Review Article

Preoperative Chemotherapy for Gastric Cancer: Personal Interventions and Precision Medicine

Table 3

Genes or proteins related to response prediction in preoperative chemotherapy.

Genes or proteinsResultsRegimensReference

TS, DPD, TP, ERCC1, ERCC4, KU80, GADD45ATumor TS expression level of ≤344.19 × 10−3 improved survival.
DPD expression level of ≤7.49 × 10−3 was associated with patient response and prolonged survival.
Elevated expression of TP and/or GADD45A was associated with zero response and poor survival.
5-FU and cisplatinNapieralski et al. [33]
15-PGDHHigh levels of 15-PGDH expression were associated with better survival.FOLFOX6Hu et al. [34]
Foxp3 Tregs
dendritic cell
Infiltration of Foxp3 Tregs and dendritic cells served as useful prognostic biomarkers for AGC treated with FOLFOX6 regimen preoperatively.FOLFOX6Hu et al. [35]
B7-H4In the preoperative chemotherapy group, patients with low B7-H4 expression had longer overall survival.FOLFOX6Maskey et al. [36]
HER2, P53HER2 and P53 were predictors of efficacy inmFOLFOX7 preoperative chemotherapy.mFOLFOX7Qu et al. [37]
P53Positive P53 immunostaining and P53 mutation in tumors before preoperative chemotherapy might serve as molecular predictors of response in patients with advanced GC treated with preoperative chemotherapy.etoposide, cisplatin, mitomycinBataille et al. [38]
MMRMismatch repair deficiency predicted favorable prognosis via immune response activation in patients with metastatic GC treated with preoperative platinum-based chemotherapy.Platinum-basedGiampieri et al. [39]
Tumor regression
ERCC1
Tumor regression and ERCC1 nuclear protein expression are promising predictive markers in gastroesophageal cancer treated with preoperative platinum-based chemotherapy.platinum-basedFareed et al. [40]
OCT2High expression of OCT2 might represent a potential predictor of response to preoperative chemotherapy with S-1/cisplatin in GC.cisplatin-based (plus S-1 or paclitaxel)Naka et al. [41]
BAKBAK expression in GC predicts chemotherapeutic response and clinical prognosis in patients treated with preoperative docetaxel chemotherapy.docetaxel, 5-FU, cisplatinKubo et al. [42]
FoxM1Overexpression of FoxM1 is a potential prognostic marker for enhanced chemoresistance to docetaxel in GC.docetaxel, 5-FU, cisplatin, S-1Okada et al. [43]
8 genesTranscriptional expression of 8 genes predicts pathological response to docetaxel plus trastuzumab-based preoperative chemotherapydocetaxel plus trastuzumabSchmitt et al. [44]
MTHFP A1298CMTHFP A1298C polymorphisms were associated with poor outcome and represent independent negative prognostic factors in preoperative chemotherapy.NSBlank et al. [45]
AI, KI, AI/KIAI, KI, and AI/KI were associated with efficacy and prognosis of patients in the preoperative chemotherapy group.NSWu et al. [46]
DAP-3Higher expression of DAP-3 was associated with better prognosis in GC patients in the preoperative chemotherapy group.NSJia et al. [47]
Lin 28
microRNA-107
Lin28/microRNA-107 pathway was regulated by Lin28 in possible GC chemoresistance.oxaliplatin, paclitaxel, doxorubicin, and fluorouracilTeng et al. [48]
CXCL12
CXCR4
CXCR4 mRNA upregulation following preoperative chemotherapy in GC patients was directly related to response and negatively correlated with higher tumor stages with lymph and vein infiltration.NSRubie et al. [49]

TS: thymidylate synthase; DPD: dihydropyrimidine dehydrogenase; TP: thymidine phosphorylase; ERCC1: excision repair cross complementing 1; ERCC4: excision repair cross complementing 4; KU80: an enzyme involved in nonhomologous end joining repair; GADD45A: growth arrest and DNA-damage-inducible protein 45 alpha; 15-PGDH: 15-hydroxyprostaglandin dehydrogenase; DAP-3: death-associated protein-3; MMR: mismatch repair; OCT2: organic cation transporter 2; FoxM1: fork head box transcription factor 1; NS: not stated.