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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Tumors of female reproductive system</journal-id><journal-title-group><journal-title xml:lang="en">Tumors of female reproductive system</journal-title><trans-title-group xml:lang="ru"><trans-title>Опухоли женской репродуктивной системы</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1994-4098</issn><issn publication-format="electronic">1999-8627</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1055</article-id><article-id pub-id-type="doi">10.17650/1994-4098-2022-18-4-69-80</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>MAMMOLOGY. ORIGINAL REPORTS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>МАММОЛОГИЯ. ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">Association of polymorphic markers of the <italic>XRCC1</italic>, <italic>ERCC5</italic>, <italic>TP53</italic>, <italic>CDKN1A1</italic> genes with the survival of patients after platinum-based chemotherapy for triple negative breast cancer</article-title><trans-title-group xml:lang="ru"><trans-title>Связь полиморфных маркеров генов <italic>XRCC1</italic>, <italic>ERCC5</italic>, <italic>TP53</italic>, <italic>CDKN1A1</italic> с выживаемостью больных после платиносодержащей химиотерапии при трижды негативном раке молочной железы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5993-6351</contrib-id><name-alternatives><name xml:lang="en"><surname>Zavarykina</surname><given-names>T. M.</given-names></name><name xml:lang="ru"><surname>Заварыкина</surname><given-names>Т. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Tatyana M. Zavarykina.</p><p>4 Kosygina St., Moscow 119334</p></bio><bio xml:lang="ru"><p>Заварыкина Татьяна Михайловна.</p><p>119334 Москва, ул. Косыгина, 4</p></bio><email>tpalievskaya@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6659-1320</contrib-id><name-alternatives><name xml:lang="en"><surname>Lomskova</surname><given-names>P. K.</given-names></name><name xml:lang="ru"><surname>Ломскова</surname><given-names>П. К.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Kosygina St., Moscow 119334</p></bio><bio xml:lang="ru"><p>119334 Москва, ул. Косыгина, 4</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3010-3994</contrib-id><name-alternatives><name xml:lang="en"><surname>Kapralova</surname><given-names>M. A.</given-names></name><name xml:lang="ru"><surname>Капралова</surname><given-names>М. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Kosygina St., Moscow 119334</p></bio><bio xml:lang="ru"><p>119334 Москва, ул. Косыгина, 4</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8266-0218</contrib-id><name-alternatives><name xml:lang="en"><surname>Gordeeva</surname><given-names>O. O.</given-names></name><name xml:lang="ru"><surname>Гордеева</surname><given-names>О. О.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>1a Malaya Pirogovskaya St., Moscow 119435</p></bio><bio xml:lang="ru"><p>119435 Москва, ул. Малая Пироговская, 1а</p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0105-9376</contrib-id><name-alternatives><name xml:lang="en"><surname>Ganshina</surname><given-names>I. P.</given-names></name><name xml:lang="ru"><surname>Ганьшина</surname><given-names>И. П.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>24 Kashirskoe Shosse, Moscow 115522</p></bio><bio xml:lang="ru"><p>115522 Москва, Каширское шоссе, 24</p></bio><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6518-8305</contrib-id><name-alternatives><name xml:lang="en"><surname>Khodyrev</surname><given-names>D. S.</given-names></name><name xml:lang="ru"><surname>Ходырев</surname><given-names>Д. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>28 Orekhovyy Bulvar, Moscow 115682</p></bio><bio xml:lang="ru"><p>115682 Москва, Ореховый бульвар, 28</p></bio><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4121-7228</contrib-id><name-alternatives><name xml:lang="en"><surname>Khokhlova</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Хохлова</surname><given-names>С. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Akademika Oparina St., Moscow 117198</p></bio><bio xml:lang="ru"><p>117198 Москва, ул. Академика Опарина, 4</p></bio><xref ref-type="aff" rid="aff5"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1124-6802</contrib-id><name-alternatives><name xml:lang="en"><surname>Kolyadina</surname><given-names>I. V.</given-names></name><name xml:lang="ru"><surname>Колядина</surname><given-names>И. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>4 Akademika Oparina St., Moscow 117198; Build. 1, 2/1 Barrikadnaya St., Moscow 125993</p></bio><bio xml:lang="ru"><p>117198 Москва, ул. Академика Опарина, 4; 125993 Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><xref ref-type="aff" rid="aff5"/><xref ref-type="aff" rid="aff6"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.M. Emanuel Institute of Biochemical Physics of RAS</institution></aff><aff><institution xml:lang="ru">ФГБУН «Институт биохимической физики им. Н.М. Эмануэля РАН»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Lopukhin Federal Research and Clinical Center of Physical-Chemical Medicine of Federal Medical Biological Agency of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Федеральный научно-клинический центр физико-химической медицины им. акад. Ю.М. Лопухина ФМБА России»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Federal Research Clinical Center of Specialized Types of Medical Care and Medical Technologies of Federal Medical Biological Agency of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий ФМБА России»</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">V.I. Kulakov Research National Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В.И. Кулакова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff6"><aff><institution xml:lang="en">Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2022-12-03" publication-format="electronic"><day>03</day><month>12</month><year>2022</year></pub-date><volume>18</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>69</fpage><lpage>80</lpage><history><date date-type="received" iso-8601-date="2022-11-09"><day>09</day><month>11</month><year>2022</year></date><date date-type="accepted" iso-8601-date="2023-05-01"><day>01</day><month>05</month><year>2023</year></date></history><permissions><copyright-year>2022</copyright-year><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://ojrs.abvpress.ru/ojrs/article/view/1055">https://ojrs.abvpress.ru/ojrs/article/view/1055</self-uri><abstract xml:lang="en"><p><bold>Background</bold>. Breast cancer is the most common cancer among women. Triple negative breast cancer (TNBC) is the most aggressive subtype of breast cancer, in which there are no special targets for therapy. Therefore chemotherapy is still leading treatment for TNBC including the regiments with platinum drugs.</p><p><bold>Aim</bold>. To study the association of polymorphic markers of the genes <italic>XRCC1</italic> (rs25487), <italic>ERCC5</italic> (rs17655), <italic>TP53</italic> (rs1042522), <italic>CDKN1A1</italic> (rs1801270) with progression-free survival (PFS) and overall survival (OS) of TNBC patients after platinum-based neoadjuvant chemotherapy.</p><p><bold>Materials and methods</bold>. Polymorphic markers of the <italic>XRCC1</italic>, <italic>ERCC5</italic>, <italic>CDKN1A</italic> and <italic>TP53</italic> genes were studied in blood samples of 67 patients with stage II–III TNBC by real-time polymerase chain reaction with fluorescent allele-specific probes. The results of determining the markers were compared with PFS and OS using the Kaplan–Meyer method and the log-rank-test.</p><p><bold>Results</bold>. The association was found for the polymorphic marker rs25487 of the <italic>XRCC1</italic> gene with PFS (carrying the T/T genotype was associated with a decrease of median PFS: 15.6 months versus 34.3 months, p = 0.013) and OS (carrying the T allele was associated with a decrease of median OS: 24.3 months versus 34.6 months, <italic>p</italic> = 0.041) without depending on the <italic>BRCA </italic>status. For the polymorphic marker rs17655 of the <italic>ERCC5</italic> gene, significant difference in PFS was obtained in the period from 15.4 to 60.0 months of follow-up (the carrier of the C allele was associated with a decrease of median PFS: 20.0 months versus 35.2 months, <italic>p</italic> = 0.035). When considering the genotypes of the polymorphic marker of the <italic>ERCC5</italic> gene differences were revealed between patients with the C/C genotype (M = 15.9 months) and two other genotypes (M = 33.6 months), <italic>p</italic> = 0.039. For the polymorphic marker rs1801270 of the <italic>CDKN1A </italic>gene significant differences in PFS were obtained in the period from 15.4 to 60.0 months of follow-up (for carriers of allele A, a decrease in median PFS was observed: 16.6 months versus 32.0 months, <italic>p</italic> = 0.046). For the polymorphic marker of the <italic>TP53</italic> gene (rs1042522) a tendency to decrease OS for carriers of the C/C genotype was found seems promising for further study.</p><p><bold>Conclusion</bold>. The association of the studied polymorphic markers of the genes <italic>XRCC1 </italic>(rs25487), <italic>ERCC5 </italic>(rs17655) and <italic>CDKN1A</italic> (rs1801270) with PFS was revealed in patients with TNBC. Association with OS was obtained for the polymorphic marker of the <italic>XRCC1</italic> gene (rs25487). These data may allow for further validation to individualize the treatment of this category of patients.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Введение</bold>. Рак молочной железы является самым частым онкологическим заболеванием среди женщин. Наиболее агрессивный его подтип - трижды негативный вариант, при котором отсутствуют известные мишени для таргетной терапии и ведущим методом лечения остается химиотерапия, в том числе с включением производных платины.</p><p><bold>Цель исследования</bold> - изучение связи полиморфных маркеров генов <italic>XRCC1</italic> (rs25487), <italic>ERCC5</italic> (rs17655), <italic>TP53 </italic>(rs1042522), <italic>CDKN1A1 </italic>(rs1801270) с безрецидивной (БРВ) и общей выживаемостью (ОВ) больных после платино-содержащей неоадъювантной химиотерапии при трижды негативном раке молочной железы (ТНРМЖ).</p><p><bold>Материалы и методы</bold>. Изучены полиморфные маркеры генов <italic>XRCC1</italic>, <italic>ERCC5</italic>, <italic>CDKN1A</italic> и <italic>TP53 </italic>в образцах крови 67 пациенток с ТНРМЖ II-III стадии методом полимеразной цепной реакции в реальном времени с флуоресцентными аллельспецифичными зондами. Результаты определения статуса маркеров были сопоставлены с БРВ и ОВ с использованием метода Каплана-Мейера и <italic>log-rank</italic>-теста.</p><p><bold>Результаты</bold>. Выявлена связь полиморфного маркера rs25487 гена <italic>XRCC1</italic> с БРВ (носительство генотипа Т/Т связано с уменьшением медианы БРВ - 15,6 мес по сравнению с 34,3 мес, <italic>р</italic> = 0,013) и ОВ (носительство аллеля Т ассоциировалось с уменьшением медианы ОВ - 24,3 мес по сравнению с 34,6 мес, <italic>р</italic> = 0,041) вне зависимости от <italic>BRCA</italic>-статуса. При изучении полиморфного маркера rs17655 гена <italic>ERCC5</italic> получены достоверные различия в БРВ в период от 15,4 до 60,0 мес наблюдения (носительство аллеля С связано с уменьшением медианы БРВ - 20,0 мес по сравнению с 35,2 мес, <italic>р</italic> = 0,035). При рассмотрении генотипов маркера гена ERCC5 выявлены различия между больными с генотипом С/С (М = 15,9 мес) и 2 другими генотипами (М = 33,6 мес), <italic>p</italic> = 0,039. для маркера rs1801270 гена <italic>CDKN1A</italic> получены значимые различия в БРВ в период от 15,4 до 60,0 мес наблюдения (для носительниц аллеля А наблюдалось уменьшение медианы БРВ - 16,6 мес по сравнению с 32,0 мес, <italic>р</italic> = 0,046). Для маркера гена <italic>TP53</italic> (rs1042522) обнаружена тенденция к связи со снижением ОВ для носительниц минорной гомозиготы С/С, представляющаяся перспективной для последующего изучения.</p><p><bold>Выводы</bold>. Выявлена связь изученных полиморфных маркеров генов <italic>XRCC1</italic> (rs25487), <italic>ERCC5</italic> (rs17655) и <italic>CDKN1A</italic> (rs1801270) с БРВ и связь с ОВ для маркера гена <italic>XRCC1</italic> (rs25487) у пациенток с ТНРМЖ. Эти данные могут позволить при дальнейшей валидации индивидуализировать лечение данной категории больных.</p></trans-abstract><kwd-group xml:lang="en"><kwd>triple negative breast cancer</kwd><kwd>platinum-based chemotherapy</kwd><kwd>polymorphic marker</kwd><kwd><italic>XRCC1</italic> gene</kwd><kwd><italic>ERCC5</italic></kwd><kwd><italic>TP53</italic></kwd><kwd><italic>CDKN1A</italic></kwd><kwd><italic>BRCA1/2</italic> mutations</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>трижды негативный рак молочной железы</kwd><kwd>платиносодержащая химиотерапия</kwd><kwd>полиморфный маркер</kwd><kwd>ген <italic>XRCC1</italic></kwd><kwd><italic>ERCC5</italic></kwd><kwd><italic>TP53</italic></kwd><kwd><italic>CDKN1A1</italic></kwd><kwd>мутации <italic>BRCA1/2</italic></kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">The state of oncological assistance to the population of Russia in 2021. 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