doi.org/10.1586/14737159.2016.1121099Test
https://doi.org/10.1016/j.mam.2019.06.002Test
https://doi.org/10.1158/1078-0432.CCR-07-0686Test
https://doi.org/10.1007/s00595-010-4390-1Test
https://doi.org/10.3892/or_00000471Test
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رقم الانضمام: edsbas.A8FF8E75
قاعدة البيانات: BASE