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Article

Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma

  • Authors:
    • Mohamad H. Darwish
    • Roula A. Farah
    • Ghada N. Farhat
    • Paul‑Henri N. Torbey
    • Fatima A. Ghandour
    • Noha A. Bejjani‑Doueihy
    • Hassan R. Dhaini
  • View Affiliations / Copyright

    Affiliations: Department of Medical Lab Sciences, Faculty of Health Sciences, University of Balamand, Beirut 1100‑2807, Lebanon, Department of Pediatric Oncology, Saint George Hospital University Medical Center, Beirut 1100‑2807, Lebanon, Department of Pediatrics, Hotel Dieu De France Hospital, Beirut 1100‑2190, Lebanon, Department of Pathology, Saint George Hospital University Medical Center, Beirut 1100‑2807, Lebanon, Department of Pathology, University Medical Center ‑ Rizk Hospital, Beirut 11-3288, Lebanon
  • Pages: 1462-1468
    |
    Published online on: October 31, 2014
       https://doi.org/10.3892/mmr.2014.2835
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Abstract

Neuroblastoma (NB) is a rare pediatric disease in Lebanon for which poor prognosis remains a major challenge. Genetic polymorphism of genes coding for drug‑metabolizing enzymes may influence the response of a patient to chemotherapy. This study investigates a possible association between CYP3A4/5 polymorphism and expression levels and survival in NB patients. All patients with stage III and IV NB diagnosed between 1993 and 2012 in three major hospitals in Beirut were included (n=27). Demographic information and survival time were obtained from medical records. CYP3A4 and CYP3A5 genotypes and expression levels were determined in archival tumors by polymerase chain reaction (PCR) and restriction fragment length polymorphism and quantitative PCR, respectively. Additionally, MYCN amplification was assessed. A Cox proportional hazards model was used to evaluate potential associations, adjusting for MYCN amplification. A statistically significant increase in the risk of mortality was observed in patients with MYCN amplification [hazard ratio (HR) 4.11, 95% confidence interval (CI) 1.14‑14.80]. Patients with CYP3A5 expression levels above the median had a lower risk of mortality (HR 0.61, 95% CI 0.21‑1.74) and patients with CYP3A4 expression levels above the median had a higher risk of mortality (HR 2.00, 95% CI 0.67‑5.90). CYP3A5*3/*3 homozygote mutants had a 4.3‑fold increase in the risk of mortality compared with that of homozygote wild‑type or heterozygote mutants (HR 4.30, 95% CI 0.56‑33.30). Carriers of the CYP3A4*1B mutant allele had a 52% lower risk of mortality compared with that of non‑carriers (HR 0.48, 95% CI 0.06‑3.76). Although the results of the present study did not achieve statistical significance, associations were observed, which indicates that CYP3A4 and CYP3A5 may modulate the clinical outcome of NB. Further studies with larger sample sizes are required to characterize the effects of the polymorphism and expression levels of CYP3A4/5 on the survival of patients with NB.
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Copy and paste a formatted citation
Spandidos Publications style
Darwish MH, Farah RA, Farhat GN, Torbey PHN, Ghandour FA, Bejjani‑Doueihy NA and Dhaini HR: Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma. Mol Med Rep 11: 1462-1468, 2015.
APA
Darwish, M.H., Farah, R.A., Farhat, G.N., Torbey, P.N., Ghandour, F.A., Bejjani‑Doueihy, N.A., & Dhaini, H.R. (2015). Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma. Molecular Medicine Reports, 11, 1462-1468. https://doi.org/10.3892/mmr.2014.2835
MLA
Darwish, M. H., Farah, R. A., Farhat, G. N., Torbey, P. N., Ghandour, F. A., Bejjani‑Doueihy, N. A., Dhaini, H. R."Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma". Molecular Medicine Reports 11.2 (2015): 1462-1468.
Chicago
Darwish, M. H., Farah, R. A., Farhat, G. N., Torbey, P. N., Ghandour, F. A., Bejjani‑Doueihy, N. A., Dhaini, H. R."Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma". Molecular Medicine Reports 11, no. 2 (2015): 1462-1468. https://doi.org/10.3892/mmr.2014.2835
Copy and paste a formatted citation
x
Spandidos Publications style
Darwish MH, Farah RA, Farhat GN, Torbey PHN, Ghandour FA, Bejjani‑Doueihy NA and Dhaini HR: Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma. Mol Med Rep 11: 1462-1468, 2015.
APA
Darwish, M.H., Farah, R.A., Farhat, G.N., Torbey, P.N., Ghandour, F.A., Bejjani‑Doueihy, N.A., & Dhaini, H.R. (2015). Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma. Molecular Medicine Reports, 11, 1462-1468. https://doi.org/10.3892/mmr.2014.2835
MLA
Darwish, M. H., Farah, R. A., Farhat, G. N., Torbey, P. N., Ghandour, F. A., Bejjani‑Doueihy, N. A., Dhaini, H. R."Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma". Molecular Medicine Reports 11.2 (2015): 1462-1468.
Chicago
Darwish, M. H., Farah, R. A., Farhat, G. N., Torbey, P. N., Ghandour, F. A., Bejjani‑Doueihy, N. A., Dhaini, H. R."Association of CYP3A4/5 genotypes and expression with the survival of patients with neuroblastoma". Molecular Medicine Reports 11, no. 2 (2015): 1462-1468. https://doi.org/10.3892/mmr.2014.2835
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