An Analysis of Behavioral and Genetic Risk Factors for Chemotherapy-Induced Nausea and Vomiting in Japanese Subjects

  • Mukoyama Naoki
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University
  • Yoshimi Akira
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University Department of Psychiatry, Graduate School of Medicine, Nagoya University
  • Goto Aya
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University
  • Kotani Haruka
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University
  • Ishikawa Kazuhiro
    Department of Neuropsychopharmacology and Hospital Pharmacy, Graduate School of Medicine, Nagoya University
  • Miyazaki Noriko
    Department of Neuropsychopharmacology and Hospital Pharmacy, Graduate School of Medicine, Nagoya University
  • Miyazaki Masayuki
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University Department of Neuropsychopharmacology and Hospital Pharmacy, Graduate School of Medicine, Nagoya University
  • Yamada Kiyofumi
    Department of Neuropsychopharmacology and Hospital Pharmacy, Graduate School of Medicine, Nagoya University
  • Kikkawa Fumitaka
    Department of Obstetrics and Genecology, Graduate School of Medicine, Nagoya University
  • Hasegawa Yoshinori
    Department of Respiratory Medicine, Graduate School of Medicine, Nagoya University
  • Ozaki Norio
    Department of Psychiatry, Graduate School of Medicine, Nagoya University
  • Noda Yukihiro
    Division of Clinical Sciences and Neuropsychopharmacology, Faculty and Graduate School of Pharmacy, Meijo University Department of Psychiatry, Graduate School of Medicine, Nagoya University Department of Neuropsychopharmacology and Hospital Pharmacy, Graduate School of Medicine, Nagoya University

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Abstract

<p>There are individual differences in the frequency of chemotherapy-induced nausea and vomiting (CINV) in cancer patients. We investigated the individual variability in susceptibility to CINV with focus on both behavioral factors and genetic factors in Japanese cancer patients. We performed a prospective study to investigate the association between patient attributes (backgrounds and habits as well as gene polymorphisms) and anorexia, nausea, or vomiting in 55 Japanese cancer patients undergoing chemotherapy at Nagoya University Hospital. We found that gender (female), use of non-steroidal anti-inflammatory drugs, susceptibility to motion sickness, and anxiety were associated with the frequency of CINV. Gene polymorphisms of rs1076560 (dopamine D2 receptor gene), rs6766410 (serotonin 5-HT3C receptor gene) and rs4680 (catechol-O-methyltransferase gene) were also associated. Our data suggest that these attributes may thus be risk factors for CINV. Our results provide novel information that can be used to predict the incidence of CINV in Japanese patients undergoing chemotherapy; this can help provide a substantial improvement in supportive care for patients with different types of cancer.</p>

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