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Table 1 Overview of the 26 genotyped single nucleotide polymorphisms (SNPs)

From: Genetic variability in drug transport, metabolism or DNA repair affecting toxicity of chemotherapy in ovarian cancer

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].

  1. The following 7 genetic variants failed genotyping: rs2032582 (Ser893Ala in ABCB1), rs2273697 (Val417Ile in ABCC2), rs1058930 (Ile194Met in CYP2C8), rs11572080 (Arg69Lyes in CYP2C8), rs10509681 (Lys329Arg in CYP2C8), rs12721627 (Thr185Ser in CYP3A4), rs25487 (Gln398Arg in XRCC1). Rs6103 was replaced by rs6104 because these were in full linkage disequilibrium (r2 = 1.0). OC: ovarian cancer, NSCLS: non-small-cell lung carcinoma.