Department of Pharmacy, Huashan Hospital, Fudan University School of Medicine, Shanghai, 200040, China.
Department of Neurosurgery, Huashan Hospital, Fudan University School of Medicine, Shanghai, 200040, China.
Eur J Pharmacol. 2021 Dec 5;912:174580. doi: 10.1016/j.ejphar.2021.174580. Epub 2021 Oct 19.
Recent developments in pharmacogenomics have created opportunities for predicting temozolomide response in gliomas. Temozolomide is the main first-line alkylating chemotherapeutic drug together with radiotherapy as standard treatments of high-risk gliomas after surgery. However, there are great individual differences in temozolomide response. Besides the heterogeneity of gliomas, pharmacogenomics relevant genetic polymorphisms can not only affect pharmacokinetics of temozolomide but also change anti-tumor effects of temozolomide. This review will summarize pharmacogenomic studies of temozolomide in gliomas which can lay the foundation to personalized chemotherapy.
近年来,药物基因组学的发展为预测脑胶质瘤对替莫唑胺的反应提供了机会。替莫唑胺是手术切除后高危脑胶质瘤标准治疗方案中的主要一线烷化化疗药物,与放疗联合应用。然而,替莫唑胺的反应存在很大的个体差异。除了脑胶质瘤的异质性外,药物基因组学相关的遗传多态性不仅可以影响替莫唑胺的药代动力学,还可以改变替莫唑胺的抗肿瘤作用。本综述将总结替莫唑胺在脑胶质瘤中的药物基因组学研究,为个体化化疗奠定基础。