Pharmacogenomics for Prediction of Cardiovascular Toxicity: Landscape of Emerging Data in Breast Cancer Therapies

Other authors

Institut Català de la Salut

[Altena R] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. Department of Breast cancer, Endocrine tumors and Sarcoma, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden. [Bajalica-Lagercrantz S] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. Department of Pathology and Cancer Diagnostics, Karolinska University Hospital, Stockholm, Sweden. [Papakonstantinou A] Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. Department of Breast cancer, Endocrine tumors and Sarcoma, Theme Cancer, Karolinska University Hospital, Stockholm, Sweden. Breast Cancer Group, Vall d’Hebron Institute of Oncology (VHIO), Barcelona, Spain

Vall d'Hebron Barcelona Hospital Campus

Publication date

2022-10-26T12:20:00Z

2022-10-26T12:20:00Z

2022-09-25



Abstract

Breast cancer; Cardiotoxicity; Pharmacogenomics


Cáncer de mama; Cardiotoxicidad; Farmacogenómica


Càncer de mama; Cardiotoxicitat; Farmacogenòmica


Pharmacogenomics is an emerging field in oncology, one that could provide valuable input on identifying patients with inherent risk of toxicity, thus allowing for treatment tailoring and personalization on the basis of the clinical and genetic characteristics of a patient. Cardiotoxicity is a well-known side effect of anthracyclines and anti-HER2 agents, although at a much lower incidence for the latter. Data on single-nucleotide polymorphisms related to cardiotoxicity are emerging but are still scarce, mostly being of retrospective character and heterogeneous. A literature review was performed, aiming to describe current knowledge in pharmacogenomics and prediction of cardiotoxicity related to breast cancer systemic therapies and radiotherapies. Most available data regard genes encoding various enzymes related to anthracycline metabolism and HER2 polymorphisms. The available data are presented, together with the challenges and open questions in the field.


This study was supported by a grant from Percy Falks Stiftelse to A.P.

Document Type

Article


Published version

Language

English

Publisher

MDPI

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Rights

Attribution 4.0 International

http://creativecommons.org/licenses/by/4.0/

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