Wnt signaling pathway and the susceptibility of curative effect and prognostic of mCRC patients received irinotecan⁃based chemotherapy
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    Abstract:

    Objective:To explore the association between single nucleotide polymorphisms(SNPs)in the Wnt signaling pathway genes and the curative effect and prognostic of metastatic colorectal cancer(mCRC)patients who received irinotecan-based chemotherapy. Methods:We selected seven key genes in the Wnt signaling pathway and genotyped the SNPs within seven genes among 110 mCRC patients treated with irinotecan-based chemotherapy. Logistic regression and cox regression analysis were performed to evaluate the association between SNPs and the curative effect and prognostic of mCRC patients. Results:Patients with the LRP6 rs10772542 C alleles had a lower disease control rate(DCR)compared with those with T alleles(OR=2.49,95%CI=1.28~4.83,P=0.007). LEF1 rs749414 G alleles had a longer progression-free survival(PFS)compared with the T alleles(HR=0.55,95%CI=0.40~0.78,P=0.001)and WNT7B rs10448605 T alleles had a shorter PFS compared with the C alleles(HR=1.65,95%CI=1.13~2.41,P=0.009). Furthermore,WNT2 rs2239957 C alleles had a longer overall survival(OS)compared with the G alleles(HR=0.54,95%CI=0.35~0.85,P=0.007). Conclusion:Genetic variants in the Wnt signaling pathway genes contribute to the curative effect and prognostic of mCRC patients who received irinotecan-based chemotherapy.

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Cao Ling, Xie Lisheng, Li Shuwei, Du Mulong, Gu Dongyin, Zhang Zhengdong, Wang Meilin. Wnt signaling pathway and the susceptibility of curative effect and prognostic of mCRC patients received irinotecan⁃based chemotherapy[J].,2018,(2):195-200.

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  • Received:March 23,2017
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  • Online: March 02,2018
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