Table 3. Polymorphic variation in UGT associated with irinotecan toxicity (p < 0.05).
UGT allele | Clinical effect |
---|---|
UGT1A1*28 | Increased severe neutropenia in Caucasians [32,34-38,46,88] and Japanese populations [41,42] Increased leukopenia in Japanese populations [39-41] Decreased ANC nadir in Caucasians [31,32] Increased severe diarrhea in Caucasians [38,43-46] and Japanese populations [39,40] |
UGT1A1*60 | G/G genotype was associated with severe hematologic toxicity when compared with T/T at frst cycle in Caucasians [70] but was not confirmed in multivariate analysis |
UGT1A1*93 | Increased severe neutropenia in Caucasians [32,37,69] Decreased ANC nadir in Caucasians [32] |
UGT1A1*6 | Increased severe neutropenia in Japanese populations [41,42,48,49,60,64], Koreans [48,49] and Chinese populations [59] Increased leukopenia in Japanese populations [41] |
UGT1A7*2 | Lack of severe neutropenia or diarrhea in Caucasians [47] |
UGT1A7*3 | Lack of severe neutropenia or diarrhea in Caucasians [47] Increased severe hematologic toxicity in Caucasians [70] Increased severe diarrhea in Koreans [48,49] |
UGT1A7*4 | Increased severe neutropenia and/or diarrhea in Caucasians [46] |
UGT1A9*1b | Increased severe neutropenia or diarrhea in Caucasians [47] Increased severe neutropenia in Japanese populations [60] Severe hematologic toxicity in Caucasians [70] Decreased severe diarrhea in Koreans [48,49] |
ANC: Absolute neutrophil count; UGT: Uridine 5′-diphosphoglucuronosyltransferase.