Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.

Women with breast cancer treated with aromatase inhibitors (AIs) may experience musculoskeletal symptoms that lead to discontinuation of effective therapy. The purpose of the current study is to evaluate the clinical and genetic predictors for AIs-related musculoskeletal adverse events(MS-AEs).We re...

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Main Authors: Jingxuan Wang, Kangping Lu, Ying Song, Li Xie, Shu Zhao, Yunxuan Wang, Wenzhou Sun, Lei Liu, Hong Zhao, Dabei Tang, Wenjie Ma, Bo Pan, Qijia Xuan, Hang Liu, Qingyuan Zhang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3716812?pdf=render
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author Jingxuan Wang
Kangping Lu
Ying Song
Li Xie
Shu Zhao
Yunxuan Wang
Wenzhou Sun
Lei Liu
Hong Zhao
Dabei Tang
Wenjie Ma
Bo Pan
Qijia Xuan
Hang Liu
Qingyuan Zhang
author_facet Jingxuan Wang
Kangping Lu
Ying Song
Li Xie
Shu Zhao
Yunxuan Wang
Wenzhou Sun
Lei Liu
Hong Zhao
Dabei Tang
Wenjie Ma
Bo Pan
Qijia Xuan
Hang Liu
Qingyuan Zhang
author_sort Jingxuan Wang
collection DOAJ
description Women with breast cancer treated with aromatase inhibitors (AIs) may experience musculoskeletal symptoms that lead to discontinuation of effective therapy. The purpose of the current study is to evaluate the clinical and genetic predictors for AIs-related musculoskeletal adverse events(MS-AEs).We recruited 436 postmenopausal Chinese Han women receiving adjuvant AIs therapy for early-stage hormone-sensitive breast cancer. Patients completed a self-administered questionnaire assessing the presence of musculoskeletal symptoms that started or worsened after initiating AIs. 27 single nucleotide polymorphisms (SNP) of ESR1, ESR2 and PGR were analyzed by Sequenom MassARRAY assays and /or PCR-based TaqMan assays.Of the 436 enrolled women, 206 cases experienced musculoskeletal symptoms.Patients who received taxane chemotherapy were more than two times more likely than other patients to have AIs-related MS-AEs. Genetic assay had showed that only two ESR1 SNPs, rs2234693 and rs9340799 were associated with AIs-related MS-AEs.TT genotype and the T allele in rs2234693 was statistically significantly lower in AIs-Related MS-AEs group than controls (P = 0.001; P = 9.49E-7). The frequency of AA genotype and the A allele in rs9340799 was higher (P = 2.20E-5; P = 3.09E-4).Our results suggested that prior taxane-based chemotherapy was the clinical predictor, while rs2234693 and rs9340799 were the genetic predictors for AIs-related MS-AEs.
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spelling doaj.art-8a3f63b17f3a469babc882c623d3f6492022-12-21T22:46:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e6879810.1371/journal.pone.0068798Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.Jingxuan WangKangping LuYing SongLi XieShu ZhaoYunxuan WangWenzhou SunLei LiuHong ZhaoDabei TangWenjie MaBo PanQijia XuanHang LiuQingyuan ZhangWomen with breast cancer treated with aromatase inhibitors (AIs) may experience musculoskeletal symptoms that lead to discontinuation of effective therapy. The purpose of the current study is to evaluate the clinical and genetic predictors for AIs-related musculoskeletal adverse events(MS-AEs).We recruited 436 postmenopausal Chinese Han women receiving adjuvant AIs therapy for early-stage hormone-sensitive breast cancer. Patients completed a self-administered questionnaire assessing the presence of musculoskeletal symptoms that started or worsened after initiating AIs. 27 single nucleotide polymorphisms (SNP) of ESR1, ESR2 and PGR were analyzed by Sequenom MassARRAY assays and /or PCR-based TaqMan assays.Of the 436 enrolled women, 206 cases experienced musculoskeletal symptoms.Patients who received taxane chemotherapy were more than two times more likely than other patients to have AIs-related MS-AEs. Genetic assay had showed that only two ESR1 SNPs, rs2234693 and rs9340799 were associated with AIs-related MS-AEs.TT genotype and the T allele in rs2234693 was statistically significantly lower in AIs-Related MS-AEs group than controls (P = 0.001; P = 9.49E-7). The frequency of AA genotype and the A allele in rs9340799 was higher (P = 2.20E-5; P = 3.09E-4).Our results suggested that prior taxane-based chemotherapy was the clinical predictor, while rs2234693 and rs9340799 were the genetic predictors for AIs-related MS-AEs.http://europepmc.org/articles/PMC3716812?pdf=render
spellingShingle Jingxuan Wang
Kangping Lu
Ying Song
Li Xie
Shu Zhao
Yunxuan Wang
Wenzhou Sun
Lei Liu
Hong Zhao
Dabei Tang
Wenjie Ma
Bo Pan
Qijia Xuan
Hang Liu
Qingyuan Zhang
Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
PLoS ONE
title Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
title_full Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
title_fullStr Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
title_full_unstemmed Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
title_short Indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in Chinese Han women with breast cancer.
title_sort indications of clinical and genetic predictors for aromatase inhibitors related musculoskeletal adverse events in chinese han women with breast cancer
url http://europepmc.org/articles/PMC3716812?pdf=render
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