UFT投与後の尿路上皮腫瘍内thymidylate synthase阻害と5-Fluorouracil濃度に関する検討

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尿路上皮腫瘍患者18例を対象に手術前1週間UFT (600 mg/day)を投与し,摘出標本における腫瘍組織および正常組織内のtegafur, 5-FU, uracil濃度を測定し,さらにTS阻害率を検討した.腫瘍組織と正常組織の間でtegafur濃度では差を認めなかったが,5-FUとuracil濃度は腫瘍組織は正常組織に比べて5.1倍,3.6倍の高値を示した.腫瘍組織におけるTS阻害率は平均36%であったのに対して正常組織では平均21%と腫瘍組織で有意に高い阻害率であった.5-FU濃度とTS阻害率の相関は腫瘍組織でも正常組織でも認められなかったInhibition of thymidylate synthase (TS) and the concentration of tegafur, 5-FU and uracil in the tumor and the non-tumor tissues were compared in 18 uroepithelial cancer patients who had been administered UFT (600 mg/day) for seven days before operation. 5-FU and uracil levels in the tumor tissue were increased to 5.1 and 3.6 fold, respectively, compared those in the normal tissue, although there was no difference in tegafur levels between normal and tumor tissue. The mean inhibition rate of TS activity in the tumor tissue was significantly higher (36%) than that in the normal tissue (21%). However, no correlation between 5-FU level and inhibition rate of TS activity was found in either tissue. Not only the higher tumor concentration of 5-FU but also the higher inhibition of TS activity in the tumor tissue suggests that UFT is likely a useful drug for the treatment of uroepithelial carcinomas.

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鈴木裕志
公立小浜病院泌尿器科

UFT投与後の尿路上皮腫瘍内thymidylate synthase阻害と5-Fluorouracil濃度に関する検討

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