Pharmacogenetic score predicts overall survival, progression-free survival and platinum sensitivity in ovarian cancer

被引:4
作者
Gagno, Sara [1 ]
Bartoletti, Michele [2 ,3 ]
Romualdi, Chiara [4 ]
Poletto, Elena [5 ]
Scalone, Simona [3 ]
Sorio, Roberto [3 ]
Zanchetta, Martina [1 ]
De Mattia, Elena [1 ]
Roncato, Rossana [1 ]
Cecchin, Erika [1 ]
Giorda, Giorgio [6 ]
Toffoli, Giuseppe [1 ]
机构
[1] IRCCS, Ctr Riferimento Oncol Aviano CRO, Expt & Clin Pharmacol Unit, Via Franco Gallini 2, I-33081 Aviano, Italy
[2] Univ Udine, Dept Med DAME, Via Palladio 8, I-33100 Udine, Italy
[3] IRCCS, Ctr Riferimento Oncol Aviano CRO, Dept Med Oncol, Via Franco Gallini 2, I-33081 Aviano, Italy
[4] Univ Padua, Dept Biol, Via Ugo Bassi 58 B, I-35122 Padua, Italy
[5] ASUI Udine Univ Hosp, Dept Oncol, Via Pozzuolo 330, I-33100 Udine, Italy
[6] IRCCS, Ctr Riferimento Oncol CRO Aviano, Gynaecol Oncol Unit, Via Franco Gallini 2, I-33081 Aviano, Italy
关键词
estrogen; ovarian cancer; pharmacogenetics; platinum therapy; polymorphism; survival; GENETIC POLYMORPHISMS; NONCODING RNA; CHEMOTHERAPY; RISK; RESISTANCE; VARIANTS; BREAST; ASSOCIATION; PROTEIN; EXPRESSION;
D O I
10.2217/pgs-2020-0049
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim:To define the impact of polymorphisms in genes involved in platinum-taxane and estrogen activity in the outcome of platinum-based treated ovarian cancer patients (OCP).Patients & Methods:Two hundred and thirty OCP were analyzed for 124 germ-line polymorphisms to generate a prognostic score for overall survival (OS), progression-free survival (PFS) and platinum-free interval (PFI).Results:ABCG2rs3219191D>I,UGT1Ars10929302G>A andUGT1Ars2741045T>C polymorphisms were significantly associated with all three parameters (OS, PFS and PFI) and were used to generate a score. Patients in high-risk group had a poorer OS (hazard ratio [HR]: 1.8; 95% CI: 1.3-2.7; p = 0.0019), PFS (HR: 2.0; 95% CI: 1.4-2.9; p < 0.0001) and PFI (HR: 1.9; 95% CI: 1.4-2.8; p = 0.0002) compared with those in low-risk group.Conclusion:The prognostic-score including polymorphisms involved in drug and estrogen pathways stratifies OCP according to OS, PFS and PFI.
引用
收藏
页码:995 / 1010
页数:16
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