Table 4.
Pharmacogenomic diversity and response to cisplatin and platinum compounds
Drug | Drug responsea | Gene | Variant | CH | Position | Functional annotation |
Allelesb | African ancestryc |
European ancestryc |
Bonferroni P-valued,e |
---|---|---|---|---|---|---|---|---|---|---|
Cisplatin | TOXICITY/ADR Increased risk of hearing loss (Ototoxicity) |
COMT | rs9332377 | 22 | 18335692 | Intron | A/G | 0.327 | 0.168 | 5.40E-14 |
TOXICITY/ADR Decreased risk of severe neutropenia |
XRCC1 | rs25487 | 19 | 48747566 | Coding NONSYN Q399R |
A/G | 0.148 | 0.351 | 3.37E-22 | |
TOXICITY/ADR Increased likelihood of drug toxicity |
MTR | rs1805087 | 1 | 235115123 | Coding NONSYN D919G |
G/A | 0.272 | 0.187 | 0.0142 | |
EFFICACY Increased response |
MTHFR | rs1801133 | 1 | 11778965 | Coding NONSYN A222V |
A/G | 0.069 | 0.348 | 2.57E-51 | |
Carboplatin | TOXICITY/ADR Decreased risk of severe neutropenia |
XRCC1 | rs25487 | 19 | 48747566 | Coding NONSYN Q399R |
A/G | 0.148 | 0.351 | 3.37E-22 |
EFFICACY Increased response |
MTHFR | rs1801133 | 1 | 11778965 | Coding NONSYN A222V |
A/G | 0.069 | 0.348 | 2.57E-51 | |
Oxaliplatin | TOXICITY/ADR Decreased risk of severe neutropenia |
XRCC1 | rs25487 | 19 | 48747566 | Coding NONSYN Q399R |
A/G | 0.148 | 0.351 | 3.37E-22 |
EFFICACY Increased response |
MTHFR | rs1801133 | 1 | 11778965 | Coding NONSYN A222V |
A/G | 0.069 | 0.348 | 2.57E-51 |
Abbreviations: ADR, adverse drug reaction; CH, chromosome; SNP, single-nucleotide polymorphism.
The clinical annotations of the relevant pharmacogenomics variants were curated from PharmGKB20 and published studies.28–30,33
Minor allele/Major allele.
Variant minor allele frequency (MAF).
Corrected P-value (corrected for 4209 SNPs).
Statistical test—Fisher’s exact test.