Glutathione S-transferase T1, O1 and O2 polymorphisms are associated with survival in muscle invasive bladder cancer patients

To examine the association of six glutathione transferase (GST) gene polymorphisms (GSTT1, GSTP1/rs1695, GSTO1/rs4925, GSTO2/rs156697, GSTM1, GSTA1/rs3957357) with the survival of patients with muscle invasive bladder cancer and the genotype modifying effect on chemotherapy. A total of 105 patients...

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Veröffentlicht in:PloS one 2013-09, Vol.8 (9), p.e74724-e74724
Hauptverfasser: Djukic, Tatjana I, Savic-Radojevic, Ana R, Pekmezovic, Tatjana D, Matic, Marija G, Pljesa-Ercegovac, Marija S, Coric, Vesna M, Radic, Tanja M, Suvakov, Sonja R, Krivic, Biljana N, Dragicevic, Dejan P, Simic, Tatjana P
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container_title PloS one
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creator Djukic, Tatjana I
Savic-Radojevic, Ana R
Pekmezovic, Tatjana D
Matic, Marija G
Pljesa-Ercegovac, Marija S
Coric, Vesna M
Radic, Tanja M
Suvakov, Sonja R
Krivic, Biljana N
Dragicevic, Dejan P
Simic, Tatjana P
description To examine the association of six glutathione transferase (GST) gene polymorphisms (GSTT1, GSTP1/rs1695, GSTO1/rs4925, GSTO2/rs156697, GSTM1, GSTA1/rs3957357) with the survival of patients with muscle invasive bladder cancer and the genotype modifying effect on chemotherapy. A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was analyzed by the Cox proportional hazard models, while Kaplan-Meier analysis was performed to assess differences in survival. GSTT1 active, GSTO1 Asp140Asp or GSTO2 Asp142Asp genotypes were independent predictors of a higher risk of death among bladder cancer patients (HR = 2.5, P = 0.028; HR = 2.9, P = 0.022; HR = 3.9, P = 0.001; respectively) and significantly influenced the overall survival. There was no association between GSTP1, GSTM1 and GSTA1 gene variants with overall mortality. Only GSTO2 polymorphism showed a significant effect on the survival in the subgroup of patients who received chemotherapy (P = 0.006). GSTT1 active genotype and GSTO1 Asp140Asp and GSTO2 Asp142Asp genotypes may have a prognostic/pharmacogenomic role in patients with muscle invasive bladder cancer.
doi_str_mv 10.1371/journal.pone.0074724
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A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was analyzed by the Cox proportional hazard models, while Kaplan-Meier analysis was performed to assess differences in survival. GSTT1 active, GSTO1 Asp140Asp or GSTO2 Asp142Asp genotypes were independent predictors of a higher risk of death among bladder cancer patients (HR = 2.5, P = 0.028; HR = 2.9, P = 0.022; HR = 3.9, P = 0.001; respectively) and significantly influenced the overall survival. There was no association between GSTP1, GSTM1 and GSTA1 gene variants with overall mortality. Only GSTO2 polymorphism showed a significant effect on the survival in the subgroup of patients who received chemotherapy (P = 0.006). GSTT1 active genotype and GSTO1 Asp140Asp and GSTO2 Asp142Asp genotypes may have a prognostic/pharmacogenomic role in patients with muscle invasive bladder cancer.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0074724</identifier><identifier>PMID: 24040330</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Analysis ; Antineoplastic Agents - therapeutic use ; Biochemistry ; Bladder ; Bladder cancer ; Brain cancer ; Cancer ; Cancer patients ; Cancer research ; Cancer therapies ; Care and treatment ; Chemotherapy ; Deoxyribonucleic acid ; DNA ; Enzymes ; Female ; Gene expression ; Gene polymorphism ; Genes ; Genetic aspects ; Genetic polymorphisms ; Genotype ; Genotypes ; Glutathione ; Glutathione transferase ; Glutathione Transferase - genetics ; GSTM1 protein ; GSTT1 protein ; Health risks ; Humans ; Influence ; Invasiveness ; Male ; Medicine ; Middle Aged ; Mortality ; Muscles ; Neoplasm Invasiveness ; Patient outcomes ; Patients ; Pharmacogenetics ; Pharmacogenomics ; Pharmacology ; Polymorphism ; Polymorphism, Genetic ; Prognosis ; Proportional Hazards Models ; Survival ; Survival analysis ; Thiols ; Treatment Outcome ; Tumors ; Urinary bladder ; Urinary Bladder Neoplasms - drug therapy ; Urinary Bladder Neoplasms - genetics ; Urinary Bladder Neoplasms - mortality ; Urology</subject><ispartof>PloS one, 2013-09, Vol.8 (9), p.e74724-e74724</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Djukic et al. 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A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was analyzed by the Cox proportional hazard models, while Kaplan-Meier analysis was performed to assess differences in survival. GSTT1 active, GSTO1 Asp140Asp or GSTO2 Asp142Asp genotypes were independent predictors of a higher risk of death among bladder cancer patients (HR = 2.5, P = 0.028; HR = 2.9, P = 0.022; HR = 3.9, P = 0.001; respectively) and significantly influenced the overall survival. There was no association between GSTP1, GSTM1 and GSTA1 gene variants with overall mortality. Only GSTO2 polymorphism showed a significant effect on the survival in the subgroup of patients who received chemotherapy (P = 0.006). GSTT1 active genotype and GSTO1 Asp140Asp and GSTO2 Asp142Asp genotypes may have a prognostic/pharmacogenomic role in patients with muscle invasive bladder cancer.</description><subject>Aged</subject><subject>Analysis</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biochemistry</subject><subject>Bladder</subject><subject>Bladder cancer</subject><subject>Brain cancer</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Enzymes</subject><subject>Female</subject><subject>Gene expression</subject><subject>Gene polymorphism</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>Genetic polymorphisms</subject><subject>Genotype</subject><subject>Genotypes</subject><subject>Glutathione</subject><subject>Glutathione transferase</subject><subject>Glutathione Transferase - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Djukic, Tatjana I</au><au>Savic-Radojevic, Ana R</au><au>Pekmezovic, Tatjana D</au><au>Matic, Marija G</au><au>Pljesa-Ercegovac, Marija S</au><au>Coric, Vesna M</au><au>Radic, Tanja M</au><au>Suvakov, Sonja R</au><au>Krivic, Biljana N</au><au>Dragicevic, Dejan P</au><au>Simic, Tatjana P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glutathione S-transferase T1, O1 and O2 polymorphisms are associated with survival in muscle invasive bladder cancer patients</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-09-11</date><risdate>2013</risdate><volume>8</volume><issue>9</issue><spage>e74724</spage><epage>e74724</epage><pages>e74724-e74724</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To examine the association of six glutathione transferase (GST) gene polymorphisms (GSTT1, GSTP1/rs1695, GSTO1/rs4925, GSTO2/rs156697, GSTM1, GSTA1/rs3957357) with the survival of patients with muscle invasive bladder cancer and the genotype modifying effect on chemotherapy. A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was analyzed by the Cox proportional hazard models, while Kaplan-Meier analysis was performed to assess differences in survival. GSTT1 active, GSTO1 Asp140Asp or GSTO2 Asp142Asp genotypes were independent predictors of a higher risk of death among bladder cancer patients (HR = 2.5, P = 0.028; HR = 2.9, P = 0.022; HR = 3.9, P = 0.001; respectively) and significantly influenced the overall survival. There was no association between GSTP1, GSTM1 and GSTA1 gene variants with overall mortality. Only GSTO2 polymorphism showed a significant effect on the survival in the subgroup of patients who received chemotherapy (P = 0.006). GSTT1 active genotype and GSTO1 Asp140Asp and GSTO2 Asp142Asp genotypes may have a prognostic/pharmacogenomic role in patients with muscle invasive bladder cancer.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24040330</pmid><doi>10.1371/journal.pone.0074724</doi><tpages>e74724</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Analysis
Antineoplastic Agents - therapeutic use
Biochemistry
Bladder
Bladder cancer
Brain cancer
Cancer
Cancer patients
Cancer research
Cancer therapies
Care and treatment
Chemotherapy
Deoxyribonucleic acid
DNA
Enzymes
Female
Gene expression
Gene polymorphism
Genes
Genetic aspects
Genetic polymorphisms
Genotype
Genotypes
Glutathione
Glutathione transferase
Glutathione Transferase - genetics
GSTM1 protein
GSTT1 protein
Health risks
Humans
Influence
Invasiveness
Male
Medicine
Middle Aged
Mortality
Muscles
Neoplasm Invasiveness
Patient outcomes
Patients
Pharmacogenetics
Pharmacogenomics
Pharmacology
Polymorphism
Polymorphism, Genetic
Prognosis
Proportional Hazards Models
Survival
Survival analysis
Thiols
Treatment Outcome
Tumors
Urinary bladder
Urinary Bladder Neoplasms - drug therapy
Urinary Bladder Neoplasms - genetics
Urinary Bladder Neoplasms - mortality
Urology
title Glutathione S-transferase T1, O1 and O2 polymorphisms are associated with survival in muscle invasive bladder cancer patients
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