Additional Genetic Risk Factor for Death in Children With Acute Lymphoblastic Leukemia: A Common Polymorphism of the MTHFR Gene

被引:17
|
作者
Pietrzyk, Jacek J. [1 ]
Bik-Multanowski, Miroslaw [1 ]
Balwierz, Walentyna [2 ]
Skoczen, Szymon [2 ]
Wojcik, Dorota [3 ]
Chybicka, Alicja [3 ]
Sikorska-Fic, Barbara [4 ]
Matysiak, Michal [4 ]
Szczepanski, Tomasz [5 ]
Sonta-Jakimczyk, Danuta [5 ]
Ploszynska, Anna [6 ]
Balcerska, Anna [6 ]
Mycko, Katarzyna [7 ]
Bodalski, Jerzy [7 ]
Krawczuk-Rybak, Maryna [8 ]
Kowalczyk, Jerzy [9 ]
Koltan, Andrzej [10 ]
Sobol, Grazyna [11 ]
Derwich, Katarzyna [12 ]
Kwinta, Przemko [1 ]
机构
[1] Jagiellonian Univ, Chair Pediat, PL-30663 Krakow, Poland
[2] Jagiellonian Univ, Dept Childrens Oncol & Hematol, PL-30663 Krakow, Poland
[3] Wroclaw Med Univ, Dept Pediat Bone Marrow Transplantat Oncol & Hema, Wroclaw, Poland
[4] Med Univ, Dept Pediat Hematol & Oncol, Warsaw, Poland
[5] Silesian Acad Med, Dept Pediat Hematol & Oncol, Zabrze, Poland
[6] Med Univ, Dept Childrens Oncol & Hematol, Gdansk, Poland
[7] Med Univ, Dept Pediat, Lodz, Poland
[8] Med Univ, Dept Childrens Oncol, Bialystok, Poland
[9] Med Univ, Dept Childrens Hematol & Oncol, Lublin, Poland
[10] Univ Coll Med, Dept Pediat Oncol & Hematol, Bydgoszcz, Poland
[11] Med Univ Silesia, Dept Pediat, Oncol Hematol & Chemotherapy Unit, Katowice, Poland
[12] Univ Med Sci, Dept Pediat Oncol Hematol & Transplantol, Poznan, Poland
关键词
DNA methylation; drug metabolism; homocysteine; mortality; pharmacogenetics; METHYLENETETRAHYDROFOLATE REDUCTASE; THYMIDYLATE SYNTHASE; CHILDHOOD; PHARMACOGENETICS; SUSCEPTIBILITY; MUTATION; THERAPY; DISEASE;
D O I
10.1002/pbc.21815
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background The presence of metabolically important genetic polymorphisms may affect treatment efficacy in patients with malignancies. The objective of this prospective multicenter study Was to evaluate the role of selected polymorphisms of genes associated with metabolism of chemotherapeutic drugs as prognostic markers in children with acute lymphoblastic leukemia. Procedure. Genotyping for the presence of 7 genetic variants in 403 patients and analysis of death cases were performed. Results. Thirty-one children died before reaching remission maintenance phase. Genetic analysis revealed in this group increased frequency of homozygosity for c.677C>T polymorphism of the MTHFR gene (26% vs. 8% in the survivors; OR 4,09; 95% CI 1.67-10; adjusted for multiple testing P=0.028). Conclusion. Our data Suggest that modification of anti-leukemic treatment should be considered in patients homozygous for c.677C>T polymorphism. Pediatr Blood Cancer 2009;52:364-368 (C) 2008 Wiley-Liss, Inc.
引用
收藏
页码:364 / 368
页数:5
相关论文
共 50 条
  • [21] Impact of ABO gene polymorphism and von Willebrand factor on genetic susceptibility to acute lymphoblastic leukemia in Egyptian pediatric patients
    Salim, Elsayed I.
    Shaaban, Ahmed N.
    Seleem, Amal K.
    Attia, Zeinab I.
    EGYPTIAN JOURNAL OF MEDICAL HUMAN GENETICS, 2025, 26 (01)
  • [22] Genetic variation and the risk of acute lymphoblastic leukemia
    Mullighan, Charles G.
    LEUKEMIA RESEARCH, 2010, 34 (10) : 1269 - 1270
  • [23] MYBL2 Gene Polymorphism Is Associated With Acute Lymphoblastic Leukemia Susceptibility in Children
    Guo, Haixia
    Li, Na
    Sun, Yaping
    Wu, Cuiling
    Deng, Huixia
    Xu, Ling
    Yang, Xu
    FRONTIERS IN ONCOLOGY, 2021, 11
  • [24] MTHFR genetic polymorphism and the risk of intrauterine fetal death in Polish women
    Wolski, Hubert
    Kurzawinska, Grazyna
    Drews, Krzysztof
    Barlik, Magdalena
    Kadziolka, Przemyslaw
    Malewski, Zbyszko
    Mikolajska-Ptas, Paula
    Bylewski, Michal
    Seremak-Mrozikiewicz, Agnieszka
    GINEKOLOGIA POLSKA, 2019, 90 (02) : 76 - 81
  • [25] RFC1 AND MTHFR GENES POLYMORPHISMS AND RISK OF PEDIATRIC ACUTE LYMPHOBLASTIC LEUKEMIA WITH COMMON ACQUIRED ALTERATIONS
    Emerenciano, Mariana
    Faro, Alessandra de Jesus
    de Aguiar Goncalves, Bruno Alves
    Zanrosso, Crisiane Wais
    Andrade, Camilla
    Cartaxo Muniz, Maria Tereza
    Pombo-de-Oliveira, Maria Socorro
    PEDIATRIC BLOOD & CANCER, 2010, 55 (05) : 849 - 850
  • [26] The influence of MTHFR genetic polymorphisms on methotrexate therapy in pediatric acute lymphoblastic leukemia
    Shen, Yaqing
    Wang, Zhujun
    Zhou, Fen
    Jin, Runming
    OPEN LIFE SCIENCES, 2021, 16 (01): : 1203 - 1212
  • [27] MTHFR C677T Polymorphism Screening: A Challenge in Acute Lymphoblastic Leukemia
    Frikha, Rim
    Rebai, Tarek
    CLINICAL LYMPHOMA MYELOMA & LEUKEMIA, 2017, 17 : S269 - S269
  • [28] Genetic polymorphisms in the cytochrome gene family and the risk of childhood acute lymphoblastic leukemia
    Scelo, G.
    Chokkalingam, A. P.
    Metayer, C.
    Guha, N.
    Barcellos, L. F.
    Wiemels, J. L.
    Wiencke, J. K.
    Buffler, P. A.
    EJC SUPPLEMENTS, 2008, 6 (09): : 207 - 207
  • [29] Induction Death of Children with Acute Lymphoblastic Leukemia in Japan
    Nakagawa, Shunsuke
    Okamoto, Yasuhiro
    Imamura, Toshihiko
    Imai, Chihaya
    Kato, Motohiro
    Kawano, Yoshifumi
    Shimomura, Yasuto
    Watanabe, Arata
    Kikuta, Atsushi
    Saito, Akiko
    Horibe, Keizo
    Manabe, Atsushi
    Ohara, Akira
    Koh, Katsuyoshi
    PEDIATRIC BLOOD & CANCER, 2018, 65 : S16 - S16
  • [30] EVALUATION OF DEATH AT HOME FOR CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA
    FORTUNATO, RP
    KOMP, DM
    CLINICAL RESEARCH, 1977, 25 (01): : A74 - A74