Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans

Pancreatic ductal adenocarcinoma (PDAC) is currently the third leading cause of cancer mortality and the incidence is projected to increase by 2030. Despite recent advances in its treatment, African Americans have a 50-60% higher incidence and 30% higher mortality rate when compared to European Amer...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of the National Medical Association 2023-04, Vol.115 (2), p.164-174
Hauptverfasser: Telisnor, Guettchina, DeRemer, David L., Frimpong, Esther, Agyare, Edward, Allen, John, Ricks-Santi, Luisel, Han, Bo, George, Thomas, Rogers, Sherise C.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 174
container_issue 2
container_start_page 164
container_title Journal of the National Medical Association
container_volume 115
creator Telisnor, Guettchina
DeRemer, David L.
Frimpong, Esther
Agyare, Edward
Allen, John
Ricks-Santi, Luisel
Han, Bo
George, Thomas
Rogers, Sherise C.
description Pancreatic ductal adenocarcinoma (PDAC) is currently the third leading cause of cancer mortality and the incidence is projected to increase by 2030. Despite recent advances in its treatment, African Americans have a 50-60% higher incidence and 30% higher mortality rate when compared to European Americans possibly resulting from differences in socioeconomic status, access to healthcare, and genetics. Genetics plays a role in cancer predisposition, response to cancer therapeutics (pharmacogenetics), and in tumor behavior, making some genes targets for oncologic therapeutics. We hypothesize that the germline genetic differences in predisposition, drug response, and targeted therapies also impact PDAC disparities. To demonstrate the impact of genetics and pharmacogenetics on PDAC disparities, a review of the literature was performed using PubMed with variations of the following keywords: pharmacogenetics, pancreatic cancer, race, ethnicity, African, Black, toxicity, and the FDA-approved drug names: Fluoropyrimidines, Topoisomerase inhibitors, Gemcitabine, Nab-Paclitaxel, Platinum agents, Pembrolizumab, PARP-inhibitors, and NTRK fusion inhibitors. Our findings suggest that the genetic profiles of African Americans may contribute to disparities related to FDA approved chemotherapeutic response for patients with PDAC. We recommend a strong focus on improving genetic testing and participation in biobank sample donations for African Americans. In this way, we can improve our current understanding of genes that influence drug response for patients with PDAC.
doi_str_mv 10.1016/j.jnma.2023.01.008
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10639003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0027968423000172</els_id><sourcerecordid>2778974702</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-2d266e2cd4b429c67f857cb14647e8c1832fbc20c77769f7b766efb2965829c93</originalsourceid><addsrcrecordid>eNp9kUuLFDEURoMoTtv6B1xIgRs3VSapdB4gSDP4ggFBdB1SqZvuFF1JmVTPODt_uim7Z1AXrnKTnPtxk4PQc4Ibggl_PTRDGE1DMW0bTBqM5QO0Ioq1NeOqfYhWGFNRKy7ZBXqS84ALoTabx-ii5RITwuQK_fwC1x5uquiqHQSYva1M6Ktpb9JobLw7671zkCBYyJUPlb2d4xx_nOHZpB3MUIo9JDP5wriYqskEm8As7baUkJbOrUu-7KrtCL-L_BQ9cuaQ4dl5XaNv7999vfxYX33-8Olye1VbJtlc055yDtT2rGNUWS6c3AjbEcaZAGmJbKnrLMVWCMGVE50ouOuo4htZeNWu0dtT7nTsRugthDmZg56SH0261dF4_fdN8Hu9i9eaYN4qjNuS8OqckOL3I-RZjz5bOBxMgHjMmgohlWCi6Fijl_-gQzymUN6nqWRSldkVKRQ9UTbFnBO4-2kI1othPejFsF4Ma0x08VeaXvz5jvuWO6UFeHMCoPxmcZt0tn4x1_sEdtZ99P_L_wUfG7m0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2848985791</pqid></control><display><type>article</type><title>Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Telisnor, Guettchina ; DeRemer, David L. ; Frimpong, Esther ; Agyare, Edward ; Allen, John ; Ricks-Santi, Luisel ; Han, Bo ; George, Thomas ; Rogers, Sherise C.</creator><creatorcontrib>Telisnor, Guettchina ; DeRemer, David L. ; Frimpong, Esther ; Agyare, Edward ; Allen, John ; Ricks-Santi, Luisel ; Han, Bo ; George, Thomas ; Rogers, Sherise C.</creatorcontrib><description>Pancreatic ductal adenocarcinoma (PDAC) is currently the third leading cause of cancer mortality and the incidence is projected to increase by 2030. Despite recent advances in its treatment, African Americans have a 50-60% higher incidence and 30% higher mortality rate when compared to European Americans possibly resulting from differences in socioeconomic status, access to healthcare, and genetics. Genetics plays a role in cancer predisposition, response to cancer therapeutics (pharmacogenetics), and in tumor behavior, making some genes targets for oncologic therapeutics. We hypothesize that the germline genetic differences in predisposition, drug response, and targeted therapies also impact PDAC disparities. To demonstrate the impact of genetics and pharmacogenetics on PDAC disparities, a review of the literature was performed using PubMed with variations of the following keywords: pharmacogenetics, pancreatic cancer, race, ethnicity, African, Black, toxicity, and the FDA-approved drug names: Fluoropyrimidines, Topoisomerase inhibitors, Gemcitabine, Nab-Paclitaxel, Platinum agents, Pembrolizumab, PARP-inhibitors, and NTRK fusion inhibitors. Our findings suggest that the genetic profiles of African Americans may contribute to disparities related to FDA approved chemotherapeutic response for patients with PDAC. We recommend a strong focus on improving genetic testing and participation in biobank sample donations for African Americans. In this way, we can improve our current understanding of genes that influence drug response for patients with PDAC.</description><identifier>ISSN: 0027-9684</identifier><identifier>EISSN: 1943-4693</identifier><identifier>DOI: 10.1016/j.jnma.2023.01.008</identifier><identifier>PMID: 36801148</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>African Americans ; Antineoplastic Agents - pharmacology ; Antineoplastic Agents - therapeutic use ; Black or African American - genetics ; Cancer therapies ; Carcinoma, Pancreatic Ductal - drug therapy ; Carcinoma, Pancreatic Ductal - ethnology ; Carcinoma, Pancreatic Ductal - genetics ; Carcinoma, Pancreatic Ductal - pathology ; Cytotoxicity ; Data analysis ; Diarrhea ; Disparities2 ; DNA repair ; DPD5 ; Enzymes ; Equity6 ; Genes ; Humans ; Kinases ; Medical prognosis ; Metabolism ; Molecular Targeted Therapy - methods ; Mutation ; Neutropenia ; Pancreatic cancer ; Pancreatic cancer3 ; Pancreatic Neoplasms - drug therapy ; Pancreatic Neoplasms - ethnology ; Pancreatic Neoplasms - genetics ; Pancreatic Neoplasms - pathology ; Pharmacogenetics ; Pharmacogenetics1 ; Toxicity ; UGT1A14</subject><ispartof>Journal of the National Medical Association, 2023-04, Vol.115 (2), p.164-174</ispartof><rights>2023</rights><rights>Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Apr 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-2d266e2cd4b429c67f857cb14647e8c1832fbc20c77769f7b766efb2965829c93</citedby><cites>FETCH-LOGICAL-c484t-2d266e2cd4b429c67f857cb14647e8c1832fbc20c77769f7b766efb2965829c93</cites><orcidid>0000-0003-4764-0171 ; 0000-0002-2207-9552 ; 0000-0002-6249-9180</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36801148$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Telisnor, Guettchina</creatorcontrib><creatorcontrib>DeRemer, David L.</creatorcontrib><creatorcontrib>Frimpong, Esther</creatorcontrib><creatorcontrib>Agyare, Edward</creatorcontrib><creatorcontrib>Allen, John</creatorcontrib><creatorcontrib>Ricks-Santi, Luisel</creatorcontrib><creatorcontrib>Han, Bo</creatorcontrib><creatorcontrib>George, Thomas</creatorcontrib><creatorcontrib>Rogers, Sherise C.</creatorcontrib><title>Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans</title><title>Journal of the National Medical Association</title><addtitle>J Natl Med Assoc</addtitle><description>Pancreatic ductal adenocarcinoma (PDAC) is currently the third leading cause of cancer mortality and the incidence is projected to increase by 2030. Despite recent advances in its treatment, African Americans have a 50-60% higher incidence and 30% higher mortality rate when compared to European Americans possibly resulting from differences in socioeconomic status, access to healthcare, and genetics. Genetics plays a role in cancer predisposition, response to cancer therapeutics (pharmacogenetics), and in tumor behavior, making some genes targets for oncologic therapeutics. We hypothesize that the germline genetic differences in predisposition, drug response, and targeted therapies also impact PDAC disparities. To demonstrate the impact of genetics and pharmacogenetics on PDAC disparities, a review of the literature was performed using PubMed with variations of the following keywords: pharmacogenetics, pancreatic cancer, race, ethnicity, African, Black, toxicity, and the FDA-approved drug names: Fluoropyrimidines, Topoisomerase inhibitors, Gemcitabine, Nab-Paclitaxel, Platinum agents, Pembrolizumab, PARP-inhibitors, and NTRK fusion inhibitors. Our findings suggest that the genetic profiles of African Americans may contribute to disparities related to FDA approved chemotherapeutic response for patients with PDAC. We recommend a strong focus on improving genetic testing and participation in biobank sample donations for African Americans. In this way, we can improve our current understanding of genes that influence drug response for patients with PDAC.</description><subject>African Americans</subject><subject>Antineoplastic Agents - pharmacology</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Black or African American - genetics</subject><subject>Cancer therapies</subject><subject>Carcinoma, Pancreatic Ductal - drug therapy</subject><subject>Carcinoma, Pancreatic Ductal - ethnology</subject><subject>Carcinoma, Pancreatic Ductal - genetics</subject><subject>Carcinoma, Pancreatic Ductal - pathology</subject><subject>Cytotoxicity</subject><subject>Data analysis</subject><subject>Diarrhea</subject><subject>Disparities2</subject><subject>DNA repair</subject><subject>DPD5</subject><subject>Enzymes</subject><subject>Equity6</subject><subject>Genes</subject><subject>Humans</subject><subject>Kinases</subject><subject>Medical prognosis</subject><subject>Metabolism</subject><subject>Molecular Targeted Therapy - methods</subject><subject>Mutation</subject><subject>Neutropenia</subject><subject>Pancreatic cancer</subject><subject>Pancreatic cancer3</subject><subject>Pancreatic Neoplasms - drug therapy</subject><subject>Pancreatic Neoplasms - ethnology</subject><subject>Pancreatic Neoplasms - genetics</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pharmacogenetics</subject><subject>Pharmacogenetics1</subject><subject>Toxicity</subject><subject>UGT1A14</subject><issn>0027-9684</issn><issn>1943-4693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUuLFDEURoMoTtv6B1xIgRs3VSapdB4gSDP4ggFBdB1SqZvuFF1JmVTPODt_uim7Z1AXrnKTnPtxk4PQc4Ibggl_PTRDGE1DMW0bTBqM5QO0Ioq1NeOqfYhWGFNRKy7ZBXqS84ALoTabx-ii5RITwuQK_fwC1x5uquiqHQSYva1M6Ktpb9JobLw7671zkCBYyJUPlb2d4xx_nOHZpB3MUIo9JDP5wriYqskEm8As7baUkJbOrUu-7KrtCL-L_BQ9cuaQ4dl5XaNv7999vfxYX33-8Olye1VbJtlc055yDtT2rGNUWS6c3AjbEcaZAGmJbKnrLMVWCMGVE50ouOuo4htZeNWu0dtT7nTsRugthDmZg56SH0261dF4_fdN8Hu9i9eaYN4qjNuS8OqckOL3I-RZjz5bOBxMgHjMmgohlWCi6Fijl_-gQzymUN6nqWRSldkVKRQ9UTbFnBO4-2kI1othPejFsF4Ma0x08VeaXvz5jvuWO6UFeHMCoPxmcZt0tn4x1_sEdtZ99P_L_wUfG7m0</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Telisnor, Guettchina</creator><creator>DeRemer, David L.</creator><creator>Frimpong, Esther</creator><creator>Agyare, Edward</creator><creator>Allen, John</creator><creator>Ricks-Santi, Luisel</creator><creator>Han, Bo</creator><creator>George, Thomas</creator><creator>Rogers, Sherise C.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><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>4T-</scope><scope>4U-</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4764-0171</orcidid><orcidid>https://orcid.org/0000-0002-2207-9552</orcidid><orcidid>https://orcid.org/0000-0002-6249-9180</orcidid></search><sort><creationdate>20230401</creationdate><title>Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans</title><author>Telisnor, Guettchina ; DeRemer, David L. ; Frimpong, Esther ; Agyare, Edward ; Allen, John ; Ricks-Santi, Luisel ; Han, Bo ; George, Thomas ; Rogers, Sherise C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-2d266e2cd4b429c67f857cb14647e8c1832fbc20c77769f7b766efb2965829c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>African Americans</topic><topic>Antineoplastic Agents - pharmacology</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Black or African American - genetics</topic><topic>Cancer therapies</topic><topic>Carcinoma, Pancreatic Ductal - drug therapy</topic><topic>Carcinoma, Pancreatic Ductal - ethnology</topic><topic>Carcinoma, Pancreatic Ductal - genetics</topic><topic>Carcinoma, Pancreatic Ductal - pathology</topic><topic>Cytotoxicity</topic><topic>Data analysis</topic><topic>Diarrhea</topic><topic>Disparities2</topic><topic>DNA repair</topic><topic>DPD5</topic><topic>Enzymes</topic><topic>Equity6</topic><topic>Genes</topic><topic>Humans</topic><topic>Kinases</topic><topic>Medical prognosis</topic><topic>Metabolism</topic><topic>Molecular Targeted Therapy - methods</topic><topic>Mutation</topic><topic>Neutropenia</topic><topic>Pancreatic cancer</topic><topic>Pancreatic cancer3</topic><topic>Pancreatic Neoplasms - drug therapy</topic><topic>Pancreatic Neoplasms - ethnology</topic><topic>Pancreatic Neoplasms - genetics</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pharmacogenetics</topic><topic>Pharmacogenetics1</topic><topic>Toxicity</topic><topic>UGT1A14</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Telisnor, Guettchina</creatorcontrib><creatorcontrib>DeRemer, David L.</creatorcontrib><creatorcontrib>Frimpong, Esther</creatorcontrib><creatorcontrib>Agyare, Edward</creatorcontrib><creatorcontrib>Allen, John</creatorcontrib><creatorcontrib>Ricks-Santi, Luisel</creatorcontrib><creatorcontrib>Han, Bo</creatorcontrib><creatorcontrib>George, Thomas</creatorcontrib><creatorcontrib>Rogers, Sherise C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the National Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Telisnor, Guettchina</au><au>DeRemer, David L.</au><au>Frimpong, Esther</au><au>Agyare, Edward</au><au>Allen, John</au><au>Ricks-Santi, Luisel</au><au>Han, Bo</au><au>George, Thomas</au><au>Rogers, Sherise C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans</atitle><jtitle>Journal of the National Medical Association</jtitle><addtitle>J Natl Med Assoc</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>115</volume><issue>2</issue><spage>164</spage><epage>174</epage><pages>164-174</pages><issn>0027-9684</issn><eissn>1943-4693</eissn><abstract>Pancreatic ductal adenocarcinoma (PDAC) is currently the third leading cause of cancer mortality and the incidence is projected to increase by 2030. Despite recent advances in its treatment, African Americans have a 50-60% higher incidence and 30% higher mortality rate when compared to European Americans possibly resulting from differences in socioeconomic status, access to healthcare, and genetics. Genetics plays a role in cancer predisposition, response to cancer therapeutics (pharmacogenetics), and in tumor behavior, making some genes targets for oncologic therapeutics. We hypothesize that the germline genetic differences in predisposition, drug response, and targeted therapies also impact PDAC disparities. To demonstrate the impact of genetics and pharmacogenetics on PDAC disparities, a review of the literature was performed using PubMed with variations of the following keywords: pharmacogenetics, pancreatic cancer, race, ethnicity, African, Black, toxicity, and the FDA-approved drug names: Fluoropyrimidines, Topoisomerase inhibitors, Gemcitabine, Nab-Paclitaxel, Platinum agents, Pembrolizumab, PARP-inhibitors, and NTRK fusion inhibitors. Our findings suggest that the genetic profiles of African Americans may contribute to disparities related to FDA approved chemotherapeutic response for patients with PDAC. We recommend a strong focus on improving genetic testing and participation in biobank sample donations for African Americans. In this way, we can improve our current understanding of genes that influence drug response for patients with PDAC.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36801148</pmid><doi>10.1016/j.jnma.2023.01.008</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-4764-0171</orcidid><orcidid>https://orcid.org/0000-0002-2207-9552</orcidid><orcidid>https://orcid.org/0000-0002-6249-9180</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0027-9684
ispartof Journal of the National Medical Association, 2023-04, Vol.115 (2), p.164-174
issn 0027-9684
1943-4693
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10639003
source MEDLINE; Alma/SFX Local Collection
subjects African Americans
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Black or African American - genetics
Cancer therapies
Carcinoma, Pancreatic Ductal - drug therapy
Carcinoma, Pancreatic Ductal - ethnology
Carcinoma, Pancreatic Ductal - genetics
Carcinoma, Pancreatic Ductal - pathology
Cytotoxicity
Data analysis
Diarrhea
Disparities2
DNA repair
DPD5
Enzymes
Equity6
Genes
Humans
Kinases
Medical prognosis
Metabolism
Molecular Targeted Therapy - methods
Mutation
Neutropenia
Pancreatic cancer
Pancreatic cancer3
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - ethnology
Pancreatic Neoplasms - genetics
Pancreatic Neoplasms - pathology
Pharmacogenetics
Pharmacogenetics1
Toxicity
UGT1A14
title Review of genetic and pharmacogenetic differences in cytotoxic and targeted therapies for pancreatic cancer in African Americans
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-03T02%3A20%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Review%20of%20genetic%20and%20pharmacogenetic%20differences%20in%20cytotoxic%20and%20targeted%20therapies%20for%20pancreatic%20cancer%20in%20African%20Americans&rft.jtitle=Journal%20of%20the%20National%20Medical%20Association&rft.au=Telisnor,%20Guettchina&rft.date=2023-04-01&rft.volume=115&rft.issue=2&rft.spage=164&rft.epage=174&rft.pages=164-174&rft.issn=0027-9684&rft.eissn=1943-4693&rft_id=info:doi/10.1016/j.jnma.2023.01.008&rft_dat=%3Cproquest_pubme%3E2778974702%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2848985791&rft_id=info:pmid/36801148&rft_els_id=S0027968423000172&rfr_iscdi=true