|Table of Contents|

Relationship between genetic polymorphism of X-ray repair cross-complementing group 1(XRCC1) and clinical outcomes of advanced gastric cancer receiving oxaliplatin plus capecitabine chemotherapy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 14
Page:
2570-2573
Research Field:
Publishing date:

Info

Title:
Relationship between genetic polymorphism of X-ray repair cross-complementing group 1(XRCC1) and clinical outcomes of advanced gastric cancer receiving oxaliplatin plus capecitabine chemotherapy
Author(s):
HAN Lei1DONG Ningning2
1.Department of Oncology,Affiliated Hospital of Jining Medical University,Shandong Jining 272000,China;2.Department of Gastroenterology,Beijing Friendship Hospital,Capital Medical University/National Clinical Research Center of Gastrointestinal Disease/State Key Laboratory for Digestive Diseases/Beijing Digestive Disease Center/Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases,Beijing 100050,China.
Keywords:
advanced gastric cancerX-ray repair cross-complementing group 1genetic polymorphismchemotherapy
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2024.14.013
Abstract:
Objective:To discuss the relationship between X-ray repair cross-complementing group 1 (XRCC1) gene polymorphism and clinical outcomes,time to progression of advanced gastric cancer receiving oxaliplatin plus capecitabine chemotherapy (XELOX regimen).Methods:A total of 110 patients with advanced gastric cancer were retrospectively enrolled.All patients received oxaliplatin plus capecitabine chemotherapy.XRCC1 genotype was obtained by matrix-assisted laser desorption ionization time-of-flightmass spectrometry.The relationship between the clinicopathological features of patients and genetic typing of XRCC1 rs25487 and objective response rate (ORR) and progression-free survival(PFS) was analyzed.Results:Among these enrolled patients,49 cases (44.5%) carried XRCC1 rs25487 GG genotype,52 patients (47.3%) AG genotype,and 9 patients (8.2%) AA genotype.GG genotype carriers had a higher ORR than AG/AA genotype carriers (53.1% vs 37.7%,P=0.107).Compared with AG/AA genotype carriers,GG genotype carriers showed statistically longer PFS[6.3 months (95%CI:5.7~6.9) vs 5.0 months (95%CI:4.4~5.6),P=0.049)].None of the clinicopathological characteristics was associated with ORR,whereas,tumor differentiation and TNM stage were related to PFS (P<0.05).Multivariate analysis showed that tumor differentiation,TNM stage and XRCC1 rs25487 genotype were independent prognostic factors of PFS.Conclusion:XRCC1 rs25487 genotype is closely related to treatment outcomes of oxaliplatin plus capecitabine chemotherapy in patients with advanced gastric cancer.Testing for XRCC1 rs25487 genotype may allow identification of patients who will benefit from chemotherapy.

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