Potential Gene Association Studies of Chemotherapy-Induced Cardiotoxicity: A Systematic Review and Meta-Analysis

Frontiers in Cardiovascular Medicine

Saumya Das¹  Aneesh Bapat¹  Guoping Li¹  Changyong Luo²  Ye Gong³  Fan Yang⁴  Yanwei Xing⁴  Hongcai Shang⁵  Manke Guan⁵  Qianqian Dai⁵  Haie Pan⁵  Tao Yang⁵  Wenjing Liu⁵  Yonghong Gao⁵  Changming Zhong⁵  Na An⁶  Xinyu Yang⁷  Pengqian Wang⁸ 

[1] Cardiovascular Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States;College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China;Department of Critical Care Medicine, Shanghai Medical College, Huashan Hospital, Fudan University, Shanghai, China;Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China;Key Laboratory of Chinese Internal Medicine of the Ministry of Education, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China;Key Laboratory of Chinese Internal Medicine of the Ministry of Education, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China;Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China;Key Laboratory of Chinese Internal Medicine of the Ministry of Education, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China;Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China;Cardiovascular Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States;Key Laboratory of Chinese Internal Medicine of the Ministry of Education, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China;Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing, China;

关键词: chemotherapy;    cardiotoxicity;    gene;    SNPs;    meta-analysis;   

DOI  :  10.3389/fcvm.2021.651269

来源: Frontiers

【 摘 要 】

Chemotherapy is widely used in the treatment of cancer patients, but the cardiotoxicity induced by chemotherapy is still a major concern to most clinicians. Currently, genetic methods have been used to detect patients with high risk of chemotherapy-induced cardiotoxicity (CIC), and our study evaluated the correlation between genomic variants and CIC. The systematic literature search was performed in the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), China Biology Medicine disc (CBMdisc), the Embase database, China National Knowledge Internet (CNKI) and Wanfang database from inception until June 2020. Forty-one studies were identified that examined the relationship between genetic variations and CIC. And these studies examined 88 different genes and 154 single nucleotide polymorphisms (SNPs). Our study indicated 6 variants obviously associated with the increased risk for CIC, including CYBA rs4673 (pooled odds ratio, 1.93; 95% CI, 1.13–3.30), RAC2 rs13058338 (2.05; 1.11–3.78), CYP3A5 rs776746 (2.15; 1.00–4.62) ABCC1 rs45511401 (1.46; 1.05–2.01), ABCC2 rs8187710 (2.19; 1.38–3.48), and HER2-Ile655Val rs1136201 (2.48; 1.53–4.02). Although further studies are required to validate the diagnostic and prognostic roles of these 6 variants in predicting CIC, our study emphasizes the promising benefits of pharmacogenomic screening before chemotherapy to minimize the CIC.

【 授权许可】

CC BY