Efficacy of doxorubicin and lipiodol therapy by trans-arterial chemoembolization in hepatocellular carcinoma Egyptian patients and relation to genetic polymorphisms.
| Autor: | Werida RH; Clinical Pharmacy and Pharmacy Practice Department, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt., Abd El Baset OA; Department of Clinical pharmacy and pharmacy practice, Faculty of pharmacy, Egyptian Russian University, Cairo, Egypt., Askar S; Tropical Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., El-Mohamdy M; Clinical Pathology Department, Faculty of Medicine, Ain Shams university, Cairo, Egypt., Omran GA; Department of Biochemistry, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt., Hagag RS; Department of Clinical pharmacy and pharmacy practice, Faculty of pharmacy, Egyptian Russian University, Cairo, Egypt. |
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| Jazyk: | angličtina |
| Zdroj: | Expert review of anticancer therapy [Expert Rev Anticancer Ther] 2024 Oct; Vol. 24 (10), pp. 1009-1020. Date of Electronic Publication: 2024 Aug 21. |
| DOI: | 10.1080/14737140.2024.2391364 |
| Abstrakt: | Background: Genetic polymorphisms play a crucial role in predicting treatment efficacy in patients with hepatocellular carcinoma (HCC). This study aims to evaluate the response to Transarterial Chemoembolization (TACE) in relation to the genetic polymorphisms of interleukin 28B (IL28B) and angiopoietin-2 (ANGPT2) in HCC patients. Research Design and Methods: Prospective cohort study conducted on 104 eligible HCC Egyptian patients who underwent TACE using doxorubicin and lipiodol. Genotyping of the IL28B and ANGPT2 genes was performed with laboratory data analysis. Results: At baseline IL28B rs12979860 genotypes C/T, C/C and T/T appeared in 43.9%, 34.6% and 21.5% while ANGPT2 rs55633437 genotypes C/C, C/A and A/A found in 71.03%, 28.04% and 0.93% of patients respectively. After one month of therapy, 51.4% of patients achieved a complete response. There was a significant difference in relation to IL28B rs12979860 genotypes ( p = 0.017) whereas ANGPT2 rs55633437 genotypes ( p = 0.432) showed no significant difference in patient response after one month of TACE. Conclusion: This study demonstrates the effectiveness of TACE in Egyptian HCC patients, as evidenced by low recurrence rates. Furthermore, the IL28B rs12979860 (C/T) gene may be associated with the efficacy and prognosis of TACE treatment in HCC Egyptian patients. Trial Registration: The trial is registered at ClinicalTrials.gov (CT.gov identifier: NCT05291338). |
| Databáze: | MEDLINE |
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