Apoptosis Index Level Decrease Correlation with Chemotherapy Response Risk

pgmL p 0.064 0.084 mRNA caspase-3 Level DecreasepgmL 0.87±1.96 significant for normal distribution p 0.05 significant for variance homogenity p 0.05 Data from Table 2 were analyzed by t-paired test to determine the difference of mRNA Caspase-3 level prechemotherapy and postchemotherapy. T- paired test result showed a normal and homogeneous data. There was a significant decrease of mRNA Caspase-3 level 0.87±1.96 pgmL, p 0.05. Phi and Cramer’s V Test was performed to determine the role of post 1st cycle NAC mRNA Caspase-3 level decrease as a negative chemotherapy response risk in LABC. Data transformation from numeric to categorical was performed. Analysis results is shown in Table 3. Table 3 Post 1st cycle NAC mRNA Caspase-3 level decrease as a negative chemotherapy response risk in LABC Parameter Response Total Negative Positive Decreased Level Yes 31 6 37 No 13 12 25 Total 44 18 62 p = 0.007; RR = 4.769; CI95 1.473 – 15.438. Phi and Cramer’s V Correlation Test showed post 1st cycle NAC mRNA Caspase-3 level decrease as a negative chemotherapy response risk in LABC r=0.343; p=0.007. The Relative Risk RR was 4.796 1.473-15.438; CI 95.

4.4 Apoptosis Index Level Decrease Correlation with Chemotherapy Response Risk

Prechemotherapy and postchemotherapy Apoptosis Index levels were measured to determine the Apoptosis Index level decrease in LABC patients. Data is shown in Table 4. Table 4. Data Rata-rata Penurunan Indeks Apoptosis pasien LABC Parameter Prechemotherapy Postchemotherapy p Apoptosis Index 148.55000±102.78000 106.29000±128.91000 0.830 p 0.064 0.068 Apoptosis Index Level Decrease 42.26000±122.53000 significant for normal distribution p 0.05 significant for variance homogenity p 0.05 T-Paired Test was applied to determine the apoptosis index level decrease prechemotherapy and postchemotherapy Table 4. Analysis showed a normal and homogeneous data distribution. There was a significant apoptosis index level decrease 42.26000±122.53000; p0.05. Phi and Cramer’s V Test was performed to determine the role of post 1st cycle NAC Apoptosis Index level decrease as a negative chemotherapy response risk in LABC. Data transformation from numeric to categorical was performed. Analysis results is shown in Table 5. Tabel 5 Post 1st cycle NAC Apoptosis Index level decrease as a negative chemotherapy response risk in LABC Parameter Response Total Negative Positive Decreased Level Yes 35 7 42 No 9 11 20 Total 44 18 62 p = 0,002; RR = 6,111; CI 95 1,845 - 20,244. Phi and Cramer’s V Correlation Test showed post 1st cycle NAC Apoptosis Index level decrease as a negative chemotherapy response risk in LABC r=0.395; p=0.002. The Relative Risk RR was 6.111 1.845-20.244; CI 95. 4.5 Linear Regression Model Construction for Predicting Apoptosis Index and mRNA Caspase-3 Level Decrease in LABC Patients. A linear regression model was constructed to predict apoptosis index level decrease based on mRNA Caspase-3 level decrease in LABC patients. We found a correlation between those factors with r=0.012. The result of linear regression analysis was shown in Table 6. Tabel 6 Linear Regression Analysis on mRNA Caspase-3 with Apoptosis Index Coefficients a Model Unstandardized Coefficients Standardized Coefficients t p B Std. Error Beta 1 Constant 38.674 17.159 -2.254 .028 Selisisih -4.109 8.049 -.066 -.510 .012 a. Dependent Variable: selisishapop Regression equation, therefore can be derived from data of Table 6 as indicates in the following equation: Apoptosis Index Level Decrease = 38.674 + 4.109 mRNA Caspase-3 Level Decrease There was a significant linear regression between mRNA Caspase-3 with Apoptosis Index level r=0.012. Data showed that Apoptosis Index level decrease post first cycle NAC had a linear association with mRNA Caspase-3 level decrease post first cycle NAC in LABC patients r=0.012. Based on the linear regression analysis, mRNA Caspase-3 level was correlated with apoptosis index level decrease. 5. DISCUSSION 5.1