1, 2) Thus, it is important to select patients in whom treatment is likely to be effective in order to improve the results of chemotherapy. In vitro anticancer drug sensitivity tests, which we developed with this goal in mind, have already yielded favorable results.3) However, tests that involve cell culturing procedures are complicated by the need for special facilities, and there can be problems with failures attributable to low cell growth.Standard regimens for gastric cancer involve some form of concomitant treatment that includes biomodulated 5-fluorouracil (5-FU) chemotherapy. 4,5) The mechanism of action of 5-FU has been explained in terms of incorporation of fluorouridine 5′-triphosphate (FUTP) into RNA, resulting in altered gene expression, or in terms of inhibition of thymidylate synthase (TS) by the active metabolite 5-fluorouridine monophosphate (FdUMP).6-8) Several reports have indicated that TS expression in the tumors was related to the sensitivity to 5-FU-based chemotherapy both in the laboratory and clinically. [9][10][11][12] On the other hand, dihydropyrimidine dehydrogenase (DPD) which is both an initial and a rate-limiting catabolic enzyme of 5-FU has been reported to play an important role in the pharmacokinetics of 5-FU and was correlated with the antitumor effectiveness of 5-FU in cancer cell lines and tumors. 9,[13][14][15][16][17][18] Recently, both basic and clinical researches have shown a correlation between the antitumor effectiveness of 5-FU and TS or DPD mRNA levels in tumors by using semiquantitative reverse-transcription polymerase chain reaction (RT-PCR). 11,12,16,[19][20][21] One of the major advantages of these methods is that they can be performed with ultralow-volume samples as compared with measurement of the enzyme activities and in vitro chemosensitivity tests.A real-time RT-PCR method based on TaqMan fluorescence methodology requires fewer steps after PCR than conventional PCR methods, simplifying the procedures 5 To whom correspondence should be addressed.