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基于非小细胞肺癌(NSCLC)患者的铂类化疗药物的药物遗传学的荟萃分析。

Meta-analysis on pharmacogenetics of platinum-based chemotherapy in non small cell lung cancer (NSCLC) patients.

机构信息

Institute of Clinical Pharmacology, Hunan Key Laboratory of Pharmacogenetics, Central South University, Changsha, China.

出版信息

PLoS One. 2012;7(6):e38150. doi: 10.1371/journal.pone.0038150. Epub 2012 Jun 26.

DOI:10.1371/journal.pone.0038150
PMID:22761669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3383686/
Abstract

AIM

To determine the pharmacogenetics of platinum-based chemotherapy in Non Small Cell Lung Cancer (NSCLC) patients.

METHODS

Publications were selected from PubMed, Cochrane Library and ISI Web of Knowledge. A meta-analysis was conducted to determine the association between genetic polymorphisms and platinum-based chemotherapy by checking odds ratio (OR) and 95% confidence interval (CI).

RESULTS

Data were extracted from 24 publications, which included 11 polymorphisms in 8 genes for meta-analysis. MDR1 C3435T (OR = 1.97, 95% CI: 1.11-3.50, P = 0.02), G2677A/T (OR = 2.61, 95% CI: 1.44-4.74, P = 0.002) and GSTP1 A313G (OR = 0.32, 95% CI: 0.17-0.58, P = 0.0002) were significantly correlated with platinum-based chemotherapy in Asian NSCLC patients.

CONCLUSION

Attention should be paid to MDR1 C3435T, G2677A/T and GSTP1 A313G for personalized chemotherapy treatment for NSCLC patients in Asian population in the future.

摘要

目的

确定非小细胞肺癌(NSCLC)患者铂类化疗的药物遗传学。

方法

从 PubMed、Cochrane 图书馆和 ISI Web of Knowledge 中选择出版物。通过检查比值比(OR)和 95%置信区间(CI),进行荟萃分析以确定遗传多态性与基于铂类的化疗之间的关联。

结果

从 24 篇出版物中提取了数据,其中包括 8 个基因中的 11 个基因多态性进行荟萃分析。MDR1 C3435T(OR = 1.97,95%CI:1.11-3.50,P = 0.02)、G2677A/T(OR = 2.61,95%CI:1.44-4.74,P = 0.002)和 GSTP1 A313G(OR = 0.32,95%CI:0.17-0.58,P = 0.0002)与亚洲 NSCLC 患者的基于铂类化疗显著相关。

结论

未来应注意 MDR1 C3435T、G2677A/T 和 GSTP1 A313G,以便为亚洲人群中的 NSCLC 患者进行个体化化疗治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/3c4858042db6/pone.0038150.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/0ada01ae0afe/pone.0038150.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/6c7f0f6b899d/pone.0038150.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/e53486d37a14/pone.0038150.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/1865a66c2df7/pone.0038150.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/a1b13a3f5d4a/pone.0038150.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/3c4858042db6/pone.0038150.g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/0ada01ae0afe/pone.0038150.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/6c7f0f6b899d/pone.0038150.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/e53486d37a14/pone.0038150.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/1865a66c2df7/pone.0038150.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/a1b13a3f5d4a/pone.0038150.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0dcb/3383686/3c4858042db6/pone.0038150.g006.jpg

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