Article Data

  • Views 509
  • Dowloads 120

Original Research

Open Access

Lentinan combined with cisplatin and paclitaxel in the treatment of patients with ovarian cancer with ascites

  • Li-Yuan Guo1
  • San-Yuan Zhang2
  • Chen Chen1,*,
  • Hao-Xia Zeng1
  • Feng-Yan Li 22
  • Qiu-Xiang Xu1

1Department of Gynaecology and Obstetrics, Chaoyang Hospital, Capital Medical University, Beijing, China

2Department of Gynaecology and Obstetrics, The First Affiliated Hospital of Shanxi Medical University, Taiyuan, China

DOI: 10.12892/ejgo4178.2018 Vol.39,Issue 4,August 2018 pp.615-620

Published: 10 August 2018

*Corresponding Author(s): Chen Chen E-mail: chenchency99@163.com

Abstract

Objective: To observe the clinical efficacy of lentinan combined with cisplatin and paclitaxel in the treatment of ovarian cancer with ascites. Materials and Methods: Two hundred and twelve cases of patients with epithelial ovarian cancer (EOC) and ascites were retrospectively analyzed. Patients were divided into TP (taxinol + platinol) group and TP + lentinan group according to the chemotherapy regimen. Results: The effective rate (CR + PR) in TP group (98 cases) was 31.6% and disease control rate (CR +PR + SD) was 80.6%. The effective rate in TP + lentinan group (114 cases) was 50.9% and the disease control rate was 88.6%, with statistical difference compared with TP group. The control of ascites in TP + lentinan group was better than TP group. The common adverse reactions of chemotherapy in TP + lentinan group was relative mild with reduced incidence. Conclusion: Lentinan combined with chemotherapy could enhance the efficacy of chemotherapy and control of the ascites.

Keywords

Epithelial ovarian cancer; Lentinan; Taxinol; Platinol; Therapeutic effect.

Cite and Share

Li-Yuan Guo,San-Yuan Zhang,Chen Chen,Hao-Xia Zeng,Feng-Yan Li 2,Qiu-Xiang Xu. Lentinan combined with cisplatin and paclitaxel in the treatment of patients with ovarian cancer with ascites. European Journal of Gynaecological Oncology. 2018. 39(4);615-620.

References

[1] Kaye S.B.: “Progress in the treatment of ovarian cancer-lessons from homologous recombination deficiency-the first 10 years”. Ann.

Oncol., 2016, 27, i1.

[2] Hu C., Hart S.N., Bamlet W.R., Moore R.M., Nandakumar K., Eckloff B.W., et al.: “Prevalence of pathogenic mutations in cancer predisposition genes among pancreatic cancer patients”. Cancer Epidemiol. Biomarkers Prev., 2016, 25, 207.

[3] Jorge S., Jones N.L., Chen L., Hou J.Y., Tergas A.I., Burke W.M., et al.: “Characteristics, treatment and outcomes of women with immature ovarian teratoma, 1998-2012”. Gynecol. Oncol., 2016, 142, 261.

[4] Furnes B., Svensen R., Helland H., Ovrebo K.: “Challenges and outcome of surgery for bowel obstruction in women with gynaecologic cancer”. Int. J. Surg., 2016, 27, 158.

[5] Kim S., Kim B., Song Y.S.: “Ascites modulates cancer cell behavior, contributing to tumor heterogeneity in ovarian cancer”. Cancer Sci, 2016, 107, 1173-1178.

[6] Dottino J.A., Cliby W.A., Myers E.R., Bristow R.E., Havrilesky L.J.: “Improving NCCN guideline-adherent care for ovarian cancer: Value of an intervention”. Gynecol. Oncol., 2015, 138, 694.

[7] Heery C.R., Ibrahim N.K., Arlen P.M., Mohebtash M., Murray J.L., Koenig K., et al.: “Docetaxel alone or in combination with a therapeutic cancer vaccine (PANVAC) in patients with metastatic breast cancer: a randomized clinical trial”. JAMA Oncol., 2015, 1, 1087.

[8] Kodera Y., Takahashi N., Yoshikawa T., Takiguchi N., Fujitani K., Ito Y., et al.: “Feasibility of weekly intraperitoneal versus intravenous paclitaxel therapy delivered from the day of radical surgery for gastric cancer: a preliminary safety analysis of the INPACT study, a randomized controlled trial”. Gastric Cancer, 2017, 20, 190.

[9] Wang J., Zhou Z.D., Xia D.J.: “Study on effect of lentinan in enhancing anti-tumor action of dendritic cytoma vaccine and its mechanism]”. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2007, 27, 60.

[10] Ina K., Kataoka T., Ando T.: “The use of lentinan for treating gastric cancer”. Anticancer Agents Med. Chem., 2013, 13, 681.

[11] Wasser S.P.: “Medicinal mushrooms as a source of antitumor and immunomodulating polysaccharides”. Appl. Microbiol. Biotechnol., 2002, 60, 258.

[12] Bao L., Wang Y., Ma R., Ren X., Cheng R., B.A.: “Apoptosis-inducing effects of lentinan on the proliferation of human bladder cancer T24 cells”. Pak. J. Pharm. Sci., 2015, 28, 1595.

[13] Oba K., Kobayashi M., Matsui T., Kodera Y., Sakamoto J.: “Individual patient based meta-analysis of lentinan for unresectable/recurrent gastric cancer”. Anticancer Res., 2009, 29, 2739.

[14] Tsuboi, M., Kato H., Nagai K., Tsuchiya R., Wada H., Tada H., et al.: “Gefitinib in the adjuvant setting: safety results from a phase III study in patients with completely resected non-small cell lung cancer”. Anticancer Drugs, 2005, 16, 1123.

[15] Openshaw M.R., Fotopoulou C., Blagden S., Gabra H.: “The next steps in improving the outcomes of advanced ovarian cancer”. Womens Health (Lond.), 2015, 11, 355.

[16] Cowan R.A., O’Cearbhaill R.E., Gardner G.J., Levine D.A., Roche K.L., Sonoda Y., et al.: “Is it time to centralize ovarian cancer care in the United States?” Ann. Surg. Oncol., 2016, 23, 989.

[17] Lewellen K.A., Metzinger M.N., Liu Y., Stack M.S.: “Quantitation of intra-peritoneal ovarian cancer metastasis”. J. Vis. Exp., 2016, 18, doi: 10.3791/53316.

[18] Marchetti C., Kristeleit R., McCormack M., Mould T., Olaitan A., Widschwendter M., et al.: “Outcome of patients with advanced ovarian cancer who do not undergo debulking surgery: A single institution retrospective review”. Gynecol. Oncol., 2017, 144, 57.

[19] Tinquaut F., Freyer G., Chauvin F., Gane N., Pujade-Lauraine E., Falandry C.: “Prognostic factors for overall survival in elderly patients with advanced ovarian cancer treated with chemotherapy: Results of a pooled analysis of three GINECO phase II trials”. Gynecol. Oncol., 2016, 143, 22.

[20] Kubota E., Kataoka H., Hayashi K., Kamiya T., Sasaki M., Ogasawara N., et al.: “Advanced stomach and pancreas cancer successfully treated with combination chemotherapy with S-1/paclitaxel/lentinan”. Hepatogastroenterology, 2009, 56, 106.

[21] Sun M., Zhao W., Xie Q., Zhan Y., Wu B.: “Lentinan reduces tumor progression by enhancing gemcitabine chemotherapy in urothelial bladder cancer”. Surg. Oncol., 2015, 24, 28.

[22] Yin X., Ying J., Li L., Zhang H., Wang H.: “A meta-analysis of lentinan injection combined with chemotherapy in the treatment of nonsmall cell lung cancer”. Indian J. Cancer, 2015, 52, e29.

[23] Ye M., Zhou Y.: “Changes of regulatory T cells in pleural effusion of lung cancer patients with malignant pleural effusion undergoing cisplatin/lentinan treatment”. Zhejiang Medical Journal, 2014, 2, 124.

[24] Yoshino S., Watanabe S., Imano M., Suga T., Nakazawa S., Hazama S., et al.: “Improvement of QOL and prognosis by treatment of superfine dispersed lentinan in patients with advanced gastric cancer”. Hepatogastroenterology, 2010, 57, 172.

[25] Wang J., Li W., Huang X., Liu Y., Li Q., Zheng Z., et al.: “A polysaccharide from Lentinus edodes inhibits human colon cancer cell proliferation and suppresses tumor growth in athymic nude mice”. Oncotarget, 2016, 8, 610.

[26] Liu Q., Dong L., Li H., Yuan J., Peng Y., Dai S.: “Lentinan mitigates therarubicin-induced myelosuppression by activating bone marrowderived macrophages in an MAPK/NF-kappaB-dependent manner”. Oncol. Rep., 2016, 36, 315.

[27] Attia S.M., Harisa G.I., Abd-Allah A.R., Ahmad S.F., Bakheet S.A.: “The influence of lentinan on the capacity of repair of DNA damage and apoptosis induced by paclitaxel in mouse bone marrow cells”. J. Biochem. Mol. Toxicol., 2013, 27, 370.

[28] Zhang Z., Teruya K., Yoshida T., Eto H., Shirahata S.: “Fucoidan extract enhances the anti-cancer activity of chemotherapeutic agents in MDA-MB-231 and MCF-7 breast cancer cells”. Mar. Drugs, 2013, 11, 81.

[29] Ren M., Ye L., Hao X., Ren Z., Ren S., Xu K., et al.: “Polysaccharides from Tricholoma matsutake and Lentinus edodes enhance 5 fluorouracil-mediated H22 cell growth inhibition”. J. Tradit. Chin. Med., 2014, 34, 309.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top