Identification of genetic polymorphisms modulating nausea and vomiting in two series of opioid-treated cancer patients

Nausea and vomiting are often associated with opioid analgesia in cancer patients; however, only a subset of patients develop such side effects. Here, we tested the hypothesis that the occurrence of nausea and vomiting is modulated by the genetic background of the patients. Whole exome sequencing of...

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Veröffentlicht in:Scientific reports 2020-01, Vol.10 (1), p.542, Article 542
Hauptverfasser: Colombo, Francesca, Pintarelli, Giulia, Galvan, Antonella, Noci, Sara, Corli, Oscar, Skorpen, Frank, Klepstad, Pål, Kaasa, Stein, Pigni, Alessandra, Brunelli, Cinzia, Roberto, Anna, Piazza, Rocco, Pirola, Alessandra, Gambacorti-Passerini, Carlo, Caraceni, Augusto Tommaso
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container_title Scientific reports
container_volume 10
creator Colombo, Francesca
Pintarelli, Giulia
Galvan, Antonella
Noci, Sara
Corli, Oscar
Skorpen, Frank
Klepstad, Pål
Kaasa, Stein
Pigni, Alessandra
Brunelli, Cinzia
Roberto, Anna
Piazza, Rocco
Pirola, Alessandra
Gambacorti-Passerini, Carlo
Caraceni, Augusto Tommaso
description Nausea and vomiting are often associated with opioid analgesia in cancer patients; however, only a subset of patients develop such side effects. Here, we tested the hypothesis that the occurrence of nausea and vomiting is modulated by the genetic background of the patients. Whole exome sequencing of DNA pools from patients with either low (n = 937) or high (n = 557) nausea and vomiting intensity, recruited in the European Pharmacogenetic Opioid Study, revealed a preliminary association of 53 polymorphisms. PCR-based genotyping of 45 of these polymorphisms in the individual patients of the same series confirmed the association for six SNPs in AIM1L, CLCC1, MUC16, PDE3A, POM121L2 , and ZNF165 genes. Genotyping of the same 45 polymorphisms in 264 patients of the Italian CERP study, also treated with opioids for cancer pain, instead confirmed the association for two SNPs in ZNF568 and PDE3A genes. Only one SNP, rs12305038 in PDE3A , was confirmed in both series, although with opposite effects of the minor allele on the investigated phenotype. Overall, our findings suggest that genetic factors are indeed associated with nausea and vomiting in opioid-treated cancer patients, but the role of individual polymorphisms may be weak.
doi_str_mv 10.1038/s41598-019-57358-y
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Here, we tested the hypothesis that the occurrence of nausea and vomiting is modulated by the genetic background of the patients. Whole exome sequencing of DNA pools from patients with either low (n = 937) or high (n = 557) nausea and vomiting intensity, recruited in the European Pharmacogenetic Opioid Study, revealed a preliminary association of 53 polymorphisms. PCR-based genotyping of 45 of these polymorphisms in the individual patients of the same series confirmed the association for six SNPs in AIM1L, CLCC1, MUC16, PDE3A, POM121L2 , and ZNF165 genes. Genotyping of the same 45 polymorphisms in 264 patients of the Italian CERP study, also treated with opioids for cancer pain, instead confirmed the association for two SNPs in ZNF568 and PDE3A genes. Only one SNP, rs12305038 in PDE3A , was confirmed in both series, although with opposite effects of the minor allele on the investigated phenotype. 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subjects 45/23
45/43
631/208/514/2254
631/208/727
Adolescent
Adult
Aged
Aged, 80 and over
Analgesia
Analgesics, Opioid - adverse effects
Analgesics, Opioid - therapeutic use
Cancer
Cancer Pain - drug therapy
DNA sequencing
Female
Genetic factors
Genotyping
Humanities and Social Sciences
Humans
Male
Middle Aged
multidisciplinary
Narcotics
Nausea
Nausea - chemically induced
Nausea - genetics
Opioids
Pain perception
Phenotypes
Polymorphism, Single Nucleotide
Science
Science (multidisciplinary)
Single-nucleotide polymorphism
Vomiting
Vomiting - chemically induced
Vomiting - genetics
Young Adult
title Identification of genetic polymorphisms modulating nausea and vomiting in two series of opioid-treated cancer patients
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