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The role of inherited TPMT and COMT genetic variation in cisplatin-induced ototoxicity in children with cancer.

Abstract
Ototoxicity is a debilitating side effect of platinating agents with substantial interpatient variability. We sought to evaluate the association of thiopurine S-methyltransferase (TPMT) and catechol O-methyltransferase (COMT) genetic variations with cisplatin-related hearing damage in the context of frontline pediatric cancer treatment protocols. In 213 children from the St. Jude Medulloblastoma-96 and -03 protocols, hearing loss was related to younger age (P = 0.013) and craniospinal irradiation (P = 0.001), but did not differ by TPMT or COMT variants. Results were similar in an independent cohort of 41 children from solid-tumor frontline protocols. Functional hearing loss or hair cell damage was not different in TPMT knockout vs. wild-type mice following cisplatin treatment, and neither TPMT nor COMT variant was associated with cisplatin cytotoxicity in lymphoblastoid cell lines. In conclusion, our results indicated that TPMT or COMT genetic variation was not related to cisplatin ototoxicity in children with cancer and did not influence cisplatin-induced hearing damage in laboratory models.
AuthorsJ J Yang, J Y S Lim, J Huang, J Bass, J Wu, C Wang, J Fang, E Stewart, E H Harstead, S E, G W Robinson, W E Evans, A Pappo, J Zuo, M V Relling, A Onar-Thomas, A Gajjar, C F Stewart
JournalClinical pharmacology and therapeutics (Clin Pharmacol Ther) Vol. 94 Issue 2 Pg. 252-9 (Aug 2013) ISSN: 1532-6535 [Electronic] United States
PMID23820299 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Methyltransferases
  • Catechol O-Methyltransferase
  • thiopurine methyltransferase
  • Cisplatin
Topics
  • Adolescent
  • Adult
  • Age Factors
  • Animals
  • Antineoplastic Agents (toxicity)
  • Catechol O-Methyltransferase (genetics)
  • Cell Line, Tumor
  • Child
  • Child, Preschool
  • Cisplatin (toxicity)
  • Craniospinal Irradiation
  • Dose-Response Relationship, Drug
  • Female
  • Hearing Loss (chemically induced)
  • Humans
  • Male
  • Methyltransferases (genetics)
  • Mice
  • Mice, Knockout

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