Clinical and genetic risk factors for the prediction of hepatotoxicity induced by docetaxel, epirubicin and cyclophosphamide regimen in breast cancer patients

被引:3
作者
Huang, Shunmin [1 ,2 ]
Yang, Jing [1 ,2 ]
Fu, Fangmeng [3 ]
Wang, Chuan [3 ]
Guo, Xiaoxiong [4 ]
He, Baochang [5 ]
Xiao, Danni [6 ]
Cai, Hongfu [1 ,2 ]
Liu, Maobai [1 ,2 ]
机构
[1] Fujian Med Univ, Union Hosp, Dept Pharm, Fuzhou 350001, Peoples R China
[2] Fujian Med Univ, Sch Pharm, Fuzhou 350122, Peoples R China
[3] Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
[4] Fujian Med Univ, Union Hosp, Dept Gastroenterol, Fuzhou 350001, Peoples R China
[5] Fujian Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Fuzhou 350122, Peoples R China
[6] Fujian Med Univ, Union Hosp, Dept Ultrasound, Fuzhou 350001, Peoples R China
关键词
combined analysis; early breast cancer; gene polymorphism; risk factors; TEC regimen-induced liver injury; INDUCED LIVER-INJURY; OXIDATIVE STRESS; TOXICITY; POLYMORPHISM; DOXORUBICIN; EXPRESSION; CHEMOTHERAPY; EFFICACY; VARIANTS; PROMOTES;
D O I
10.2217/pgs-2020-0080
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: To screen clinical and genetic risk factors and examine their combined effect on docetaxel, epirubicin and cyclophosphamide (TEC) regimen-induced liver injury (TEC-ILI). Patients & methods: We enrolled 396 breast cancer patients, and TEC-ILI-associated factors were screened by logistic regression analyses. Results: SOD2 rs4880 and ABCG2 rs2231142 polymorphisms correlated with an increased risk of TEC-ILI. Multivariate analysis incorporating clinical and genetic factors revealed that ABCC1 rs246221 (CC) and SOD2 rs4880 (AG/GG) increased the risk of TEC-ILI. Patients with at least two risk factors among nonalcoholic fatty liver disease, high low-density lipoproteinemia levels and the rs246221 or rs4880 adverse genotypes exhibited a significantly increased risk of developing TEC-ILI. Conclusion: The combination of clinical and genetic risk factors had higher predictive value for TEC-ILI than the interclinical risk factors alone.
引用
收藏
页码:87 / 98
页数:12
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