Lentinan prolonged survival in patients with gastric cancer receiving S-1-based chemotherapy

被引:41
作者
Ina, Kenji [1 ]
Furuta, Ryuichi [1 ]
Kataoka, Takae [2 ]
Kayukawa, Satoshi [2 ]
Yoshida, Takashi [2 ]
Miwa, Takaya [3 ]
Yamamura, Yoshitaka [3 ]
Takeuchi, Yuuki [3 ]
机构
[1] Nagoya Mem Hosp, Dept Med Oncol, Nagoya, Aichi 4688520, Japan
[2] Nagoya Mem Hosp, Dept Clin Oncol, Nagoya, Aichi 4688520, Japan
[3] Nagoya Mem Hosp, Dept Surg, Nagoya, Aichi 4688520, Japan
关键词
Gastric cancer; Lentinan; S-1-based chemo-therapy;
D O I
10.5306/wjco.v2.i10.339
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
AIM: To examine whether administration of lentinan, purified beta-1, 3-glucan, can prolong survival in advanced gastric cancer patients receiving S-1-based chemotherapy. METHODS: Since 2004, 78 patients with metastatic or recurrent gastric cancer have received S-1-based chemotherapy as first-line treatment. Survival, side effects, and the ratio of granulocytes/lymphocytes (G/L ratio) were compared between 2 groups of patients who received chemo-immunotherapy using lentinan and chemotherapy alone. RESULTS: Median overall survival was significantly longer in the former group than in the latter group [689 d (95% CI: 431-2339 d) vs 565 d (95% CI: 323-662 d), P = 0.0406]. In addition, the G/L ratio in patients who received lentinan was maintained around or below 2, which was significantly lower than that in patients who received chemotherapy alone (P < 0.001). CONCLUSION: Chemo-immunotherapy with lentinan offers a significant advantage over S-1-based chemotherapy alone in terms of survival in patients with advanced gastric cancer. (C) 2011 Baishideng. All rights reserved.
引用
收藏
页码:339 / 343
页数:5
相关论文
共 29 条
[1]
Immune recognition -: A new receptor for β-glucans [J].
Brown, GD ;
Gordon, S .
NATURE, 2001, 413 (6851) :36-37
[2]
INHIBITION OF MOUSE SARCOMA 180 BY POLYSACCHARIDES FROM LENTINUS EDODES (BERK) SING [J].
CHICHARA, G ;
MAEDA, Y ;
HAMURO, J ;
SASAKI, T ;
FUKUOKA, F .
NATURE, 1969, 222 (5194) :687-&
[3]
HAMURO J, 1978, CANCER RES, V38, P3080
[4]
Gastric cancer [J].
Hohenberger, P ;
Gretschel, S .
LANCET, 2003, 362 (9380) :305-315
[5]
Pathological complete response induced by the combination therapy of S-1 and 24-h infusion of cisplatin in two cases initially diagnosed as inoperable advanced gastric cancer [J].
Ina, Kenji ;
Kataoka, Takae ;
Takeuchi, Yuuki ;
Fukuoka, Tomoki ;
Miwa, Takaya ;
Nishio, Tomoko ;
Furuta, Ryuichi ;
Masaki, Ayako ;
Mori, Fumiko ;
Kayukawa, Satoshi ;
Nagao, Seiji ;
Ando, Takafumi ;
Goto, Hidemi .
ONCOLOGY REPORTS, 2008, 20 (02) :259-264
[6]
Ina Kenji, 2009, Gan To Kagaku Ryoho, V36, P979
[7]
Iwase H, 2005, ANTICANCER RES, V25, P1297
[8]
A Phase II Multi-Center Study of Triple Therapy with Paclitaxel, S-1 and Cisplatin in Patients with Advanced Gastric Cancer [J].
Iwase, H. ;
Shimada, M. ;
Tsuzuki, T. ;
Ina, K. ;
Sugihara, M. ;
Haruta, J. ;
Shinoda, M. ;
Kumada, T. ;
Goto, H. .
ONCOLOGY, 2011, 80 (1-2) :76-83
[9]
S-1 plus cisplatin versus S-1 alone for first-line treatment of advanced gastric cancer (SPIRITS trial): a phase III trial [J].
Koizumi, Wasaburo ;
Narahara, Hiroyuki ;
Hara, Takuo ;
Takagane, Akinori ;
Akiya, Toshikazu ;
Takagi, Masakazu ;
Miyashita, Kosei ;
Nishizaki, Takashi ;
Kobayashi, Osamu ;
Takiyama, Wataru ;
Toh, Yasushi ;
Nagaie, Takashi ;
Takagi, Seiichi ;
Yamamura, Yoshitaka ;
Yanaoka, Kimihiko ;
Orita, Hiroyuki ;
Takeuchi, Masahiro .
LANCET ONCOLOGY, 2008, 9 (03) :215-221
[10]
Kubota E, 2009, HEPATO-GASTROENTEROL, V56, P106