Knoerl Robert, Mazzola Emanuele, Pazyra-Murphy Maria F, Frazier Lindsay, Freeman Roy, Hammer Marilyn J, LaCasce Ann S, Ligibel Jennifer, Luskin Marlise R, Berry Donna L, Segal Rosalind A
Robert Knoerl.
Emanuele Mazzola.
Oncol Nurs Forum. 2025 Aug 18;52(5):323-329. doi: 10.1188/25.ONF.323-329.
To determine the relationship between chemotherapy-induced peripheral neuropathy (CIPN) severity and centrosomal protein 72 (CEP72) genotype in young adults receiving paclitaxel or vincristine.
SAMPLE & SETTING: 50 young adults aged 21-39 years who were expected to receive a cumulative dose of at least 7 mg vincristine or 700 mg/m2 paclitaxel for the treatment of cancer were recruited from Dana-Farber Cancer Institute.
METHODS & VARIABLES: Participants completed a CIPN assessment tool and provided a blood sample before the first infusion. Participants completed the assessment tool at two additional time points. DNA was genotyped for CEP72 rs924607. CIPN scores were compared between those with the TT versus the CC or CT genotype over time using linear mixed-effects models.
Young adults receiving vincristine with the TT CEP72 genotype experienced higher CIPN severity by the final time point, but the differences were not statistically significant (p > 0.05).
Future work to validate biomarkers like CEP72 may allow clinicians to identify patients who may benefit from altered chemotherapy dosages relative to CIPN risk.
确定接受紫杉醇或长春新碱治疗的年轻成年人中,化疗引起的周围神经病变(CIPN)严重程度与中心体蛋白72(CEP72)基因型之间的关系。
从丹娜-法伯癌症研究所招募了50名年龄在21至39岁之间、预计接受至少7毫克长春新碱或700毫克/平方米紫杉醇累积剂量以治疗癌症的年轻成年人。
参与者在首次输注前完成了CIPN评估工具并提供了血样。参与者在另外两个时间点完成了评估工具。对CEP72 rs924607进行基因分型。使用线性混合效应模型比较TT基因型与CC或CT基因型参与者随时间变化的CIPN评分。
到最后时间点,携带TT CEP72基因型接受长春新碱治疗的年轻成年人CIPN严重程度更高,但差异无统计学意义(p>0.05)。
未来验证CEP72等生物标志物的工作可能使临床医生能够识别出相对于CIPN风险可能从调整化疗剂量中获益的患者。