Genetic variants associated with methotrexate-induced mucositis in cancer treatment: A systematic review and meta-analysis

Maagdenberg H, Oosterom N, Zanen J, Gemmati D, Windsor RE, Heil SG, Esperón P, Jabeen S, Ruiz-Argüelles GJ, Zolk O, Hörning S, Sleurs C, Lopéz-Lopéz E, Moreno-Galván M, van den Heuvel-Eibrink MM, Maitland-van der Zee AH, Carleton BC (2021)


Publication Type: Journal article, Review article

Publication year: 2021

Journal

Book Volume: 161

Article Number: 103312

DOI: 10.1016/j.critrevonc.2021.103312

Abstract

Methotrexate (MTX), an important chemotherapeutic agent, is often accompanied with mucositis. The occurrence and severity are unpredictable and show large interindividual variability. In this study, we review and meta-analyze previously studied genetic variants in relation to MTX-induced mucositis. We conducted a systematic search in Medline and Embase. We included genetic association studies of MTX-induced mucositis in cancer patients. A meta-analysis was conducted for single nucleotide polymorphisms (SNPs) for which at least two studies found a statistically significant association. A total of 34 SNPs were associated with mucositis in at least one study of the 57 included studies. Two of the seven SNPs included in our meta-analysis were statistically significantly associated with mucositis: MTHFR c.677C > T (recessive, grade ≥3 vs grade 0–2, OR 2.53, 95 %CI [1.48–4.32], False Discovery Rate[FDR]-corrected p-value 0.011) and MTRR c.66A > G (overdominant, grade ≥1 vs grade 0, OR 2.08, 95 %CI [1.16–3.73], FDR-corrected p-value 0.042).

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How to cite

APA:

Maagdenberg, H., Oosterom, N., Zanen, J., Gemmati, D., Windsor, R.E., Heil, S.G.,... Carleton, B.C. (2021). Genetic variants associated with methotrexate-induced mucositis in cancer treatment: A systematic review and meta-analysis. Critical Reviews in Oncology Hematology, 161. https://doi.org/10.1016/j.critrevonc.2021.103312

MLA:

Maagdenberg, Hedy, et al. "Genetic variants associated with methotrexate-induced mucositis in cancer treatment: A systematic review and meta-analysis." Critical Reviews in Oncology Hematology 161 (2021).

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