Pharmacogenomics in lung cancer chemotherapy: a review of what the oncologist should know

Anticancer Res. 2014 Oct;34(10):5241-50.

Abstract

Lung cancer is the leading cause of cancer-related death around the world; the addition of chemotherapy to treatment of this disease has been shown to significantly increase progression-free survival and overall survival. Despite newer chemotherapies, it is important to personalize the care (treatment and dose) upon each single patient's susceptibility for controlling and reducing adverse side-effects, at best. The present review describes the current status of pharmacogenomics studies regarding germline DNA variants that may alter response and tolerability to chemotherapeutic agents used to treat lung cancer, including perspective studies.

Keywords: Pharmacogenomic; cisplatin; gemcitabine; lung cancer chemotherapy; pemetrexed; polymorphism patents; taxanes; vinorelbine.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use*
  • Biological Transport, Active / drug effects
  • Biological Transport, Active / genetics
  • DNA Adducts
  • DNA Repair
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / metabolism
  • Drug Resistance, Neoplasm / genetics
  • Endonucleases / genetics
  • Endonucleases / metabolism
  • Humans
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / genetics*
  • Lung Neoplasms / metabolism
  • Methylenetetrahydrofolate Reductase (NADPH2) / genetics
  • Methylenetetrahydrofolate Reductase (NADPH2) / metabolism
  • Pharmacogenetics*
  • Polymorphism, Genetic
  • X-ray Repair Cross Complementing Protein 1

Substances

  • Antineoplastic Agents
  • DNA Adducts
  • DNA-Binding Proteins
  • X-ray Repair Cross Complementing Protein 1
  • Methylenetetrahydrofolate Reductase (NADPH2)
  • Endonucleases