Genetic polymorphisms associated with adverse events and elimination of methotrexate in childhood acute lymphoblastic leukemia and malignant lymphoma

Methotrexate is administered in high doses to treat childhood acute lymphoblastic leukemia and malignant lymphoma. Hepatotoxicity and bone marrow suppression often limit its use, however. The objective of this study was to determine the genetic polymorphisms associated with the hepatotoxicity and el...

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Veröffentlicht in:Journal of human genetics 2007-02, Vol.52 (2), p.166-171
Hauptverfasser: Imanishi, Hiroyuki, Okamura, Noboru, Yagi, Mariko, Noro, Yukari, Moriya, Yuka, Nakamura, Tsutomu, Hayakawa, Akira, Takeshima, Yasuhiro, Sakaeda, Toshiyuki, Matsuo, Masafumi, Okumura, Katsuhiko
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container_end_page 171
container_issue 2
container_start_page 166
container_title Journal of human genetics
container_volume 52
creator Imanishi, Hiroyuki
Okamura, Noboru
Yagi, Mariko
Noro, Yukari
Moriya, Yuka
Nakamura, Tsutomu
Hayakawa, Akira
Takeshima, Yasuhiro
Sakaeda, Toshiyuki
Matsuo, Masafumi
Okumura, Katsuhiko
description Methotrexate is administered in high doses to treat childhood acute lymphoblastic leukemia and malignant lymphoma. Hepatotoxicity and bone marrow suppression often limit its use, however. The objective of this study was to determine the genetic polymorphisms associated with the hepatotoxicity and elimination of methotrexate. Genetic polymorphisms of glutathione S-transferase (GST) genes including GSTT1 positive/null, GSTM1 positive/null, and GSTP1 A313G, and genes for reduced folate carrier 1 G80A ( RFC1 G80A), methylenetetrahydrofolate reductase C677T ( MTHFR C677T), and breast cancer resistant protein C421A ( BCRP C421A) were determined for 26 patients by the polymerase chain reaction (PCR) method or by direct sequencing. A high frequency of hepatotoxicity ( P  = 0.035) was observed for patients with GSTM1 positive and RFC1 AA 80 , and serum concentrations of methotrexate 48 h after the start of infusion were higher for patients with the TT 677 genotype of MTHFR ( P  = 0.028). In conclusion, GSTM1 positive/null and RFC1 G80A polymorphisms could be predictors for hepatotoxicity, and the MTHFR C677T polymorphism is associated with elimination of methotrexate.
doi_str_mv 10.1007/s10038-006-0096-z
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Hepatotoxicity and bone marrow suppression often limit its use, however. The objective of this study was to determine the genetic polymorphisms associated with the hepatotoxicity and elimination of methotrexate. Genetic polymorphisms of glutathione S-transferase (GST) genes including GSTT1 positive/null, GSTM1 positive/null, and GSTP1 A313G, and genes for reduced folate carrier 1 G80A ( RFC1 G80A), methylenetetrahydrofolate reductase C677T ( MTHFR C677T), and breast cancer resistant protein C421A ( BCRP C421A) were determined for 26 patients by the polymerase chain reaction (PCR) method or by direct sequencing. A high frequency of hepatotoxicity ( P  = 0.035) was observed for patients with GSTM1 positive and RFC1 AA 80 , and serum concentrations of methotrexate 48 h after the start of infusion were higher for patients with the TT 677 genotype of MTHFR ( P  = 0.028). 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Hepatotoxicity and bone marrow suppression often limit its use, however. The objective of this study was to determine the genetic polymorphisms associated with the hepatotoxicity and elimination of methotrexate. Genetic polymorphisms of glutathione S-transferase (GST) genes including GSTT1 positive/null, GSTM1 positive/null, and GSTP1 A313G, and genes for reduced folate carrier 1 G80A ( RFC1 G80A), methylenetetrahydrofolate reductase C677T ( MTHFR C677T), and breast cancer resistant protein C421A ( BCRP C421A) were determined for 26 patients by the polymerase chain reaction (PCR) method or by direct sequencing. A high frequency of hepatotoxicity ( P  = 0.035) was observed for patients with GSTM1 positive and RFC1 AA 80 , and serum concentrations of methotrexate 48 h after the start of infusion were higher for patients with the TT 677 genotype of MTHFR ( P  = 0.028). In conclusion, GSTM1 positive/null and RFC1 G80A polymorphisms could be predictors for hepatotoxicity, and the MTHFR C677T polymorphism is associated with elimination of methotrexate.</description><subject>Acute lymphoblastic leukemia</subject><subject>Adolescent</subject><subject>Antimetabolites, Antineoplastic - therapeutic use</subject><subject>Biomedicine</subject><subject>Bone marrow</subject><subject>Breast cancer</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Children</subject><subject>Female</subject><subject>Folic acid</subject><subject>Gene Expression</subject><subject>Gene Function</subject><subject>Gene polymorphism</subject><subject>Gene Therapy</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>Glutathione S-Transferase pi - genetics</subject><subject>Glutathione transferase</subject><subject>Glutathione Transferase - genetics</subject><subject>GSTM1 protein</subject><subject>GSTT1 protein</subject><subject>Hepatotoxicity</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Infant</subject><subject>Leukemia</subject><subject>Liver Diseases - genetics</subject><subject>Lymphatic leukemia</subject><subject>Lymphoma</subject><subject>Lymphoma - drug therapy</subject><subject>Lymphoma - genetics</subject><subject>Male</subject><subject>Methotrexate</subject><subject>Methotrexate - therapeutic use</subject><subject>Methylenetetrahydrofolate reductase</subject><subject>Methylenetetrahydrofolate Reductase (NADPH2) - genetics</subject><subject>Molecular Medicine</subject><subject>Myelosuppression</subject><subject>Original Article</subject><subject>Polymerase chain reaction</subject><subject>Polymorphism, Genetic</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy</subject><subject>Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics</subject><subject>Risk Factors</subject><issn>1434-5161</issn><issn>1435-232X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1DAUhS1URH_gAdhQS6wD8V-cWVYVlEqV2IDEznLim4mH2E5tZ6B9D94XTzOiOxa2r3zP-a50D0JvSf2B1LX8mMrN2qqum3I2TfX4Ap0RzkRFGf1x8lTzSpCGnKLzlHZ1UVNJX6FTIklbC7k5Q39uwEO2PZ7D9OBCnEebXMI6pdBbncHgXzaPWJs9xAQY9uBzaXuDYbLOep1t8DgM2EEeQ47wu5iw9bgf7WTGEAzW_VK-Cn0eQzfpdJg2wfITnNVPJKcnu_Xa56PI6dfo5aCnBG-O7wX6_vnTt-sv1d3Xm9vrq7uq5w3JlRGt0dy0kjI2SCMkBW4ol1w2neaCbbpBAANqiN5QKmEQmhLd8ZZzLjvRsAv0fuXOMdwvkLLahSX6MlJRTkVDeCvboiKrqo8hpQiDmqN1Oj4oUqtDEGoNQpUg1CEI9Vg8747kpXNgnh3HzRcBXQWptPwW4vPo_1EvV1PZ-xLhH3U3bmlxUMr-AnDwoqE</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Imanishi, Hiroyuki</creator><creator>Okamura, Noboru</creator><creator>Yagi, Mariko</creator><creator>Noro, Yukari</creator><creator>Moriya, Yuka</creator><creator>Nakamura, Tsutomu</creator><creator>Hayakawa, Akira</creator><creator>Takeshima, Yasuhiro</creator><creator>Sakaeda, Toshiyuki</creator><creator>Matsuo, Masafumi</creator><creator>Okumura, Katsuhiko</creator><general>Springer Japan</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>RC3</scope></search><sort><creationdate>20070201</creationdate><title>Genetic polymorphisms associated with adverse events and elimination of methotrexate in childhood acute lymphoblastic leukemia and malignant lymphoma</title><author>Imanishi, Hiroyuki ; 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Hepatotoxicity and bone marrow suppression often limit its use, however. The objective of this study was to determine the genetic polymorphisms associated with the hepatotoxicity and elimination of methotrexate. Genetic polymorphisms of glutathione S-transferase (GST) genes including GSTT1 positive/null, GSTM1 positive/null, and GSTP1 A313G, and genes for reduced folate carrier 1 G80A ( RFC1 G80A), methylenetetrahydrofolate reductase C677T ( MTHFR C677T), and breast cancer resistant protein C421A ( BCRP C421A) were determined for 26 patients by the polymerase chain reaction (PCR) method or by direct sequencing. A high frequency of hepatotoxicity ( P  = 0.035) was observed for patients with GSTM1 positive and RFC1 AA 80 , and serum concentrations of methotrexate 48 h after the start of infusion were higher for patients with the TT 677 genotype of MTHFR ( P  = 0.028). In conclusion, GSTM1 positive/null and RFC1 G80A polymorphisms could be predictors for hepatotoxicity, and the MTHFR C677T polymorphism is associated with elimination of methotrexate.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>17180579</pmid><doi>10.1007/s10038-006-0096-z</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Acute lymphoblastic leukemia
Adolescent
Antimetabolites, Antineoplastic - therapeutic use
Biomedicine
Bone marrow
Breast cancer
Child
Child, Preschool
Childhood
Children
Female
Folic acid
Gene Expression
Gene Function
Gene polymorphism
Gene Therapy
Genetic Predisposition to Disease
Genotype
Glutathione S-Transferase pi - genetics
Glutathione transferase
Glutathione Transferase - genetics
GSTM1 protein
GSTT1 protein
Hepatotoxicity
Human Genetics
Humans
Infant
Leukemia
Liver Diseases - genetics
Lymphatic leukemia
Lymphoma
Lymphoma - drug therapy
Lymphoma - genetics
Male
Methotrexate
Methotrexate - therapeutic use
Methylenetetrahydrofolate reductase
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Molecular Medicine
Myelosuppression
Original Article
Polymerase chain reaction
Polymorphism, Genetic
Precursor Cell Lymphoblastic Leukemia-Lymphoma - drug therapy
Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics
Risk Factors
title Genetic polymorphisms associated with adverse events and elimination of methotrexate in childhood acute lymphoblastic leukemia and malignant lymphoma
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