Detection of relevant pharmacogenetic information through exome sequencing in oncology

Autor: Simon Verdez, Juliette Albuisson, Yannis Duffourd, Romain Boidot, Manon Reda, Christel Thauvin-Robinet, Jean-David Fumet, Sylvain Ladoire, Sophie Nambot, Patrick Callier, Laurence Faivre, François Ghiringhelli, Nicolas Picard
Rok vydání: 2022
Předmět:
Zdroj: Pharmacogenomics. 23:759-770
ISSN: 1744-8042
1462-2416
Popis: Background: Germline sequencing of individual genomes can detect alleles responsible for adverse drug reactions (ADRs) in relation to chemotherapy, targeted agents, antiemetics or pain treatment. Materials & methods: To evaluate the interest of such pharmacogenetic information, the authors retrospectively analyzed genes known to have an impact on cancer therapy in a cohort of 445 solid cancers patients. Results: Six patients treated with 5-fluorouracil carrying one DPYD variant classified as 1A showed decreased drug mean clearance (p = 0.01). Regarding CYP2D6, all patients (n = 5) with predicted CYP2D6 poor or ultra-rapid metabolizer status experienced adverse drug reactions related to opioid therapy. Conclusion: Genomic germline sequencing performed for theragnostic issues in patients with a solid tumor, can provide relevant information about common pharmacogenetic alleles.
Databáze: OpenAIRE