association of cyp2b6 genotype with survival and progression free survival in cyclophosphamide treated multiple myeloma协会cyp2b6基因型与生存和发展自由生存在环磷酰胺治疗多发性骨髓瘤.pdfVIP
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association of cyp2b6 genotype with survival and progression free survival in cyclophosphamide treated multiple myeloma协会cyp2b6基因型与生存和发展自由生存在环磷酰胺治疗多发性骨髓瘤
Journal of Cancer Therapy, 2012, 3, 20-27
/10.4236/jct.2012.31003 Published Online February 2012 (http://www.SciRP.org/journal/jct)
Association of CYP2B6 Genotype with Survival and
Progression Free Survival in Cyclophosphamide
Treated Multiple Myeloma
1 1,2 3 4 1,5
Ingrid Jakobsen Falk , Muhammad Suleman Khan , Lena Thunell , Hareth Nahi , Henrik Gréen
1Division of Drug Research, Department of Medical and Health Sciences, Faculty of Health Sciences, Linköpings University,
Linköping, Sweden; 2Department of Pharmacy, COMSATS Institute of Information Technology, Abbottabad, Pakistan; 3Department
of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköpings University, Linköping, Sweden; 4Department of
Hematology, Karolinska University Hospital and Karolinska Institute, Huddinge, Sweden; 5Science for Life Laboratory, School of
Biotechnology, Division of Gene Technology, Royal Institute of Technology, Solna, Sweden.
Email: Ingrid.jakobsen.falk@liu.se
Received November 7th, 2011; revised December 9th, 2011; accepted December 20th, 2011
ABSTRACT
Objective: Cyclophosphamide is a conventional pro-drug used in Multiple Myeloma (MM) and other malignancies.
The highly polymorphic CYP2B6 is suggested as a major contributor in cyclophosphamide bioactivation, and GST en-
zymes are involved in detoxification. Polymorphisms of these enzymes may affect enzyme expression and function as
well as treatment outcome. The aim of this study was to investigate the impact of the CYP2B6 SNPs G516T, A785G
and C1459T, GSTP1 SNP Ile105Val, and GSTM1 and GSTT1 null variants, on the outcome for cyclophosphamide
treated MM patients, in order to find markers of value for individualised therapy. Methods: We used alle
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