Value of gene polymorphisms as markers of 5-FU therapy response in stage III colon carcinoma: a pilot study

Cancer Chemother Pharmacol. 2010 Nov;66(6):1167-71. doi: 10.1007/s00280-010-1403-0. Epub 2010 Jul 28.

Abstract

Purpose: The role of pharmacogenetics in chemotherapy response in colon carcinoma is controversial. We studied the value of known SNPs in genes involved in 5-FU metabolism as biomarkers of chemotherapy response in patients with stage III colon carcinoma.

Methods: DNA was isolated from normal colonic tissue of 60 patients with stage III colon carcinoma treated adjuvantly with 5-FU combined with leucovorin. The tested SNPs were validated SNPs on the OPRT, TYMS and DPYD genes and a synonymous SNP on the TYMP gene. Real-time PCR, sequencing and RFLP were used for genotyping.

Results: None of the studied genotypes was associated with any of the tumor or patient characteristics. Moreover, none of the genotypes studied had effect on patient survival.

Conclusion: In conclusion, the tested SNPs are not biomarkers of chemotherapy response in our stage III colon cancer patients group.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antimetabolites, Antineoplastic / therapeutic use*
  • Carcinoma / drug therapy*
  • Carcinoma / genetics*
  • Carcinoma / secondary
  • Colonic Neoplasms / drug therapy*
  • Colonic Neoplasms / genetics*
  • Colonic Neoplasms / pathology
  • Disease-Free Survival
  • Female
  • Fluorouracil / therapeutic use*
  • Genetic Markers
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Pilot Projects
  • Polymorphism, Restriction Fragment Length
  • Polymorphism, Single Nucleotide*
  • Treatment Outcome

Substances

  • Antimetabolites, Antineoplastic
  • Genetic Markers
  • Fluorouracil