Hurkmans Evelien G E, Klumpers Marije J, Dello Russo Cinzia, De Witte Ward, Guchelaar Henk-Jan, Gelderblom Hans, Cleton-Jansen Anne-Marie, Vermeulen Sita H, Kaal Suzanne, van der Graaf Winette T A, Flucke Uta, Gidding Corrie E M, Schreuder Hendrik W B, de Bont Eveline S J M, Caron Huib N, Gattuso Giovanna, Schiavello Elisabetta, Terenziani Monica, Massimino Maura, McCowage Geoff, Nagabushan Sumanth, Limaye Anuja, Rose Victoria, Catchpoole Daniel, Jorgensen Andrea L, Barton Christopher, Delaney Lucy, Hawcutt Daniel B, Pirmohamed Munir, Pizer Barry, Coenen Marieke J H, Te Loo D Maroeska W M
Department of Human Genetics, Radboud University Medical Center, Nijmegen, Netherlands.
Department of Pediatrics, Radboud University Medical Center, Nijmegen, Netherlands.
Front Pharmacol. 2023 Jan 9;13:980309. doi: 10.3389/fphar.2022.980309. eCollection 2022.
Hearing loss (ototoxicity) is a major adverse effect of cisplatin and carboplatin chemotherapy. The aim of this study is to identify novel genetic variants that play a role in platinum-induced ototoxicity. Therefore, a genome-wide association study was performed in the Genetics of Childhood Cancer Treatment (GO-CAT) cohort (n = 261) and the United Kingdom Molecular Genetics of Adverse Drug Reactions in Children Study (United Kingdom MAGIC) cohort (n = 248). Results of both cohorts were combined in a meta-analysis. In primary analysis, patients with SIOP Boston Ototoxicity Scale grade ≥1 were considered cases, and patients with grade 0 were controls. Variants with a -value <10 were replicated in previously published data by the PanCareLIFE cohort (n = 390). No genome-wide significant associations were found, but variants in and were suggestively associated with platinum-induced ototoxicity. The lowest -value was found for rs7671702 in (odds ratio 2.0 (95% confidence interval 1.5-2.7), -value 5.0 × 10). None of the associations were significant in the replication cohort, although the effect directions were consistent among all cohorts. Validation and functional understanding of these genetic variants could lead to more insights in the development of platinum-induced ototoxicity.
听力损失(耳毒性)是顺铂和卡铂化疗的主要不良反应。本研究的目的是确定在铂类药物诱导的耳毒性中起作用的新基因变异。因此,在儿童癌症治疗遗传学(GO-CAT)队列(n = 261)和英国儿童药物不良反应分子遗传学研究(英国MAGIC)队列(n = 248)中进行了全基因组关联研究。两个队列的结果在荟萃分析中合并。在初步分析中,SIOP波士顿耳毒性量表分级≥1的患者被视为病例,分级为0的患者为对照。P值<10的变异在PanCareLIFE队列(n = 390)先前发表的数据中进行了重复验证。未发现全基因组显著关联,但发现某些基因中的变异与铂类药物诱导的耳毒性存在提示性关联。在某基因中rs7671702的P值最低(优势比2.0(95%置信区间1.5 - 2.7),P值5.0×10)。尽管所有队列中的效应方向一致,但在重复验证队列中这些关联均不显著。对这些基因变异的验证和功能理解可能会为铂类药物诱导耳毒性的发生机制提供更多见解。