Genetic Variation Predicting Cisplatin Cytotoxicity Associated with Overall Survival in Lung Cancer Patients Receiving Platinum-Based Chemotherapy

被引:82
作者
Tan, Xiang-Lin [1 ,2 ]
Moyer, Ann M. [1 ,4 ]
Fridley, Brooke L. [3 ]
Schaid, Daniel J. [3 ]
Niu, Nifang [1 ]
Batzler, Anthony J. [3 ]
Jenkins, Gregory D. [3 ]
Abo, Ryan P. [1 ]
Li, Liang [1 ]
Cunningham, Julie M. [4 ]
Sun, Zhifu [2 ]
Yang, Ping [2 ]
Wang, Liewei [1 ]
机构
[1] Mayo Clin, Coll Med, Div Clin Pharmacol, Dept Mol Pharmacol & Expt Therapeut, Rochester, MN 55905 USA
[2] Mayo Clin, Coll Med, Dept Hlth Sci Res, Div Epidemiol, Rochester, MN 55905 USA
[3] Mayo Clin, Coll Med, Dept Hlth Sci Res, Div Biomed Stat & Informat, Rochester, MN 55905 USA
[4] Mayo Clin, Coll Med, Dept Lab Med & Pathol, Rochester, MN 55905 USA
关键词
GENOME-WIDE ASSOCIATION; DAP-KINASE; EXACT TESTS; POLYMORPHISMS; XPD; ALPHA(1)-ANTITRYPSIN; PHARMACOGENOMICS; GEMCITABINE; XRCC1; RESISTANCE;
D O I
10.1158/1078-0432.CCR-11-1133
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Inherited variability in the prognosis of lung cancer patients treated with platinum-based chemotherapy has been widely investigated. However, the overall contribution of genetic variation to platinum response is not well established. To identify novel candidate single nucleotide polymorphisms (SNP)/genes, we carried out a genome-wide association study (GWAS) for cisplatin cytotoxicity by using lymphoblastoid cell lines (LCL), followed by an association study of selected SNPs from the GWAS with overall survival (OS) in lung cancer patients. Experimental Design: A GWAS for cisplatin was conducted with 283 ethnically diverse LCLs. A total of 168 top SNPs were genotyped in 222 small cell lung cancer (SCLC) and 961 non-SCLC (NSCLC) patients treated with platinum-based therapy. Association of the SNPs with OS was determined by using the Cox regression model. Selected candidate genes were functionally validated by siRNA knockdown in human lung cancer cells. Results: Among 157 successfully genotyped SNPs, 9 and 10 SNPs were top SNPs associated with OS for patients with NSCLC and SCLC, respectively, although they were not significant after adjusting for multiple testing. Fifteen genes, including 7 located within 200 kb up or downstream of the 4 top SNPs and 8 genes for which expression was correlated with 3 SNPs in LCLs were selected for siRNA screening. Knockdown of DAPK3 and METTL6, for which expression levels were correlated with the rs11169748 and rs2440915 SNPs, significantly decreased cisplatin sensitivity in lung cancer cells. Conclusions: This series of clinical and complementary laboratory-based functional studies identified several candidate genes/SNPs that might help predict treatment outcomes for platinum-based therapy of lung cancer. Clin Cancer Res; 17(17); 5801-11. (C)2011 AACR.
引用
收藏
页码:5801 / 5811
页数:11
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