Gene polymorphisms affect postoperative imatinib plasma levels and edema in adults with gastrointestinal stromal tumor

Author:

Jiang Xuehui123ORCID,Fu Qun4,Kong Ying2,Liu Hong2,Rexiti Kaisaner12,Peng Hongwei2,Xiao Pin5,Wei Xiaohua2

Affiliation:

1. School of Pharmacy, Nanchang University, Nanchang, 330000, China

2. Department of Pharmacy, The First Affiliated Hospital of Nanchang University, Nanchang, 330000, China

3. Department of Pharmacy, Xiang'an Hospital of Xiamen University, Xiamen, 361100, China

4. Jiangxi Provincial Drug Inspector Center, Jiangxi Provincial Drug Administration, Nanchang, 330000, China

5. Department of Pharmacy, Hospital of Jiangxi Provincial Armed Police Corps, Nanchang, 330000, China

Abstract

Aim: To assess the role of genetic polymorphisms in postoperative imatinib concentrations and edema in patients with gastrointestinal stromal tumor. Methods: The relationships between genetic polymorphisms, imatinib concentrations and edema were explored. Results: Carriers of the rs683369 G-allele and rs2231142 T-allele had significantly higher imatinib concentrations. Grade ≥2 periorbital edemas were related to the carriership of two C-alleles in rs2072454 with an adjusted odds ratio of 2.85, two T-alleles in rs1867351 with an adjusted odds ratio of 3.42 and two A-alleles in rs11636419 with an adjusted odds ratio of 3.15. Conclusion: rs683369 and rs2231142 affect the metabolism of imatinib; rs2072454, rs1867351 and rs11636419 are related to grade ≥2 periorbital edemas.

Funder

Jiangxi Provincial Department of Science and Technology

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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