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ABSTRACT: Objective
To examine the association of six glutathione transferase (GST) gene polymorphisms (GSTT1, GSTP1/rs1695, GSTO1/rs4925, GSTO2/rs156697, GSTM1, GSTA1/rs3957357) with the survival of patients with muscle invasive bladder cancer and the genotype modifying effect on chemotherapy.Patients and methods
A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was analyzed by the Cox proportional hazard models, while Kaplan-Meier analysis was performed to assess differences in survival.Results
GSTT1 active, GSTO1 Asp140Asp or GSTO2 Asp142Asp genotypes were independent predictors of a higher risk of death among bladder cancer patients (HR?=?2.5, P?=?0.028; HR?=?2.9, P?=?0.022; HR?=?3.9, P?=?0.001; respectively) and significantly influenced the overall survival. There was no association between GSTP1, GSTM1 and GSTA1 gene variants with overall mortality. Only GSTO2 polymorphism showed a significant effect on the survival in the subgroup of patients who received chemotherapy (P?=?0.006).Conclusion
GSTT1 active genotype and GSTO1 Asp140Asp and GSTO2 Asp142Asp genotypes may have a prognostic/pharmacogenomic role in patients with muscle invasive bladder cancer.
SUBMITTER: Djukic TI
PROVIDER: S-EPMC3770566 | biostudies-literature | 2013
REPOSITORIES: biostudies-literature
Djukic Tatjana I TI Savic-Radojevic Ana R AR Pekmezovic Tatjana D TD Matic Marija G MG Pljesa-Ercegovac Marija S MS Coric Vesna M VM Radic Tanja M TM Suvakov Sonja R SR Krivic Biljana N BN Dragicevic Dejan P DP Simic Tatjana P TP
PloS one 20130911 9
<h4>Objective</h4>To examine the association of six glutathione transferase (GST) gene polymorphisms (GSTT1, GSTP1/rs1695, GSTO1/rs4925, GSTO2/rs156697, GSTM1, GSTA1/rs3957357) with the survival of patients with muscle invasive bladder cancer and the genotype modifying effect on chemotherapy.<h4>Patients and methods</h4>A total of 105 patients with muscle invasive bladder cancer were included in the study. The follow-up lasted 5 years. The effect of GSTs polymorphisms on predicting mortality was ...[more]