Title Genetic Effects and Modifiers of Radiotherapy and Chemotherapy on Survival in Pancreatic Cancer
Authors Zeng, Hongmei
Yu, Herbert
Lu, Lingeng
Jain, Dhanpat
Kidd, Mark S.
Saif, M. Wasif
Chanock, Stephen J.
Hartge, Patricia
Risch, Harvey A.
Affiliation Yale Univ, Dept Epidemiol & Publ Hlth, Sch Publ Hlth, New Haven, CT 06520 USA.
Peking Univ, Key Lab Carcinogenesis & Translat Res, Beijing Canc Hosp & Inst, Minist Educ,Dept Canc Epidemiol,Sch Oncol, Beijing 100871, Peoples R China.
Yale Univ, Sch Med, Dept Pathol, New Haven, CT 06520 USA.
Yale Univ, Sch Med, Dept Surg, New Haven, CT 06520 USA.
Columbia Univ Coll Phys & Surg, Dept Med, Div Hematol Oncol, New York, NY 10032 USA.
NCI, Lab Translat Genom, Div Canc Epidemiol & Genet, Natl Inst Hlth,Dept Hlth & Human Serv, Bethesda, MD 20892 USA.
Yale Univ, Dept Epidemiol & Publ Hlth, Sch Publ Hlth, POB 208034, New Haven, CT 06520 USA.
Keywords pancreatic neoplasms
survival
genetic heterogeneity
polymorphism
single nucleotide
prognosis
SINGLE-NUCLEOTIDE POLYMORPHISMS
ENDOTHELIAL GROWTH-FACTOR
GENOME-WIDE ASSOCIATION
S-TRANSFERASE-PI
INCREASED EXPRESSION
GEMCITABINE
ADENOCARCINOMA
TRIAL
ALPHA-1-ANTITRYPSIN
SUSCEPTIBILITY
Issue Date 2011
Publisher pancreas
Citation PANCREAS.2011,40,(5),657-663.
Abstract Objectives: Germ-line genetic variation may affect clinical outcomes of cancer patients. We applied a candidate-gene approach to evaluate the effect of putative markers on survival of patients with pancreatic cancer. We also examined gene-radiotherapy and gene-chemotherapy interactions, aiming to explain interindividual differences in treatment outcomes. Methods: In total, 211 patients with pancreatic cancer were recruited in a population-based study. Sixty-four candidate genes associated with cancer survival or treatment response were selected from existing publications. Genotype information was obtained from a previous genome-wide association study data set. The main effects of genetic variation and gene-specific treatment interactions on overall survival were examined by proportional hazards regression models. Results: Fourteen genes showed evidence of association with pancreatic cancer survival. Among these, rs1760217, located at the DPYD gene; rs17091162 at SERPINA3; and rs2231164 at ABCG2 had the lowest P of 10(-4.60), 0.0013, and 0.0023, respectively. We also observed that 2 genes, RRM1 and IQGAP2, had significant interactions with radiotherapy in association with survival, and 2 others, TYMS and MET, showed evidence of interaction with 5-fluorouracil and erlotinib, respectively. Conclusions: Our study suggested significant associations between germ-line genetic polymorphisms and overall survival in pancreatic cancer, as well as survival interactions between various genes and radiotherapy and chemotherapy.
URI http://hdl.handle.net/20.500.11897/394700
ISSN 0885-3177
DOI 10.1097/MPA.0b013e31821268d1
Indexed SCI(E)
Appears in Collections: 北京肿瘤医院

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