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Multipoint quantification of multimarker genes in peripheral blood and micrometastasis characteristic in peri-operative esophageal cancer patients.

Abstract
This work proposed a method to assess the occult micrometastasis characteristic in peri-operative peripheral blood (PB) based on multipoint quantification of multimarker genes by real-time semiquantitative RT-PCR. The expression levels of SCC, CK19, CK20, CEA and survivin mRNA in PB samples collected before surgery (B-1), immediately after surgery (B0) and at the third day post-operatively (B+3) from 36 squamous esophageal cancer (EC) patients were detected. SCC and CK19 mRNA showed low positivity detection rates, while the rate for CEA and survivin mRNA panel was 58.3%, 83.3% and 72.3% at B-1, B0 and B+3, respectively. Opposite to the significant increase and slow decrease of CEA cells at stages of B-1 to B0 and B0 to B+3, respectively, survivin cells decreased significantly and increased quickly at the two stages. The follow-up with a period of 1.2 years showed that the patients with the B+3/B0 ratios of >or= 0.3 for CEA cells or/and >or= 10 for survivin cells exhibited significantly high possibility of developed metastasis, and the sensitivity to predict developed metastasis increased from 54.5% of CEA mRNA alone to 72.7% of CEA and survivin mRNA panel. These results suggested that CEA and survivin gene panel improved the sensitivity to predict recurrence and differentiate the micrometastatic process.
AuthorsZhian Liu, Ming Jiang, Feng Yan, Lin Xu, Jianhua Zhao, Huangxian Ju
JournalCancer letters (Cancer Lett) Vol. 261 Issue 1 Pg. 46-54 (Mar 08 2008) ISSN: 0304-3835 [Print] Ireland
PMID18082938 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers, Tumor
Topics
  • Biomarkers, Tumor
  • Cell Line, Tumor
  • Esophageal Neoplasms (blood, genetics, pathology, surgery)
  • Female
  • Genes, Neoplasm
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Metastasis (genetics)
  • Neoplasm Recurrence, Local
  • Perioperative Care
  • Polymerase Chain Reaction
  • Sensitivity and Specificity

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