Genetic prediction of long-term survival after neoadjuvant chemoradiation in locally advanced esophageal cancer
Year:
2017
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Referee:
No
Name of journal:
PHARMACOGENOMICS JOURNAL
ISSN of journal:
1470-269X
N° Volume:
17
Number or Folder:
3
Page numbers:
252-257
Keyword:
esophageal cancer, Genetic prediction of response
Short description of contents:
Candidate genes involved in DNA repair, 5-fluorouracil metabolism and drug detoxification were genotyped in 124 patients receiving neoadjuvant chemoradiation treatment for locally advanced esophageal cancer and their predictive role for long-term relapse-free survival (RFS) and cancer-specific survival (CSS) were evaluated. A panel including MTHFR 677TT, MDR1 2677GT, GSTP1 114CC, XPC 499CC and XPC 939AC+CC, defined as high-risk genotypes, discriminated subgroups with significantly different outcomes. When the panel was combined with histology, patients split into two subsets with 5-year RFS and CSS rates of 65% vs 27% (hazard ratio (HR) 3.0, P<0.0001) and 69% vs 31% (HR 2.9, P<0.0001), respectively. Combining the 5-single-nucleotide polymorphism (5-SNP) panel with pathological response defined two major informative risk classes with 5-year PFS and CSS rates of 79.4% vs 17.7% (HR 6.71, P<0.0001) and 79.3% vs 26.3% (HR 6.25, P<0.0001), respectively. This classification achieved a sensitivity of 79%, a specificity of 85.4% and an accuracy of 81.8%.The Pharmacogenomics Journal advance online publication, 1 March 2016; doi:10.1038/tpj.2016.9.
Product ID:
95132
Handle IRIS:
11562/955225
Last Modified:
November 15, 2022
Bibliographic citation:
Gusella, M; Giacopuzzi, Simone; Bertolaso, Loris; Zanoni, Andrea; Pezzolo, Elena; Modena, Y; Menon, D; Paganin, P; Weindelmayer, Jacopo; Crepaldi, G; DE MANZONI, Giovanni; Pasini, Felice,
Genetic prediction of long-term survival after neoadjuvant chemoradiation in locally advanced esophageal cancer«PHARMACOGENOMICS JOURNAL»
, vol. 17
, n. 3
, 2017
, pp. 252-257