The effect of doxorubicin on the changes of serum vascular endothelial growth factor (VEGF) in patients with hepatocellular carcinoma after transcatheter arterial chemoembolization (TACE).
Article
in English
| IMSEAR
| ID: sea-38812
ABSTRACT
BACKGROUND:
Treatment of hepatocellular carcinoma (HCC) with transcatheter arterial chemoembolization (TACE) is known to induce vascular endothelial growth factor (VEGF) expression. A recent study has shown that doxorubicin can repress hypoxic induction of VEGF expression in human cancer cells.OBJECTIVE:
To evaluate the combination effects of doxorubicin and TACE on the change of serum VEGF after TACE. MATERIAL ANDMETHOD:
Thirty patients with unresectable HCC were assigned into two groups, the experiment group (n = 15) received TACE with doxorubicin (25-50 mg) plus mitomycin C (5-10 mg), and the control group (n = 15) received TACE with mitomycin C (5-10 mg). Serum VEGF before and after TACE (24 hour) was measured by quantitative sandwich enzyme-linked immunosorbent assay.RESULTS:
Baseline serum VEGF was correlated with the size of tumor (r2 = 0.85; p = 0.03). In addition, serum VEGF was significantly elevated after TACE (p = 0.014). However; the change of serum VEGF after TACE is not statistically different in both groups (p = 0.72). At 2-years, the overall survival was 38% and 40% in the experiment and control group, respectively (p = 0.48).CONCLUSION:
The present study suggests that doxorubicin improves neither the level of serum VEGF nor the survival in HCC patients treated with TACE.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Survival
/
Time Factors
/
Aged
/
Female
/
Humans
/
Male
/
Doxorubicin
/
Mitomycin
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Chemoembolization, Therapeutic
/
Carcinoma, Hepatocellular
Language:
English
Year:
2008
Type:
Article
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