Pharmacogenomics of gemcitabine in non-small-cell lung cancer and other solid tumors

被引:44
作者
Danesi, Romano [1 ]
Altavilla, Giuseppe [2 ]
Giovannetti, Elisa [1 ]
Rosell, Raffael [3 ]
机构
[1] Univ Pisa, Div Pharmacol & Chemotherapy, Dept Internal Med, I-56126 Pisa, Italy
[2] Univ Messina, Dept Med Oncol, I-98100 Messina, Italy
[3] Hosp Badalona Germans Trias & Pujol, Catalan Inst Oncol, Barcelona, Spain
关键词
gemcitabine; metabolism; non-small-cell lung cancer; NSCLC; pancreatic cancer; pharmacogenetics; targets; uptake; SINGLE-NUCLEOTIDE POLYMORPHISMS; EQUILIBRATIVE NUCLEOSIDE TRANSPORTER-1; MESSENGER-RNA EXPRESSION; CYTIDINE-DEAMINASE GENE; DEOXYCYTIDINE KINASE; RIBONUCLEOTIDE REDUCTASE; PANCREATIC-CANCER; IN-VITRO; FUNCTIONAL-CHARACTERIZATION; DNA-REPAIR;
D O I
10.2217/14622416.10.1.69
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The validation of predictive biomarkers to tailor chemotherapy is a key issue in the development of effective treatment modalities against cancer. Examples of how genetics might affect drug response are offered by gemcitabine. A substantial number of potential biomarkers for sensitivity or resistance to gemcitabine have been proposed, including ribonucleotide reductase and cytidine deaminase polymorphisms, human equilibrative transporter-1 and ribonucleotide reductase gene-expression and AKT phosphorylation status. These markers displayed a significant relationship with disease response to the drug; however, their robustness needs to be evaluated within prospective studies. Moreover, recent trials of customized chemotherapy based on genetic markers have been carried out in non-small-cell lung cancer and promising pharmacogenetic determinants are gaining momentum, including BRCA1 and ERCC1. Hopefully, biomarkers to select patients most likely to respond to gemcitabine will be validated in the near future.
引用
收藏
页码:69 / 80
页数:12
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