EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.

Cisplatin is a widely used chemotherapeutic drug for various cancers. One of the common adverse effects of cisplatin is nephrotoxicity including acute kidney injury (AKI) and acute kidney disease (AKD). Single Nucleotide Polymorphisms (SNPs) can be used to identify cancer patients who are susceptibl...

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Main Authors: Saad Ahmed, Jakris Eu-Ahsunthornwattana, Thanaporn Thamrongjirapat, Aruchalean Taweewongsounton, Yutthana Rittavee, Nintita Sripaiboonkit Thokanit, Montien Ngodngamthaweesuk, Pitichote Hiranyatheb, Thanyanan Reungwetwattana, Nuttapong Ngamphaiboon, Natini Jinawath
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0324699
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author Saad Ahmed
Jakris Eu-Ahsunthornwattana
Thanaporn Thamrongjirapat
Aruchalean Taweewongsounton
Yutthana Rittavee
Nintita Sripaiboonkit Thokanit
Montien Ngodngamthaweesuk
Pitichote Hiranyatheb
Thanyanan Reungwetwattana
Nuttapong Ngamphaiboon
Natini Jinawath
author_facet Saad Ahmed
Jakris Eu-Ahsunthornwattana
Thanaporn Thamrongjirapat
Aruchalean Taweewongsounton
Yutthana Rittavee
Nintita Sripaiboonkit Thokanit
Montien Ngodngamthaweesuk
Pitichote Hiranyatheb
Thanyanan Reungwetwattana
Nuttapong Ngamphaiboon
Natini Jinawath
author_sort Saad Ahmed
collection DOAJ
description Cisplatin is a widely used chemotherapeutic drug for various cancers. One of the common adverse effects of cisplatin is nephrotoxicity including acute kidney injury (AKI) and acute kidney disease (AKD). Single Nucleotide Polymorphisms (SNPs) can be used to identify cancer patients who are susceptible to developing cisplatin-induced nephrotoxicity (CIN). In this study, we validated the association between 6 SNPs in the drug metabolizing enzyme genes, SLC22A2 (rs316019) & EPHX1 (rs1051740), and the DNA repair genes, ERCC1 (rs11615 & rs3212986) & ERCC2 (rs13181 & rs1799793), and CIN in the 169 Thai patients with head and neck, lung, or esophageal cancer. Effect of these SNPs on cumulative incidence of AKD, progression-free survival (PFS), and overall survival (OS) was also assessed. EPHX1 rs1051740 TC genotype was significantly associated with AKD in co-dominant [OR 2.894, 95% CI 1.091-7.680; P = 0.033] and over-dominant [OR 2.793, 95% CI 1.333-5.851; P = 0.006] models, and with an increased cumulative incidence of AKD (P = 0.021). Additionally, ERCC2 rs13181 and rs1799793 were significantly associated with OS (P = 0.002 and 0.004). Our results reveal an association between EPHX1 rs1051740 and AKD, and confirms the previously reported associations between ERCC2 SNPs and OS. These findings may help in predicting CIN in Thai cancer patients.
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spelling doaj-art-3bb8e8bb64a044c4a6a28b47093e97172025-08-20T03:47:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01206e032469910.1371/journal.pone.0324699EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.Saad AhmedJakris Eu-AhsunthornwattanaThanaporn ThamrongjirapatAruchalean TaweewongsountonYutthana RittaveeNintita Sripaiboonkit ThokanitMontien NgodngamthaweesukPitichote HiranyathebThanyanan ReungwetwattanaNuttapong NgamphaiboonNatini JinawathCisplatin is a widely used chemotherapeutic drug for various cancers. One of the common adverse effects of cisplatin is nephrotoxicity including acute kidney injury (AKI) and acute kidney disease (AKD). Single Nucleotide Polymorphisms (SNPs) can be used to identify cancer patients who are susceptible to developing cisplatin-induced nephrotoxicity (CIN). In this study, we validated the association between 6 SNPs in the drug metabolizing enzyme genes, SLC22A2 (rs316019) & EPHX1 (rs1051740), and the DNA repair genes, ERCC1 (rs11615 & rs3212986) & ERCC2 (rs13181 & rs1799793), and CIN in the 169 Thai patients with head and neck, lung, or esophageal cancer. Effect of these SNPs on cumulative incidence of AKD, progression-free survival (PFS), and overall survival (OS) was also assessed. EPHX1 rs1051740 TC genotype was significantly associated with AKD in co-dominant [OR 2.894, 95% CI 1.091-7.680; P = 0.033] and over-dominant [OR 2.793, 95% CI 1.333-5.851; P = 0.006] models, and with an increased cumulative incidence of AKD (P = 0.021). Additionally, ERCC2 rs13181 and rs1799793 were significantly associated with OS (P = 0.002 and 0.004). Our results reveal an association between EPHX1 rs1051740 and AKD, and confirms the previously reported associations between ERCC2 SNPs and OS. These findings may help in predicting CIN in Thai cancer patients.https://doi.org/10.1371/journal.pone.0324699
spellingShingle Saad Ahmed
Jakris Eu-Ahsunthornwattana
Thanaporn Thamrongjirapat
Aruchalean Taweewongsounton
Yutthana Rittavee
Nintita Sripaiboonkit Thokanit
Montien Ngodngamthaweesuk
Pitichote Hiranyatheb
Thanyanan Reungwetwattana
Nuttapong Ngamphaiboon
Natini Jinawath
EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
PLoS ONE
title EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
title_full EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
title_fullStr EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
title_full_unstemmed EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
title_short EPHX1 and ERCC2 polymorphisms are associated with cisplatin-induced nephrotoxicity and prognosis in Thai cancer patients.
title_sort ephx1 and ercc2 polymorphisms are associated with cisplatin induced nephrotoxicity and prognosis in thai cancer patients
url https://doi.org/10.1371/journal.pone.0324699
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