SNPs and taxane toxicity in breast cancer patients

Author:

Bosó Virginia123,Herrero María José12,Santaballa Ana4,Palomar Laura4,Megias Juan E123,de la Cueva Helena4,Rojas Luis5,Marqués María Remedios13,Poveda José Luis13,Montalar Joaquin4,Aliño Salvador F167

Affiliation:

1. Pharmacogenetics Unit, Pharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain

2. La Fe Institute for Health Research, IIS La Fe, Valencia, Spain

3. Pharmacy Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain

4. Oncology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain

5. Department of Internal Medicine, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile

6. Clinical Pharmacology Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain

7. Department of Pharmacology, Faculty of Medicine, Universidad de Valencia, Spain

Abstract

Aim: In order to identify genetic variants associated with taxanes toxicity, a panel with 47 SNPs in 20 genes involved in taxane pathways was designed. Patients & methods: Genomic DNA of 113 breast cancer patients was analyzed (70 taking docetaxel, 43 taking paclitaxel). Results: Two SNPs associated with docetaxel toxicity were identified: CYP3A4*1B with infusion-related reactions; and ERCC1 Gln504Lys with mucositis (p ≤ 0.01). Regarding paclitaxel toxicity: CYP2C8 HapC and CYP2C8 rs1934951 were associated with anemia; and ERCC1 Gln504Lys with neuropathy (p ≤ 0.01). Conclusion: Genes involved in DNA repair mechanisms and reactive oxygen species levels influence taxane toxicity in cancer patients treated with chemotherapy schemes not containing platinum. These findings could lead to better treatment selection for breast cancer patients.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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