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High RRM1 Expression Is Associated with Adverse Outcome in Patients with Cisplatin/Vinorelbine-treated Malignant Pleural Mesothelioma.

Zimling, Zarah Glad; Santoni-Rugiu, Eric; Bech, Cecilia; Sørensen, Jens Benn.
Anticancer Res; 35(12): 6731-8, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26637889

BACKGROUND/AIM:

A possible predictive impact of ribonucleotide-reductase subunit-1 (RRM1) on vinorelbine efficacy in non-small cell lung cancer (NSCLC) has been previously reported. The present study aimed to further explore this finding in malignant pleural mesothelioma (MPM).

MATERIALS AND METHODS:

Seventy-one patients with MPM receiving first-line chemotherapy with cisplatin-vinorelbine (CiV group, n=54) or carboplatin-pemetrexed (CaP group, n=17) were included. Formalin-fixed paraffin-embedded tumor specimens were analyzed by immunohistochemistry (IHC) for RRM1 expression using an H-score.

RESULTS:

In 66 patients eligible for IHC, the H-score was ≥upper quartile in 21 (RRM1-positive) and survival rate for patients with RRM1-negative MPM in the CiV-treated group was significantly superior to that for patients with RRM1-positive MPM (47% versus 13%, p=0.002). No difference occurred in the CaP-treated group.

CONCLUSION:

Our findings suggest a possible role of RRM1 in predicting efficacy of cisplatin-vinorelbine in MPM, supporting previous findings in NSCLC.
Selo DaSilva