Genetic predictors of taxane-induced neurotoxicity in a SWOG phase III intergroup adjuvant breast cancer treatment trial (S0221)
- 16 July 2011
- journal article
- research article
- Published by Springer Nature in Breast Cancer Research and Treatment
- Vol. 130 (3), 993-1002
- https://doi.org/10.1007/s10549-011-1671-3
Abstract
Taxanes have resulted in improved survival for breast cancer patients, but often cause neurological toxicities. Identification of biomarkers related to toxicities could be important for dictating treatment regimen. We evaluated single nucleotide polymorphisms (SNPs) in the Fanconi Anemia (FA)/BRCA pathway in relation to grade 3/4 neurotoxicities in patients (n = 888) from SWOG0221, a phase III adjuvant trial for breast cancer of 4 dose/schedules of cyclophosphamide (C), doxorubicin (A), and paclitaxel (T). In a separate cohort, we measured the correlation of significant FANCD2 SNPs with corresponding gene expression. For FANCD2, permutation testing revealed that 4 (out of 20) SNPs were significantly associated with an almost two-fold increased risk of toxicity. Two FANCD2 haplotypes were also associated with neurological toxicity, with odds ratios (OR) in the overall population of 1.8 (95% confidence interval (CI) 1.3, 2.5) and 1.7 (95% CI, 1.2, 2.4). Although numbers were small, an African-American-specific haplotype was associated with an almost 3-fold increase in risk of neurologic toxicity (OR = 2.84, 95% CI = 1.2, 6.9). Expression analyses revealed that significant FANCD2 SNPs were associated with FANCD2 expression levels (P = 0.03). There were no associations between SNPs in BRCA1 and neurotoxicities. In this trial of CA+T for breast cancer, SNPs in FANCD2, but not in BRCA1, were associated with a 70–80% increase in the odds of grade 3/4 neurological toxicities and increased expression of the gene. If replicated, women with these genotypes should be closely monitored for toxicities and could be targeted for preventive measures or alternative therapeutic approaches.Keywords
This publication has 26 references indexed in Scilit:
- Chromosomal instability determines taxane responseProceedings of the National Academy of Sciences, 2009
- Human Cancer Cells Commonly Acquire DNA Damage during Mitotic ArrestCancer Research, 2007
- Taxanes, microtubules and chemoresistant breast cancerBiochimica et Biophysica Acta (BBA) - Reviews on Cancer, 2007
- Sequential Adjuvant Epirubicin-Based and Docetaxel Chemotherapy for Node-Positive Breast Cancer Patients: The FNCLCC PACS 01 TrialJournal of Clinical Oncology, 2006
- Comparison of three methods to estimate genetic ancestry and control for stratification in genetic association studies among admixed populationsHuman Genetics, 2005
- TAC — A New Standard in Adjuvant Therapy for Breast Cancer?New England Journal of Medicine, 2005
- Adjuvant Docetaxel for Node-Positive Breast CancerNew England Journal of Medicine, 2005
- The Role of BRCA1 in the Cellular Response to ChemotherapyJNCI Journal of the National Cancer Institute, 2004
- Tracing the network connecting brca and fanconi anaemia proteinsNature Reviews Cancer, 2004
- The Structure of Haplotype Blocks in the Human GenomeScience, 2002