4.2 Article

Association of NADPH oxidase polymorphisms with anthracycline-induced cardiotoxicity in the RICOVER-60 trial of patients with aggressive CD20+ B-cell lymphoma

Journal

PHARMACOGENOMICS
Volume 16, Issue 4, Pages 361-372

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/PGS.14.179

Keywords

anthracyclines; cardiotoxicity; clinical trial; heart failure; RICOVER-60; SNP

Funding

  1. NGFN2 of the German Federal Ministry for Education and Science [01GS0421]
  2. Deutsche Forschungsgemeinschaft [WO505/3-1]
  3. Deutsche Krebshilfe [109756]

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Aim: To identify gene variants responsible for anthracycline-induced cardiotoxicity. Patients & methods: Polymorphisms of the NADPH oxidase subunits and of the anthracycline transporters ABCC1, ABCC2 and SLC28A3 were genotyped in elderly patients (61-80 years) treated for aggressive CD20(+) B-cell lymphomas with CHOP-14 with or without rituximab and followed up for 3 years. Results: The accumulation of RAC2 subunit genotypes TA/AA among cases was statistically significant upon adjustment for gender, age and doxorubicin dose in a multivariate logistic regression analysis (OR: 2.3, p = 0.028; univariate: OR: 1.8, p = 0.077). RAC2 and CYBA genotypes were significantly associated with anthracycline-induced cardiotoxicity in a meta-analysis of this and a similar previous study. Conclusion: Our results support the theory that NADPH oxidase is involved in anthracycline-induced cardiotoxicity.

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