DNA variants in DHFR gene and response to treatment in children with childhood B ALL: revisited in AIEOP-BFM protocol

被引:11
作者
Ceppi, Francesco [1 ,2 ]
Gagne, Vincent [3 ]
Douyon, Laurance [3 ]
Quintin, Camille J. [3 ]
Colombini, Antonella [4 ]
Parasole, Rosanna [5 ]
Buldini, Barbara [6 ]
Basso, Giuseppe [6 ]
Conter, Valentino [4 ]
Cazzaniga, Giovanni [7 ]
Krajinovic, Maja [3 ,8 ,9 ]
机构
[1] Univ Lausanne Hosp, Dept Woman Mother Child, Div Pediat, Pediat Hematol Oncol Unit, CH-1004 Lausanne, Switzerland
[2] Univ Lausanne Hosp, Dept Woman Mother Child, Div Pediat, Pediat Hematol Oncol Res Lab, CH-1004 Lausanne, Switzerland
[3] CHU St Justine Res Ctr, Charles Bruneau Canc Ctr, Montreal, PQ H3T 1C5, Canada
[4] Univ Milano Bicocca, Osped S Gerardo, Dept Pediat, I-20835 Monza, Italy
[5] Santobono Pausilipon Hosp, Dept Pediat Hematooncol, I-80129 Naples, Italy
[6] Univ Padua, Dept Woman & Child Hlth, Lab Haematol Oncol, I-35128 Padua, Italy
[7] Univ Milano Bicocca, Dept Pediat, Ctr Ric Tettamanti, I-20835 Monza, Italy
[8] Univ Montreal, Dept Pediat, Fac Med, Montreal, PQ H4A 3J1, Canada
[9] Univ Montreal, Fac Med, Dept Pharmacol & Physiol, Montreal, PQ, Canada
关键词
childhood ALL; dihydrofolate reductase polymorphisms; treatment outcome; ACUTE LYMPHOBLASTIC-LEUKEMIA; DIHYDROFOLATE-REDUCTASE GENE; FOLATE CARRIER GENE; THIOPURINE METHYLTRANSFERASE; METHOTREXATE RESISTANCE; MAINTENANCE THERAPY; POLYMORPHISMS; PHARMACOGENETICS; RISK; SURVIVAL;
D O I
10.2217/pgs-2017-0153
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Aim: We have previously reported an association of dihydrofolate reductase promoter polymorphisms with reduced event-free survival in childhood acute lymphoblastic leukemia (ALL) patients treated with Dana Farber Cancer Institute protocol. Here, we assessed whether these associations are applicable to other protocol, based on different methotrexate doses. Methods: Genotypes for six tag polymorphisms and resulting haplotypes were analyzed for an association with ALL outcome. Results: The association was found with the polymorphisms A-680C, A-317G and C-35T in high-risk group patients. Carriers of haplotype *1 had a remarkably higher risk of events compared with noncarriers and a lower probability of event-free survival (21.4 vs 81.3%). Conclusion: The role of DHFR variants in predicting the outcome of childhood ALL extends beyond single-treatment protocol and can be useful biomarker in personalizing treatment.
引用
收藏
页码:105 / 112
页数:8
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