The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer

Lung cancer remains one of the most frequent and the deadliest of malignant diseases throughout the world. Target and immune therapy have revolutionalized the treatment of this disease, but platinum-based chemotherapy still has a place in the treatment algorithm. The toxicity profile of cisplatin is...

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Main Authors: Spasić Jelena, Radosavljević Davorin, Nagorni-Obradović Ljudmila
Format: Article
Language:English
Published: University of Belgrade, Medical Faculty 2021-01-01
Series:Medicinski Podmladak
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2021/0369-15272102040S.pdf
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author Spasić Jelena
Radosavljević Davorin
Nagorni-Obradović Ljudmila
author_facet Spasić Jelena
Radosavljević Davorin
Nagorni-Obradović Ljudmila
author_sort Spasić Jelena
collection DOAJ
description Lung cancer remains one of the most frequent and the deadliest of malignant diseases throughout the world. Target and immune therapy have revolutionalized the treatment of this disease, but platinum-based chemotherapy still has a place in the treatment algorithm. The toxicity profile of cisplatin is well known and can be a limiting factor in the adequate treatment delivery of the drug. There are important inter-individual differences in the efficacy and the toxicity of all chemotherapy drugs, which cannot be explained solely by the characteristics of the tumor. In order to define predictive factors for the occurrence of toxic effects, numerous genetic alterations have been investigated - especially single nucleotide polymorphisms (SNPs). The investigated genes are those involved in DNA repair mechanisms, signal pathways of apoptosis, DNA synthesis, transport mechanisms, but often with inconclusive and opposing results. It is clear that the effect of SNPs on the occurrence of cisplatin toxicity cannot be explained by investigating just one or several genes alone, but epigenetic interactions must be investigated, as well as interactions with outside factors. The study of SNPs is, however, a relatively simple and inexpensive method and, as such, can be used as one of the prognostic tools for everyday practice.
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spelling doaj.art-2c714b8dd9444eafb3e3c08582c8394a2022-12-21T20:29:41ZengUniversity of Belgrade, Medical FacultyMedicinski Podmladak0369-15272466-55252021-01-01722404710.5937/mp72-319400369-15272102040SThe influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancerSpasić Jelena0https://orcid.org/0000-0002-1386-9114Radosavljević Davorin1Nagorni-Obradović Ljudmila2https://orcid.org/0000-0001-9413-5683Institut za onkologiju i radiologiju Srbije, Beograd, SerbiaInstitut za onkologiju i radiologiju Srbije, Beograd, SerbiaUKCS, Univerzitet u Beogradu, Medicinski fakultet, Klinika za pulmologiju, Beograd, SerbiaLung cancer remains one of the most frequent and the deadliest of malignant diseases throughout the world. Target and immune therapy have revolutionalized the treatment of this disease, but platinum-based chemotherapy still has a place in the treatment algorithm. The toxicity profile of cisplatin is well known and can be a limiting factor in the adequate treatment delivery of the drug. There are important inter-individual differences in the efficacy and the toxicity of all chemotherapy drugs, which cannot be explained solely by the characteristics of the tumor. In order to define predictive factors for the occurrence of toxic effects, numerous genetic alterations have been investigated - especially single nucleotide polymorphisms (SNPs). The investigated genes are those involved in DNA repair mechanisms, signal pathways of apoptosis, DNA synthesis, transport mechanisms, but often with inconclusive and opposing results. It is clear that the effect of SNPs on the occurrence of cisplatin toxicity cannot be explained by investigating just one or several genes alone, but epigenetic interactions must be investigated, as well as interactions with outside factors. The study of SNPs is, however, a relatively simple and inexpensive method and, as such, can be used as one of the prognostic tools for everyday practice.https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2021/0369-15272102040S.pdfsingle nucleotide polymorphismscisplatintoxicity
spellingShingle Spasić Jelena
Radosavljević Davorin
Nagorni-Obradović Ljudmila
The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
Medicinski Podmladak
single nucleotide polymorphisms
cisplatin
toxicity
title The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
title_full The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
title_fullStr The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
title_full_unstemmed The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
title_short The influence of genetic polymorphisms on the toxicity of platinum-based chemotherapy in the treatment of non-small cell lung cancer
title_sort influence of genetic polymorphisms on the toxicity of platinum based chemotherapy in the treatment of non small cell lung cancer
topic single nucleotide polymorphisms
cisplatin
toxicity
url https://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2021/0369-15272102040S.pdf
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