Pharmacogenetic analysis of liver toxicity after busulfan/cyclophosphamide-based allogeneic hematopoietic stem cell transplantation.

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Pharmacogenetic analysis of liver toxicity after busulfan/cyclophosphamide-based allogeneic hematopoietic stem cell transplantation. / Goekkurt, Eray; Stoehlmacher, Jan; Stueber, Christian; Wolschke, Christine; Eiermann, Thomas; Iacobelli, Simona; Zander, Axel R.; Ehninger, Gerhard; Kröger, Nicolaus.

In: ANTICANCER RES, Vol. 27, No. 6, 6, 2007, p. 4377-4380.

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@article{597f0dbafb13402d926f7cba4c7d3fd1,
title = "Pharmacogenetic analysis of liver toxicity after busulfan/cyclophosphamide-based allogeneic hematopoietic stem cell transplantation.",
abstract = "THE AIM of this study was to evaluate the impact of genomic polymorphisms of methylene-tetrahydrofolate-reductase (MTHFR-C677T, MTHFR-A1298C) and various glutathione S-transferases (GSTP1-Ilel05Val, GSTA1*a/b, GSTM1, GSTT1) on the occurrence of liver toxicity in patients receiving allogeneic hematopoietic stem cell transplantation (HSCT). PATIENTS AND METHODS: Eighty-four adult patients were enrolled in this retrospective study. All patients were treated with busulfan/cyclophosphamide as a conditioning regimen and received cyclosporine and short-course MTX for GvHD prophylaxis. Genotyping was performed using PCR based restriction-fragment-length-polymorphism (RFLP) techniques. RESULTS: Multivariate analysis identified the MTHFR-A1298C polymorphism as an independent predictor for maximum levels of bilirubin (p=0.0025) and duration of hyperbilirubinaemia (p=0.013). Furthermore, there was an association between this polymorphism and the occurrence of the sinusoidal obstruction syndrome (SOS) (p=0.048). No significant associations between the MTHFR-C677T or the various GST polymorphisms and liver toxicity were observed. CONCLUSION: The MTHFR-A1298C polymorphism might be associated with liver toxicity in patients receiving allogeneic HSCT.",
author = "Eray Goekkurt and Jan Stoehlmacher and Christian Stueber and Christine Wolschke and Thomas Eiermann and Simona Iacobelli and Zander, {Axel R.} and Gerhard Ehninger and Nicolaus Kr{\"o}ger",
year = "2007",
language = "Deutsch",
volume = "27",
pages = "4377--4380",
journal = "ANTICANCER RES",
issn = "0250-7005",
publisher = "International Institute of Anticancer Research",
number = "6",

}

RIS

TY - JOUR

T1 - Pharmacogenetic analysis of liver toxicity after busulfan/cyclophosphamide-based allogeneic hematopoietic stem cell transplantation.

AU - Goekkurt, Eray

AU - Stoehlmacher, Jan

AU - Stueber, Christian

AU - Wolschke, Christine

AU - Eiermann, Thomas

AU - Iacobelli, Simona

AU - Zander, Axel R.

AU - Ehninger, Gerhard

AU - Kröger, Nicolaus

PY - 2007

Y1 - 2007

N2 - THE AIM of this study was to evaluate the impact of genomic polymorphisms of methylene-tetrahydrofolate-reductase (MTHFR-C677T, MTHFR-A1298C) and various glutathione S-transferases (GSTP1-Ilel05Val, GSTA1*a/b, GSTM1, GSTT1) on the occurrence of liver toxicity in patients receiving allogeneic hematopoietic stem cell transplantation (HSCT). PATIENTS AND METHODS: Eighty-four adult patients were enrolled in this retrospective study. All patients were treated with busulfan/cyclophosphamide as a conditioning regimen and received cyclosporine and short-course MTX for GvHD prophylaxis. Genotyping was performed using PCR based restriction-fragment-length-polymorphism (RFLP) techniques. RESULTS: Multivariate analysis identified the MTHFR-A1298C polymorphism as an independent predictor for maximum levels of bilirubin (p=0.0025) and duration of hyperbilirubinaemia (p=0.013). Furthermore, there was an association between this polymorphism and the occurrence of the sinusoidal obstruction syndrome (SOS) (p=0.048). No significant associations between the MTHFR-C677T or the various GST polymorphisms and liver toxicity were observed. CONCLUSION: The MTHFR-A1298C polymorphism might be associated with liver toxicity in patients receiving allogeneic HSCT.

AB - THE AIM of this study was to evaluate the impact of genomic polymorphisms of methylene-tetrahydrofolate-reductase (MTHFR-C677T, MTHFR-A1298C) and various glutathione S-transferases (GSTP1-Ilel05Val, GSTA1*a/b, GSTM1, GSTT1) on the occurrence of liver toxicity in patients receiving allogeneic hematopoietic stem cell transplantation (HSCT). PATIENTS AND METHODS: Eighty-four adult patients were enrolled in this retrospective study. All patients were treated with busulfan/cyclophosphamide as a conditioning regimen and received cyclosporine and short-course MTX for GvHD prophylaxis. Genotyping was performed using PCR based restriction-fragment-length-polymorphism (RFLP) techniques. RESULTS: Multivariate analysis identified the MTHFR-A1298C polymorphism as an independent predictor for maximum levels of bilirubin (p=0.0025) and duration of hyperbilirubinaemia (p=0.013). Furthermore, there was an association between this polymorphism and the occurrence of the sinusoidal obstruction syndrome (SOS) (p=0.048). No significant associations between the MTHFR-C677T or the various GST polymorphisms and liver toxicity were observed. CONCLUSION: The MTHFR-A1298C polymorphism might be associated with liver toxicity in patients receiving allogeneic HSCT.

M3 - SCORING: Zeitschriftenaufsatz

VL - 27

SP - 4377

EP - 4380

JO - ANTICANCER RES

JF - ANTICANCER RES

SN - 0250-7005

IS - 6

M1 - 6

ER -