Genetic variants of GADD45A, GADD45B and MAPK14 predict platinum-based chemotherapy-induced toxicities in Chinese patients with non-small cell lung cancer.

dc.contributor.author

Jia, Ming

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Zhu, Meiling

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Wang, Mengyun

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Sun, Menghong

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Qian, Ji

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Ding, Fei

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Chang, Jianhua

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Wei, Qingyi

dc.date.accessioned

2019-02-01T15:22:44Z

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2019-02-01T15:22:44Z

dc.date.issued

2016-05

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2019-02-01T15:22:40Z

dc.description.abstract

The JNK and P38α pathways play a crucial role in tissue homeostasis, apoptosis and autophagy under genotoxic stresses, but it is unclear whether single nucleotide polymorphisms (SNPs) of genes in these pathways play a role in platinum-based chemotherapy-induced toxicities in patients with advanced non-small cell lung cancer (NSCLC). We genotyped 11 selected, independent, potentially functional SNPs of nine genes in the JNK and P38α pathways in 689 patients with advanced NSCLC treated with platinum-combination chemotherapy regimens. Associations between these SNPs and chemotherapy toxicities were tested in a discovery group of 345 patients and then validated in a replication group of 344 patients. In both discovery and validation groups as well as their pooled analysis, carriers of GADD45B rs2024144T variant allele had a significantly higher risk for severe hematologic toxicity and carriers of MAPK14 rs3804451A variant allele had a significantly higher risk for both overall toxicity and gastrointestinal toxicity. In addition, carriers of GADD45A rs581000C had a lower risk of anemia, while carriers of GADD45B rs2024144T had a significantly higher risk for leukocytopenia or agranulocytosis. The present study provides evidence that genetic variants in genes involved in the JNK and P38α pathways may predict platinum-based chemotherapy toxicity outcomes in patients with advanced NSCLC. Larger studies of other patient populations are needed to validate our findings.

dc.identifier

8052

dc.identifier.issn

1949-2553

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1949-2553

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https://hdl.handle.net/10161/18005

dc.language

eng

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Impact Journals, LLC

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Oncotarget

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10.18632/oncotarget.8052

dc.subject

Humans

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Carcinoma, Non-Small-Cell Lung

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Lung Neoplasms

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Genetic Predisposition to Disease

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Cisplatin

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Carboplatin

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Mitogen-Activated Protein Kinase 14

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Cell Cycle Proteins

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Nuclear Proteins

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Antineoplastic Combined Chemotherapy Protocols

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Antigens, Differentiation

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Genotype

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Polymorphism, Single Nucleotide

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Adult

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Aged

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Aged, 80 and over

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Middle Aged

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Asian Continental Ancestry Group

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Female

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Male

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Young Adult

dc.title

Genetic variants of GADD45A, GADD45B and MAPK14 predict platinum-based chemotherapy-induced toxicities in Chinese patients with non-small cell lung cancer.

dc.type

Journal article

duke.contributor.orcid

Wei, Qingyi|0000-0002-3845-9445

pubs.begin-page

25291

pubs.end-page

25303

pubs.issue

18

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School of Medicine

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Duke

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Duke Cancer Institute

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Institutes and Centers

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Population Health Sciences

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Basic Science Departments

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Medicine, Medical Oncology

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Medicine

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Clinical Science Departments

pubs.publication-status

Published

pubs.volume

7

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