Table 2.
Univariate analyses of the associations between genetic variants and phenotypes
Variant | Reference | Discovery cohort (n = 67)
|
Replication cohort (n = 74–103)
|
||||
---|---|---|---|---|---|---|---|
Estimate ± s.e. | 95% CI | P-value | n | Estimate ± s.e. | P-value | ||
Log10 ANC Nadir | |||||||
ABCC1 IVS11 -48 (C>T) | CC/CT | − 0489±0.201 | (−0.095, − 0.883) | 0.018 | 74 | 0.053± 0.117 | 0.652 |
UGT1A1*28 (TA6>TA7) | *1*1=1 *1*28=2 | − 0.257±0.061 | (−0.137, − 0.377) | <0.001 | 75 | − 0.139±0.081 | 0.090 |
*28*28=3 | |||||||
UGT1A1*93 (G>A) | GG/AG | − 0.607±0.129 | (−0.354, − 0.860) | < 0.001 | 103 | − 0.417±0.170 | 0.016 |
SLCO1B1*1b (A>G) | AA | 0.240±0.106 | (0.032, 0.448) | 0.027 | 84 | 0.278±0.107 | 0.012 |
Log10 irinotecan AUC0-24 | |||||||
ABCC2 –24 (C>T) | CC | 0.090±0.035 | (0.021, 0.159) | 0.012 | 94 | 0.067±0.030 | 0.040 |
SLCO1B1*5(T>C) | TT | 0.084±0.036 | (0.013, 0.155) | 0.023 | 83 | − 0.010±0.035 | 0.769 |
Log10SN-38 AUC0-24 | |||||||
UGT1A1*28 (TA6>TA7) | *1*1= 1 | 0.140±0.046 | (0.050, 0.190) | 0.004 | 75 | 0.189±0.043 | <0.001 |
*1*28=2 | |||||||
*28*28= 3 | |||||||
UGT1A1*93 (G>A) | GG= 1 | 0.130±0.047 | (0.038, 0.222) | 0.007 | 103 | 0.171±0.033 | <0.001 |
AG=2 | |||||||
AA=3 | |||||||
ABCB1 IVS9 –44 (A>G) | AA | − 0.180±0.070 | (−0.043, -0.317) | 0.013 | 77 | 0.021±0.054 | 0.703 |
Log10 SN-38G AUC0-24 | |||||||
ABCC2 3972 (C> T) | CC/CT | 0.250±0.100 | (0.054, 0.446) | 0.019 | 105 | − 0.104±0.086 | 0.232 |
Log10 SN-38G AUC0-24 /Log10 SN-38 AUC0-24 | |||||||
ABCC1 1684 (T >C) | TT | − 0.316±0.153 | (−0.016, − 0.616) | 0.043 | 95 | − 0.052±0.059* | 0.382 |
UGT1A1*28 (TA6>TA7) | *1*1= 1 | − 0.170±0.048 | (−0.076, − 0.264) | <0.001 | 103 | − 0.243±0.053 | <0.001 |
*1*28=2 | |||||||
*28*28= 3 | |||||||
UGT1A1*93 (G > A) | GG= 1 | − 0.150±0.051 | (−0.050, − 0.250) | 0.004 | 75 | − 0.214±0.042 | <0.001 |
AG=2 | |||||||
AA=3 |
Abbreviations: ANC, absolute neutrophil count; AUC, area under the concentration–time curve; CI, confidence interval. Data were adjusted for age, sex and dose (mg m−2). ANC nadir was also adjusted for baseline ANC. The genotype reference groups were the same for all discovery and replication cohort analyses, with the exception of ABCC1 IVS11 -48C>T and ANC nadir. For ABCC1 IVS11 -48C>T and ANC nadir in the replication cohort, the reference genotype was only CC, as there were no TT genotypes. The estimates of effect of replicated variants are denoted in bold. The number of patients genotyped per variant in the replication cohort varied due to insufficient DNA quantity.
Although the association between ABCC1 1684T>C (dominant model) and glucuronidation ratio satisfies our criteria for replication, we are less convinced of the association, given the 84% reduction in the magnitude of the estimate as compared with that of the discovery cohort.