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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">No cancro do pulm&#227;o&#44; ainda n&#227;o se obteve sobreviv&#234;ncia expressiva dos doentes que se apresentam em est&#225;dios n&#227;o cir&#250;rgicos&#46; Os doentes com carcinoma de n&#227;o pequenas c&#233;lulas s&#227;o tratados com platina e outros f&#225;rmacos&#44; para os quais se podem caracterizar actualmente marcadores preditivos de resposta terap&#234;utica&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Procedeu-se a uma revis&#227;o da literatura&#44; tendo como alvo o papel dos genes <span class="elsevierStyleItalic">ERCC1</span> e <span class="elsevierStyleItalic">RRM1</span> na resposta &#224; quimioterapia baseada na platina e na gemcitabina&#46; Actualmente&#44; a express&#227;o destes genes &#233; encarada como preditiva de resposta &#224; quimioterapia em doentes com adenocarcinomas e carcinomas epiderm&#243;ides&#44; orientando a terap&#234;utica personalizada&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Dados publicados demonstram a utilidade da quimioterapia individualizada&#44; de acordo com os n&#237;veis individuais de ERCC1&#46; Estes tamb&#233;m s&#227;o influenciados por variabilidade gen&#233;tica&#46; Assim&#44; a presen&#231;a de certos polimorfismos&#44; como s&#227;o os c&#243;d&#227;os 118 C&#47;T e C8092A&#44; parecem estar relacionados com a carcinog&#233;nese&#44; resist&#234;ncia aos citost&#225;ticos&#44; tempo de sobrevida e at&#233; com o progn&#243;stico&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Estudos cl&#237;nicos e laboratoriais demonstraram tamb&#233;m que a elevada express&#227;o do gene <span class="elsevierStyleItalic">RRM1</span> no NSCLC tem impacto no fen&#243;tipo do tumor e na resposta vari&#225;vel &#224; quimioterapia&#46; Doentes submetidos a ressec&#231;&#227;o cir&#250;rgica&#44; cujos tumores apresentavam express&#227;o aumentado do gene <span class="elsevierStyleItalic">RRM1&#44;</span> t&#234;m maior sobreviv&#234;ncia do que os doentes com baixa express&#227;o&#46; No entanto&#44; os doentes com NSCLC avan&#231;ado sujeitos a quimioterapia com gemcitabina e cisplatina apresentam um pior progn&#243;stico se o tumor apresentar express&#227;o aumentada do gene <span class="elsevierStyleItalic">RRM1</span>&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 683-696</span></p></span>"
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Cadernos de Anatomia Patológica/Pathology Notebooks
Os genes ERCC1 e RRM1 no carcinoma broncopulmonar
ERCC1 and RRM1 genes in lung cancer
Lina Carvalho1, António Silva2, Cláudia Andrade2, Cláudia Barroso2, Cláudia Farinha2, José Carlos Fernandes2, Raquel Landeiro2
1 Professora de Anatomia Patológica/Oncologia Faculdade de Medicina, Universidade de Coimbra
2 Disciplina de Oncologia, Anatomia Patológica/Oncologia Faculdade de Medicina, Universidade de Coimbra
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">No cancro do pulm&#227;o&#44; ainda n&#227;o se obteve sobreviv&#234;ncia expressiva dos doentes que se apresentam em est&#225;dios n&#227;o cir&#250;rgicos&#46; Os doentes com carcinoma de n&#227;o pequenas c&#233;lulas s&#227;o tratados com platina e outros f&#225;rmacos&#44; para os quais se podem caracterizar actualmente marcadores preditivos de resposta terap&#234;utica&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Procedeu-se a uma revis&#227;o da literatura&#44; tendo como alvo o papel dos genes <span class="elsevierStyleItalic">ERCC1</span> e <span class="elsevierStyleItalic">RRM1</span> na resposta &#224; quimioterapia baseada na platina e na gemcitabina&#46; Actualmente&#44; a express&#227;o destes genes &#233; encarada como preditiva de resposta &#224; quimioterapia em doentes com adenocarcinomas e carcinomas epiderm&#243;ides&#44; orientando a terap&#234;utica personalizada&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Dados publicados demonstram a utilidade da quimioterapia individualizada&#44; de acordo com os n&#237;veis individuais de ERCC1&#46; Estes tamb&#233;m s&#227;o influenciados por variabilidade gen&#233;tica&#46; Assim&#44; a presen&#231;a de certos polimorfismos&#44; como s&#227;o os c&#243;d&#227;os 118 C&#47;T e C8092A&#44; parecem estar relacionados com a carcinog&#233;nese&#44; resist&#234;ncia aos citost&#225;ticos&#44; tempo de sobrevida e at&#233; com o progn&#243;stico&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Estudos cl&#237;nicos e laboratoriais demonstraram tamb&#233;m que a elevada express&#227;o do gene <span class="elsevierStyleItalic">RRM1</span> no NSCLC tem impacto no fen&#243;tipo do tumor e na resposta vari&#225;vel &#224; quimioterapia&#46; Doentes submetidos a ressec&#231;&#227;o cir&#250;rgica&#44; cujos tumores apresentavam express&#227;o aumentado do gene <span class="elsevierStyleItalic">RRM1&#44;</span> t&#234;m maior sobreviv&#234;ncia do que os doentes com baixa express&#227;o&#46; No entanto&#44; os doentes com NSCLC avan&#231;ado sujeitos a quimioterapia com gemcitabina e cisplatina apresentam um pior progn&#243;stico se o tumor apresentar express&#227;o aumentada do gene <span class="elsevierStyleItalic">RRM1</span>&#46;</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 683-696</span></p></span>"
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Pulmonology

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