Research Article

DPYD, TYMS, TYMP, TK1, and TK2 Genetic Expressions as Response Markers in Locally Advanced Rectal Cancer Patients Treated with Fluoropyrimidine-Based Chemoradiotherapy

Table 4

Univariate and multivariate regression analysis of prognostic indicators and nonresponse status for 60 locally advanced rectal cancer patients.

ParametersNumberUnivariate analysis valueMultivariate analysis value
Hazard ratio (95% CI)Hazard ratio (95% CI)

Sex (female/male)26/340.654 (0.309–1.384)0.2510.088 (0.005–1.613)0.102
Age (≥60/<60)38/220.941 (0.464–1.908)1.000 0.093 (0.003–2.979)0.179
Tumor size (≥5 cm/<5 cm)14/461.643 (0.831–3.250)0.1794.658 (0.145–50.100)0.385
Stage (UICC)a (II/III)12/481.250 (0.573–2.727)0.7377.244 (0.114–458.695)0.349
Clinical T-stage (T4/T3)6/540.947 (0.289–3.108)1.000 0.752 (0.023–24.539)0.873
Clinical N-stage (N2/N1 + N0)25/350.862 (0.421–1.762)0.6810.396 (0.011–14.706)0.616
Chemotherapy (capecitabine/5-FU)36/240.606 (0.306–1.200)0.1510.061 (0.002–1.745)0.102
Differentiationb (PD + MD/WD)51/20.627 (0.508–0.775)0.5310.000 (0.000–0.000)0.999
Distance to anus (<5 cm/≥5 cm)38/220.637 (0.324–1.253)0.1960.107 (0.002–5.908)0.275
Vascular invasion (Yes/No)52/80.923 (0.350–2.434)1.000 2.022 (0.084–48.564)0.664
Perineural invasion (Yes/No)40/200.455 (0.233–0.886)0.0220.043 (0.002–1.0780)0.056
Pre-CCRT CEAc (ng/mL) (>2.5/≤2.5)44/160.909 (0.428–1.933)0.807 0.314 (0.004–23.578)0.599
Pre-CCRT CEAc (ng/mL) (>5/≤5)27/331.111 (0.558–2.213)0.765 0.407 (0.018–8.967)0.569
Chipd result (negative/positive)21/397.893 (3.049–20.434)<0.00122.704 (3.055–235.448)0.014

UICC: The American Joint Commission on Cancer/International Union Against Cancer (AJCC/UICC, 2002).
bWD: well differentiated, MD: moderately differentiated, PD: poorly differentiated.
cCEA: carcinoembryonic antigen.
dChip: panel of multiple genetic biomarkers.