Whole exome sequencing detects variants of genes that mediate response to anticancer drugs

  • Ohnami Sumiko
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute
  • Nagashima Takeshi
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute SRL Inc.
  • Urakami Kenichi
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute
  • Shimoda Yuji
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute SRL Inc.
  • Kamada Fukumi
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute
  • Saito Junko
    Drug Discovery and Development Division, Shizuoka Cancer Center Research Institute
  • Naruoka Akane
    Drug Discovery and Development Division, Shizuoka Cancer Center Research Institute
  • Serizawa Masakuni
    Drug Discovery and Development Division, Shizuoka Cancer Center Research Institute
  • Masuda Yoko
    Regional Resources Division, Shizuoka Cancer Center Research Institute
  • Ohnami Shumpei
    Cancer Diagnostics Research Division, Shizuoka Cancer Center Research Institute
  • Kusuhara Masatoshi
    Drug Discovery and Development Division, Shizuoka Cancer Center Research Institute Regional Resources Division, Shizuoka Cancer Center Research Institute
  • Yamaguchi Ken
    Shizuoka Cancer Center Hospital Shizuoka Cancer Center Research Institute

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<p>Certain interindividual differences affecting the efficacy of drug treatment and adverse drug reactions are caused by genetic variants, and their phenotypic effects differ among ethnic groups. In this study, we used whole exome sequencing (WES) systematically to identify germline mutations that influence the activities of drug-metabolizing enzymes, as well as that of a transporter. We analyzed DNA isolated from blood samples from 2,042 Japanese patients with diverse cancers. We identified sequence variants of CYP2B6 (rs3745274), CYP2C9 (rs1057910), CYP2C19 (rs4986893), CYP2C19 (rs4244285), TPMT (rs1142345), NAT2 (rs1799930), NAT2 (rs1799931), UGT1A1 (rs4148323), COMT (rs4680), ABCB1 (rs1045642), and CDA (rs60369023). Wider application of WES will help to determine the effects of mutations on the activities of proteins encoded by drug response genes, and the information gained will accelerate the development of personalized therapies for patients with cancer. Moreover, this knowledge may provide clues for preventing cancer before the onset of symptoms.</p>

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