1【】【】R730.231+.1【】ADOI10.3969/j.issn.1672-4992.2012.08.74【】1672-4992-201208-1743-03thymidinekinaseTKdeoxythymidinedTdRdeoxythymidylicmonophosphatedTMP。60DNATdRTMP。1958-1960TK。TK。TK1TK21。TK1DNAS。TK1G1S。G1TK1SG22。TK1TK1。TK1TK1。1serumthymidinekinase1S-TK1、3-5。1S-TK1“”①②③。Xu6/S-TK1ROC0.978+ROC0.941S-TK1。Chen711278S-TK1【】2012-02-03【】2012-02-29【】2009BAI86B05【】100853【】1979-。E-mailqlgdlkl@163.com【】1962-、。E-mailjiaosc@sina.vip.cnS-TK1S-TK1>2pM0.5%83%、、、、、。88869S-TK11S-TK15.78%85.2%。S-TK1。、、、7.8%3.9%P<0.05。S-TK1/S-TK1。、。83%。S-TK1。2S-TK1LiHX9ELC250nonsmallcelllungcancerNSCLCS-TK1。250NSCLC188M062M116。NSCLCS-TK1P<0.0001M0T2S-TK1T1P=0.042T3-T4T1-T2P=0.01ⅠⅡS-TK1P=0.057ⅢⅠ-ⅡS-TK1P=0.0251S-TK145%n=38P<0.001。M1、S-TK11S-TK1。NSCLCS-TK1。LiZS10101、39157NSCLCS-TK1S-TK1P=0.021P<0.005·3471·20128208MODERNONCOLOGYAug.2012VOL.20NO.08。NSCLCS-TK1P=0.006、P=0.001P=0.035。2.5。S-TK1。S-TK154%I-IIS-TK12pMS-TK11pM。ZhangJ11ELC561、1、36S-TK1。S-TK1Ⅰ-Ⅲ、T1-T2G1-G4S-TK1S-TK1166%16。S-TK1。1S-TK1。LiZ1225NSCLC、124S-TK11S-TK1、、。S-TK111S-TK1。1-3、CT、MRIELC1-3S-TK1。3TK1KrederNC13SW-1573XTK1TK261.5224。TKX。HeQ14X0.01GyTKX1GyTK。TKX0.1Gy。TK1TK1a0.5-1GyX50%。TK1TK1bTK1a。TK1TK1aTK1b241-5Gy12TK124。、XTK1TK1X。HeQ15TK1XdTTP。dTTPTK1。TK1S-TK1。4TKPanZL1637、1d、4S-TK1。TK1P<0.0011dS-TK14S-TK1。S-TK1CRS-TK1PRNR。1dS-TK1①TK1TK1②TK1S-TK1③TTK1。4S-TK1①②ATPDNA。CRNRP<0.001PRNRS-TK1P<0.005S-TK1①CRS-TK1PRNRS-TK1②S-TK1。S-TK1。Xu6234、10、53、20761S-TK1ROC。S-TK13.1±2.3pMS-TK12.3±1.9pM1.4±0.8pM、1.1±0.8pM0.6±0.4pMS-TK1P<0.01。、S-TK1S-TK1。ChenYan17S-TK1、、、/。。。5S-TK14P<0.01。。I-ⅢⅣ。I-ⅢS-TK137%P=0.123ⅣS-TK183%P<0.001S-TK1S-TK1P=0.088。S-TK145%S-TK171%P<0.01。S-TK1·4471·1P=0.114。S-TK163%P<0.001S-TK1。ChenY17S-TK1。40、11CR、PR、SD、PDS-TK1。70%S-TK1。SDPDS-TK1>2pMCRPRS-TK1<2pM。ChenY17S-TK1S-TK1。5S-TK1。S-TK1ROC6。S-TK12pM。S-TK1。S-TK1、、S-TK1NSCLC、17。NSCLCS-TK1。S-TK1ROC。ROCROC、、、、、、、。S-TK1。【】1GronowitzSJKallanderCFRDiderholmHetal.Applicationofaninvitroassayserumthymidinekinaseresultsonviraldiseaseandmalig-nanciesinhumansJ.IntJCancer19843315-12.2SherleyJLKellyTJ.Regulationofhumanthymidinekinasedur-ingthecellcycleJ.JBiolChem19882638350-8358.3HeQZouLZhangPAetal.Theclinicalsignificanceofthymidinekinase1measurementinserumofbreastcancerpatientsusinganti-TK1antibodyJ.IntJBiolMarkers200015139-146.4HeQFornanderTJohanssonHetal.Thymidinekinase1inserumpredictsincreasedriskofdistantorloco-regionalrecur-rencefollowingsurgeryinpatientswithearlybreastcancerJ.AnticancerRes2006264753-4759.5TopolcanOHolubecJrL.TheroleofthymidinekinaseincancerdiseasesJ.ExpertOpinMedDiagn20082129-141.6XuXHZhangYMShuXHetal.Serologicalthymidinekinase1reflectsprogressionofpre-malignantandmalignanttumoursdur-ingtherapyJ.MolMedRep20081705-712.7ChenZHZhouHTianNBetal.Serologicalthymidinekinase1S-TK1indicatesanelevatedriskfordevelopmentofmalignanttumoursJ.AnticancerRes200863897-3907.8.1S-TK1-8869J.20104135-38.9LiHXLeiDSWangXQetal.Serumthymidinekinase1isaprognosticandmonitoringfactorinpatientswithnon-smallcelllungcancerJ.OncolRep2005131145-149.10LiZSWangYHHeJetal.Serologicalthymidinekinase1isaprognosticfactorinesophaguscardialandlungcarcinomasJ.EurJCancerPrev2010194313-318.11ZhangJJiaQZouSetal.Thymidinekinase1aproliferationmarkerfordeterminingprognosisandmonitoringthesurgicalout-comeofprimarybladdercarcinomapatientsJ.OncolRep2006152455-461.12LiZWangYMaJetal.Transientincreaseinserumthymi-dinekinase1withinoneweekaftersurgeryofpatientswithcarci-nomaJ.AnticancerRes20103041295-1299.13KrederNCvanBreeCPetersGJetal.Enhancedlevelsofde-oxycytidinekinaseandthymidinekinase1and2afterpulsedlowdoserateirradiationasanadaptiveresponsetoradiationJ.On-colRep200291141-144.14HeQSkogSWelanderIetal.X-irradiationeffectsonthy-midinekinaseTKTK1and2innormalandmalignantcellsJ.CellProlif200235269-81.15HeQSkogSWelanderIetal.X-irradiationeffectsonthy-midinekinaseTKII.ThesignificanceofdeoxythymidinetriphosphateforinhibitionofTK1activityJ.CellProlif200235283-92.16PanZLJiXYShiYMetal.Serumthymidinekinase1con-centrationasaprognosticfactorofchemotherapy-treatednon-Hodgkin'slymphomapatientsJ.JCancerResClinOncol201013681193-1199.17ChenYYingMChenYetal.Serumthymidinekinase1cor-relatestoclinicalstagesandclinicalreactionsandmonitorstheoutcomeoftherapyof1247cancerpatientsinroutineclinicalset-tingsJ.IntJClinOncol2010154359-368.·5471·20128208MODERNONCOLOGYAug.2012VOL.20NO.08