Gene | Name | Function of the gene product | Variant allele (rs number, nucleotide, amino acid change) | Effect of the polymorphism on the toxicity or clinical outcome |
---|---|---|---|---|
ABCB1 | Multidrug resistance 1, P-glycoprotein | ATP binding membrane transporter implicated in efflux of cytotoxic agents | rs1128503, c.1236C>T, Gly412Gly | Homozygous carriers of the variant allele: docetaxel clearance decreased [9]. |
rs1045642, c.3435C>T, Ile1145Ile | Variant allele carriers: more pronounced neutrophil depression following treatment with paclitaxel ± carboplatin [18] and increased AUC of the paclitaxel metabolite 3′-p-hydroxypaclitaxel [8]. | |||
Homozygous carriers of the variant allele: decreased risk of neutropenia and neurotoxicity [11] | ||||
No correlation was found with pharmacokinetics, toxicity or outcome in OC patients in different other studies [9,10,12,13,15,17]. | ||||
rs2229109,c.1199G>A, Ser400Asn | Variant allele carriers: correlation with in vitro resistance to paclitaxel [22]. | |||
ABCC1 | Multidrug resistance-associated protein 1 | ATP binding membrane transporter implicated in efflux of cytotoxic drugs | rs2230671, c.4002G>A, Ser1334Ser | In vitro evidence: over-expression of ABCC1 protein has been associated with a low degree of resistance to paclitaxel [23]. |
rs2074087, c.2284-30G>C | No correlation of variants in rs2230671 and rs2074087 with toxicity and outcome after platinum/taxane treatment in OC patients [12]. | |||
ABCC2 | Multidrug resistance-associated protein 2 | ATP binding membrane transporter implicated in efflux of cytotoxic drugs | rs2073337, c.1668+148A>G | In vitro evidence: paclitaxel and docetaxel are ABCC2 substrates in cell lines [24]. No correlation was found with toxicity or treatment outcome with platinum-taxane treatment in OC patients [12,17]. |
rs12762549, g.101620771C>G | Variant allele carriers from Japan: increased risk for severe neutropenia following treatment with docetaxel [19]. | |||
ABCG2 | ATP-binding cassette sub-family G member 2 | ATP binding membrane transporter implicated in efflux of cytotoxic drugs | rs2231142, c.421C>A, Gln141Lys | Variant allele carriers in OC: 6-month longer median PFS following platinum/taxane-based chemotherapy [17]. |
ABCA1 | ATP-binding cassette sub-family A member 1 | ATP binding membrane transporter, efflux pump for S1P and cholesterol | rs363717, c.*1896 A>G | Variant allele carriers: decreased risk on thalidomide related neuropathy grade ≥2 [36]. |
SCLO1B3 | Solute carrier organic anion transporter family member 1B3 | Hepatocyte membrane transporter involved in the transport of cytotoxic drugs | rs4149117, 334T>G, Ser112Ala | Docetaxel and paclitaxel transport by SCLO1B3-expressing oocytes was higher compared to controls in vitro [20]. |
rs11045585, c.1683-5676A>G | Variant allele carriers from Japan: increased docetaxel induced leukopenia/neutropenia [19], higher docetaxel clearance and lower AUC in nasopharyngeal carcinoma patients [21]. | |||
CYP1B1 | Cytochrome P450 family 1, subfamily B, polypeptide 1 | Enzyme in the oxidative metabolic pathway of exogenous chemicals including taxanes and estrogens | rs1056836, 4326C>G, Val432Leu (CYP1B1*3) | Homozygous carriers of the wild-type allele: decreased risk of grade 3/4 gastro-intestinal toxicity in docetaxel treated OC patients in the development but not in the validation set [12]. |
CYP3A4 | Cytochrome P450, family 3, subfamily A, polypeptide 4 | Enzyme in the oxidative metabolic pathway of exogenous chemicals including taxanes and estrogens | rs2740574, g.135607G>A (CYP3A4*1B) | CYP3A4 activity determined the dominant metabolic pathway for paclitaxel [14]. |
Homozygous carriers of the variant allele: decreased clearance of docetaxel [26]. | ||||
Homozygous carriers of the variant allele: increased risk of invasive OC [27]. | ||||
rs4986910, c.1331T>C, Met444Thr (CYP3A4*3) | No correlation with pharmacokinetics, toxicity or outcome in OC patients treated with carboplatin + paclitaxel or docetaxel [9,10,12]. | |||
CYP3A5 | Cytochrome P450, family 3, subfamily A, polypeptide 5 | Enzyme in the oxidative metabolic pathway of exogenous chemicals including taxanes and estrogens | rs776746, c.219-237G>A | Homozygous carriers of the variant allele: increased neurotoxicity following paclitaxel treatment 25. No correlation with pharmacokinetics, toxicity or outcome in OC patients treated with carboplatin + paclitaxel or docetaxel [9,10,12]. |
TP53 | Tumor protein 53 | Transcription factor regulating multiple cellular functions, critical for maintenance of genomic stability | rs1042522, c.215C>G, Pro72Arg | Associated with a small increase in risk of OC [29], twofold increased risk of OC in proline carriers and a longer progression-free survival in homozygous arginine allele carriers [28]. Homozygous carriers of the variant allele: increased severity of neutropenia [32]. |
MAPT | Microtubule-associated protein tau | Protein stimulating tubulin polymerization, stabilizing microtubules | rs11568305, c.215C>G, Pro587= | No correlation with toxicity or outcome in OC patients treated with carboplatin + paclitaxel or docetaxel [12]. |
GSTP1 | Gluthathione S-transferase pi | Xenobiotic enzyme involved in the prevention of platinum-based DNA damage | rs1695, c.313A>G, Ile105Val | Variant allele carriers: decreased oxaliplatin-related neuropathy [30], decreased docetaxel-induced grade 2 neuropathy [31], decreased risk of hematologic toxicity [15]. |
rs1138272, c.341 C>T, Ala114Val | Variant allele carriers compared to homozygous carriers of the wild-type allele: decreased PFS following cisplatin-gemcitabine [32]. | |||
In other studies, no association with toxicity in OC patients [12,32]. | ||||
ERCC1 | Excision repair cross complementation group1 | Enzyme involved in nucleotide excision repair of DNA | rs11615, c.354T>C, Asn118Asn | Variant allele carriers: decreased platinum resistance [34]. |
rs3212961, 17677G>T | Variant allele carriers compared to homozygous carriers of the wild-type allele: increased risk on severe neutropenia and increased likelihood of overall survival following cisplatin-gemcitabine [32]. | |||
No correlation for both genetic variants with toxicity/outcome for OC patients [12]. | ||||
ERCC2 | Excision repair cross complementation group2 | Enzyme involved in nucleotide excision repair of DNA | rs1799793, c.934G>A, Asp312Asn | Variant allele carriers: increased severity of neutropenia in OC patients receiving cisplatin-cyclophosphamide [33]. |
SLC12A6 | Solute carrier family 12 member 6 | Integral membrane protein that lowers intracellular chloride concentrations | rs7164902,g.34551082G>A, Leu144Leu | Variant allele carriers: decreased risk on thalidomide related neuropathy grade ≥2 [36]. |
SERPINB2 | Serpin peptidase inhibitor B member 2 | Inhibitor of urokinase plasminogen activator, mediating neuro-inflammation | rs6104, 1238C>G, Ser413Cys | Variant allele carriers: decreased risk on thalidomide related neuropathy grade ≥2 [36]. |
PPARD | Peroxisome proliferator-activated receptor delta | Nuclear receptor protein playing a role in neuro-inflammation | rs2076169, T>C | Variant allele carriers: decreased risk on thalidomide related neuropathy grade ≥2 [36]. |
ICAM1 | Intercellular Adhesion Molecule 1 | Cell surface glycoprotein in endothelial and immune system cells | rs1799969, 241G>A | Variant allele carriers: decreased risk on thalidomide related neuropathy grade ≥2 [36]. |