UFT including 5-Fluorouracil (5-Fu) and Tegafur has been reported to be effective as adjuvant chemotherapy for an early-stage group of primary lung cancer, mainly for adenocarcinoma (AD), not for squamous cell carcinoma (SQ). The effectiveness is also thought to depend on activities of nucleoside-metabolizing enzymes in the tumor cells such as thymidylate synthase (TS), dihydropyridimine dehydrogenase (DPD), thymidine phosphorylase (TP), and orotate phosphoribosyl transferase (OPRT). Therefore, we investigated m-RNA expressions of these nucleo-side-metabolizing enzymes in surgically resected specimens and compared them between AD and SQ. groups. We studied 51 patients with AD and 49 patients with SQ who underwent surgery from April 2001 to June 2005.The resected specimens were fixed in formalin and stained with hematoxylin and eosin to identify tumor cells. Thus, only tumor cells were collected and the m-RNA expressions of TS, DPD, TP and OPRT were quantified using Danenberg tumor profiling technique. These m-RNA expressions obtained were compared between the AD and SQ groups. Pathological stage did not differ between the AD and SQ groups. Since mean age and gender popula-tion were significantly different between the two groups, the data were adjusted by analysis of covariance. m-RNA expressions of the 4 enzymes in the AD and SQ groups were as follows: Tabled 1TSDPDTPOPRTAD (n=51)1.60±0.862.29±1.229.52±6.300.85±0.53SQ (n=49)4.33±3.351.52±1.2016.27±11.842.26±1.14p-value<0.00010.0020.007<0.001 Open table in a new tab m-RNA expressions of TS, DPD, TP and OPRT were significantly different between the AD and SQ groups. The m-RNA expressions of the 4 enzymes were not different between pathological stages or gender, respectively. 5-Fu is theoretically more effective to tumor cells when the tumor cells have low activity of DPD, TP and OPRT. It is also reported that tumor cells with low TS activity is more sensitive to 5-Fu. Our study suggested that UFT may be more effective to AD than SQ because AD tumor cells have low TS activity and because additive Tegafur sufficiently suppresses high DPD activity of AD tumor cells. m-RNA expressions of TS, DPD, TP and OPRT were significantly different between the AD and SQ groups. These results may provide some insight of mechanism in which UFT is more effective to AD than SQ in primary lung cancer.
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