Table 2.
The effects of GSTM1, GSTT1 and GSTP1 genotypes on the incidences of short-term adverse drug reactions (myelosuppression, GI toxicity and infection event) induced by pulsed high-dose cyclophosphamide (CTX) therapy in SLE patients stratified by gender, age, and total CTX dose
| Myelotoxicity | GI toxicity | Infection event | |||||
|---|---|---|---|---|---|---|---|
| Factor | Genotype | OR | 95% CI | OR | 95% CI | OR | 95% CI |
| Gender (n) | |||||||
| Male (14) | GSTM1(-) vs. (+) | 1.88 | 0.20, 17.27 | 0.56 | 0.31, 1.00 | 0.67 | 0.42, 1.06 |
| GSTT1(-) vs. (+) | 0.53 | 0.06, 4.91 | 0.50 | 0.04, 6.68 | 0.88 | 0.06, 12.98 | |
| GSTP1(I/I) vs. (I/V or V/V) | 3.33 | 0.36, 30.70 | 7.00 | 0.50, 97.75 | 3.50 | 0.24, 51.90 | |
| Female (88) | GSTM1(-) vs. (+) | 1.43 | 0.60, 3.40 | 1.25 | 0.50, 3.08 | 2.19 | 0.62, 7.74 |
| GSTT1(-) vs. (+) | 0.74 | 0.31, 1.76 | 1.17 | 0.47, 2.88 | 0.97 | 0.30, 3.15 | |
| GSTP1(I/I) vs. (I/V or V/V) | 5.00* | 1.96, 12.76 | 2.33 | 0.93, 5.88 | 2.33 | 0.71, 7.68 | |
| Age (n) | |||||||
| <30 (years) (56) | GSTM1(-) vs. (+) | 2.09 | 0.66, 6.65 | 1.31 | 0.42, 4.07 | 7.04 | 0.82, 60.82 |
| GSTT1(-) vs. (+) | 0.73 | 0.24, 2.19 | 1.17 | 0.39, 3.55 | 2.27 | 0.51, 10.18 | |
| GSTP1(I/I) vs. (I/V or V/V) | 7.50* | 2.14, 26.24 | 2.80 | 0.87, 9.04 | 1.89 | 0.44, 8.09 | |
| ≥30 years (46) | GSTM1(-) vs. (+) | 0.92 | 0.30, 2.82 | 1.92 | 0.52, 7.12 | 1.40 | 0.28, 7.12 |
| GSTT1(-) vs. (+) | 0.61 | 0.19, 1.96 | 0.97 | 0.27, 3.52 | 0.28 | 0.05, 1.62 | |
| GSTP1(I/I) vs. (I/V or V/V) | 2.83 | 0.85, 9.46 | 2.80 | 0.74, 10.52 | 4.00 | 0.69, 23.30 | |
| Total dose (n) | |||||||
| ≤1 g (55) | GSTM1(-) vs. (+) | 1.39 | 0.45, 4.34 | 2.00 | 0.59, 6.76 | 3.17 | 0.34, 29.23 |
| GSTT1(-) vs. (+) | 0.54 | 0.18, 1.61 | 1.23 | 0.40, 3.78 | 0.82 | 0.15, 4.44 | |
| GSTP1(I/I) vs. (I/V or V/V) | 1.80 | 0.58, 5.61 | 3.33* | 1.03, 10.79 | 4.53 | 0.75, 27.50 | |
| >1 g (47) | GSTM1(-) vs. (+) | 1.72 | 0.53, 5.57 | 1.09 | 0.30, 3.92 | 3.83 | 0.85, 17.30 |
| GSTT1(-) vs. (+) | 0.90 | 0.28, 2.89 | 0.86 | 0.24, 3.09 | 1.06 | 0.26, 4.27 | |
| GSTP1(I/I) vs. (I/V or V/V) | 12.88* | 3.16, 52.57 | 1.83 | 0.48, 6.95 | 1.64 | 0.40, 6.70 | |
CI Confidence interval; G, gastrointestinal; OR = Odds ratio.
P < 0.05.