Association between DCK 35708 T>C variation and clinical outcomes of acute myeloid leukemia in South Chinese patients

Author:

Zhang Dao-Yu12,Yuan Xiao-Qing12,Yan Han12,Cao Shan12,Zhang Wei12,Li Xiao-Lin3,Zeng Hui3,Chen Xiao-Ping124

Affiliation:

1. Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, PR China

2. Institute of Clinical Pharmacology, Central South University; Hunan Key Laboratory of Pharmacogenetics, Changsha 410078, Hunan, PR China

3. Department of Hematology, Xiang-Ya Hospital, Central South University, Changsha 410008, Hunan, PR China

4. Hunan Province Cooperation Innovation Center for Molecular Target New Drug Study, Hengyang 421001, Hunan, PR China

Abstract

Aim: DCK is a rate-limiting enzyme in cytarabine activation. rs4643786 and rs67437265 (P122S) variants are reported to affect DCK activity. Patients & methods: A total of 282 newly diagnosed acute myeloid leukemia (AML) patients were treated with cytarabine combined chemotherapy and genotyped for rs4643786 and rs67437265. Prognosis data were obtained through regular follow-up. DCK mRNA expression was detected in pretreatment blood or bone marrow mononuclear cells. Results: rs4643786 showed strong linkage disequilibrium with rs67437265. rs4643786 CT heterozygotes showed significantly higher complete remission rate (p = 0.028), superior overall survival (p = 0.006) and relapse-free survival (p = 0.020) than wild-type TT homozygotes. rs4643786 polymorphism was an independent predictor for AML prognosis. Conclusion: DCK rs4643786 may serve as an independent predictor of drug response and AML outcome.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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