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Table 3 Study design, population characteristics and outcomes of hypothesis-generating pharmacogenetic studies investigating bone marrow- hepato- oto- nephrotoxicity or mucositis in patients with osteosarcoma

From: Pharmacogenetics of chemotherapy treatment response and -toxicities in patients with osteosarcoma: a systematic review

Author, year

Study design

     

Associated phenotype(s)

Associated variant(s)

Ref

Study approach

No. of osteosarcoma patients

Follow-up time

Ethnicity; nationality

Investigated number of variants and genes

Investigated phenotypes

Gong et al., 2021

Pathway approach

7 of 80

NS

NS; Chinese

23 variants in 15 drug metabolizing and transport genes

Mucositis

Mucositis

ABCB1 rs1128503

[26]

ABCB1 rs1045642

MTHFR rs1801133

Hattinger et al., 2016

Pathway approach

57

NS

NS; Italian

45 variants in 31 drug metabolism and transport genes

Leukopenia, thrombocytopenia, red blood cell transfusion, platelet transfusion, hepatotoxicity

Leukopenia

ABCC2 rs2273697a

[35]

MTHFR rs1801131a

Thrombocytopenia

ABCC2 rs2273697a

XPD rs1799793a

Hepatotoxicity

ABCB1 rs1128503a

ABCC2 rs2273697a

GGH rs1800909HWa

Hegyi et al., 2017

Pathway approach

59

NS

NS; Hungarian

29 variants in ABCB1, ABCC1, ABCC2, ABCC3, ABCC10, ABCG2, GGH, SLC19A1, NR1I2

Leukocyte/ neutrophil granulocyte count

Myelotoxicity

ABCC2 rs2273697a

[60]

ABCC2 rs3740066a

NR1I2 rs3732361a

NR1I2 rs3814058a

NR1I2 rs6785049a

Hepatotoxicity

NR1I2 rs3732361a

NR1I2 rs3814058a

NR1I2 rs6785049a

Hurkmans et al., 2020

ADME panel

113

NS

Caucasian; Dutch, Spanish, Australian

1936 variants in 231 ADME genes

Creatinine, ALAT, ASAT, hemoglobin, thrombocyte, leukocyte and neutrophil counts

Thrombocyte counts

CYP2B6 rs4803418

[61]

CYP4F8 rs4808326

CYP2B6 rs4803419

Meijer et al., 2021

GWAS

Stage 1: 208 (of 390)

Cases: 0.4 (0–3) years

Controls: 0.3 (0–2.5)

NS; European

NS

Ototoxicity

Ototoxicity

TCERGL1 rs893507a

[25]

Stage 2: 49 (of 192)

Cases: 0.7 (0.2–11.4)

Controls: 0.8 (0.1–16.2)

NS; Canadian

    

Stage 3: 111 (of 188)

Cases: 1.6 (0–17.2)

Controls 1.7 (0–11.8)

NS; European

    

Windsor et al., 2012

Pathway approach

58

41 (12–93) months

Caucasian: 41

36 variants in 21 pharmacological pathway genes of MAP

Anemia, leucopenia, myelo-suppression, GFR, infection

Leucopenia

ERCC1 rs3212986a

[37]

Afro-Caribbean: 8

GSTP1 rs1695a

Indian/Asian: 9

ABCC2 rs17222723a

Anemia

MTHFD1 rs2236225a

MTHFR rs1801131a

CYBA rs4673a

Infection

XPC rs2228001a

Nephrotoxicity

ERCC2 rs13181a

MTHFR rs1801133a

  1. NS Not specified, ADME absorption, distribution, metabolism and excretion, MAP Methotrexate – Adriamycin (Doxorubicin) – Cisplatin chemotherapy regimen, ALAT alanine aminotransferase, ASAT aspartate aminotransferase
  2. aAssociation was not significant after multiple testing correction, but is/are the top hit(s) of the study