Evidence map›Paper›PMID 39714624›Full record

ArticleCancer chemotherapy and pharmacology2024

Influence of CYP2C8*3 and ABCG2 C421A genetic polymorphisms on trough concentration and molecular response of imatinib in Egyptian patients with chronic myeloid leukemia.

Safwat A Mangoura, Mahmoud H Abdel-Raheem, Hanan A Eltyb, Mohammed S Molla, Abeer M R Hussein

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Article in Cancer chemotherapy and pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Safwat A MangouraDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Badr University in Cairo (BUC), Badr, Cairo, Egypt.
Mahmoud H Abdel-RaheemDepartment of Medical Pharmacology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Hanan A EltybDepartment of Medical Oncology and Malignant Hematology, South Egypt Cancer Institute (SECI), Assiut University, Assiut, Egypt.
Mohammed S MollaDepartment of Medical Pharmacology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt. mohamedsayed@aun.edu.eg.ORCID 0000-0002-5990-6152
Abeer M R HusseinDepartment of Medical Pharmacology, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe treatment landscape for chronic myeloid leukemia (CML) has been revolutionized by the introduction of imatinib, a tyrosine kinase inhibitor, which has transformed the disease from a fatal condition into a manageable chronic illness for a substantial number of patients. Despite this, some individuals do not respond adequately to the treatment, and others may experience disease progression even with continued therapy. This study examined how CYP2C8*3 (G416A; rs11572080) and ABCG2 C421A (rs2231142) single nucleotide polymorphisms (SNPs) affect the plasma trough concentration and therapeutic response of imatinib in Egyptian CML patients.

methodsThe study included fifty patients with chronic-phase CML, who were categorized into two groups: responders (n = 26) and non-responders (n = 24), according to their BCR-ABL1 transcription levels after 12 months of imatinib treatment. Genotyping of the CYP2C8*3 and ABCG2 C421A polymorphisms was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), while plasma trough concentrations were determined through high-performance liquid chromatography with ultraviolet-diode array detection (HPLC-UV/DAD).

resultsPatients with the CA genotype of ABCG2 C421A showed significantly higher mean plasma trough concentrations of imatinib (CA: 1731 ± 424.7 ng/mL; CC: 1294 ± 381.3 ng/mL; p = 0.0132) and demonstrated a better molecular response compared to those with the CC genotype (p = 0.0395).

conclusionThe ABCG2 C421A polymorphism significantly influenced imatinib plasma trough concentrations and molecular responses in Egyptian chronic-phase CML patients. Genotyping of this polymorphism in these patients could assist in optimizing imatinib therapy, predicting more favorable treatment outcomes, and enabling the development of more personalized treatment plans.

Indexed as

Antineoplastic AgentsATP Binding Cassette Transporter, Subfamily G, Member 2Cytochrome P-450 CYP2C8Imatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositiveNeoplasm ProteinsPolymorphism, Single NucleotideAdultEgyptFemaleGenotypeHumansMaleMiddle AgedProtein Kinase InhibitorsYoung AdultABCG2 protein, humanAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily G, Member 2CYP2C8 protein, humanCytochrome P-450 CYP2C8Imatinib MesylateNeoplasm ProteinsProtein Kinase InhibitorsABCG2CMLCYP2C8*3Imatinib

Identifiers

PMID39714624
PMCPMC11666798

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.