Role of pharmacogenetics in chemotherapy of colorectal cancers

Clinical implications associated with polymorphisms in drug-metabolizing genes involved in the chemotherapy of colorectal cancers (5-flurorouracil, oxaliplatin and irinotecan) are reviewed. Treatments of colorectal cancers have been greatly improved last years but patients respond differently to ide...

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Veröffentlicht in:La revue de medecine interne 2007-09, Vol.28 (9), p.594
Hauptverfasser: Ceppa, F, Fontan, E, Cremades, S, Bihannic, R, Bousquet, A, Beauvillain, L, Burnat, P
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container_issue 9
container_start_page 594
container_title La revue de medecine interne
container_volume 28
creator Ceppa, F
Fontan, E
Cremades, S
Bihannic, R
Bousquet, A
Beauvillain, L
Burnat, P
description Clinical implications associated with polymorphisms in drug-metabolizing genes involved in the chemotherapy of colorectal cancers (5-flurorouracil, oxaliplatin and irinotecan) are reviewed. Treatments of colorectal cancers have been greatly improved last years but patients respond differently to identical medication. Genetic polymorphisms are one of the major causes of these individual responses to drugs associated with sometimes severe adverse effects. Pharmacogenetics is based on all polymorphisms that determine genetic human diversity associated with variable response to anticancer drugs. Morbidity and mortality related to toxicity or inefficacy of these drugs could be reduced by analyzing the pharmacogenetic profile of patients before treatment. Results should be integrated in protocols for monitoring and assessment the dosage of drugs.
doi_str_mv 10.1016/j.revmed.2007.03.005
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subjects Acetylcholinesterase - genetics
Antineoplastic Agents - adverse effects
Antineoplastic Agents - therapeutic use
Butyrylcholinesterase - genetics
Camptothecin - adverse effects
Camptothecin - analogs & derivatives
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - enzymology
Colorectal Neoplasms - genetics
Dihydrouracil Dehydrogenase (NADP) - genetics
Humans
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Organoplatinum Compounds - adverse effects
Pharmacogenetics - methods
Polymorphism, Genetic
title Role of pharmacogenetics in chemotherapy of colorectal cancers
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