Medical Oncology

, Volume 28, Issue 1, pp 315–321 | Cite as

Predictive value of ERCC1 and XPD polymorphism in patients with advanced non-small cell lung cancer receiving platinum-based chemotherapy: a systematic review and meta-analysis

  • Shu-zhen Wei
  • Ping Zhan
  • Mei-qi Shi
  • Yi Shi
  • Qian Qian
  • Li-ke Yu
  • Yong Song
Original Paper


The published data on the predictive value of polymorphism of ERCC1 and XPD in patients with advanced non-small cell lung cancer receiving platinum-based chemotherapy are inconclusive. To derive a more precise estimation of the relationship, a meta-analysis was performed. Relevant studies were identified by searching the Medline, Embase, CNKI and American Society of Clinical Oncology abstract databases. Inclusion criteria were patients with advanced NSCLC, received platinum-based chemotherapy, evaluation of polymorphism of ERCC1 and XPD and overall response rate (ORR). A total of 12 studies were included in this meta-analysis. For studies evaluating ERCC1 polymorphism at codon 118, the ORR for the wild-type C/C genotype versus the heterozygous C/T and T/T genotype was 2.17 (95% confidence interval (CI), 1.43–3.33; P = 0.000). For studies evaluating XPD Asp312Asn and XPD Lys751Gln, the pooled OR was 1.33 (95% CI, 0.92–1.91; P = 0.13) and 1.02 (95% CI, 0.72–1.45; P = 0.915), respectively. The results indicated that platinum-based chemotherapy sensitivity was significantly associated with polymorphism of ERCC1 C118T. However, XPD Asp312Asn and XPD Lys751Gln were not predictive makers for platinum-based chemotherapy in patients with advanced NSCLC.


ERCC1 XPD Polymorphism Predictive value NSCLC Platinum-based chemotherapy Meta-analysis 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Shu-zhen Wei
    • 1
  • Ping Zhan
    • 2
  • Mei-qi Shi
    • 3
  • Yi Shi
    • 1
  • Qian Qian
    • 1
  • Li-ke Yu
    • 2
  • Yong Song
    • 1
  1. 1.Department of Respiratory Medicine, Jinling HospitalNanjing University School of MedicineNanjingChina
  2. 2.Department of Respiratory MedicineNanjing Chest HospitalNanjingChina
  3. 3.Department of OncologyJiangsu Cancer Hospital Affiliated to Nanjing Medical UniversityNanjingChina

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