Influence of SLCO1B1 polymorphism on maintenance therapy for childhood leukemia. Issue 4 (August 2015)

• Record Type: Journal Article
• Authors: Suzuki, Ryoko; Fukushima, Hiroko; Noguchi, Emiko; Tsuchida, Masahiro; Kiyokawa, Nobutaka; Koike, Kazutoshi; Ma, Enbo; Takahashi, Hideto; Kobayashi, Chie; Nakajima‐Yamaguchi, Ryoko; Sakai, Aiko; Saito, Makoto; Iwabuchi, Atsushi; Kato, Keisuke; Nakao, Tomohei; Yoshimi, Ai; Sumazaki, Ryo; Fukushima, Takashi
• Is Part Of: Pediatrics international. Volume 57:Issue 4(2015)
• Page Start: 572
• Page End: 577
• Publication Date: 2015-08
• Subjects: Pediatrics -- Periodicals; 618.92
• DOI: 10.1111/ped.12682
• Languages: English
• ISSNs: 1328-8067

Abstract

<abstract abstract-type="main"> <title> <bold>Abstract</bold> </title> <sec id="ped12682-sec-0002" sec-type="section"> <title>Background</title> <p>Management of the adverse effects of chemotherapy is essential to improve outcome of children with leukemia. Some genetic polymorphisms can predict treatment‐related toxicity, and be used individually in dose modification of 6‐mercaptopurine (6‐MP) and methotrexate (MTX) in maintenance therapy for childhood acute lymphoblastic leukemia (ALL). We investigated associations between clinical course and candidate gene polymorphisms less evaluated in Japanese patients.</p> </sec> <sec id="ped12682-sec-0003" sec-type="section"> <title>Methods</title> <p>Fifty‐three children who received maintenance chemotherapy were enrolled in this study. The scheduled dose of oral 6‐MP was 40 mg/m<sup>2</sup> daily and that of oral MTX was 25 mg/m<sup>2</sup> weekly. The doses were adjusted according to white blood cell count (target range, 2.5–3.5 × 10<sup>9</sup>/L) and aspartate aminotransferase and alanine aminotransferase level (<750 IU/L). Eight polymorphisms in six candidate genes, <italic>TPMT</italic>, <italic>ITPA</italic>, <italic>MRP4</italic>, <italic>MTHFR</italic>, <italic>RFC1</italic>, and <italic>SLCO1B1</italic>, were genotyped using the Taqman PCR method. Clinical course was reviewed retrospectively from medical records.</p> </sec> <sec id="ped12682-sec-0004" sec-type="section"> <title>Results</title> <p>The average dose of 6‐MP was lower in the patients with at least one variant allele at <italic>SLCO1B1</italic> c.521 T > C than in the patients with wild homozygous genotype. The other analyzed polymorphisms were not associated with toxicity, 6‐MP, or MTX dose.</p> </sec> <sec id="ped12682-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Polymorphism of <italic>SLCO1B1</italic> c.521 T > C could be a strong predictor of 6‐MP dose reduction in maintenance chemotherapy in childhood ALL.</p> </sec> </abstract>