ABCB1 genetic variants in leukemias: current insights into treatment outcomes

Despite improvements in treatment of different types of leukemia, not all patients respond optimally for a particular treatment. Some treatments will work better for some, while being harmful or ineffective for others. This is due to genetic variation in the form of singlenucleotide polymorphisms...

Full description

Bibliographic Details
Main Author: Ankathil, Ravindran
Format: Article
Language:English
Published: Dove Medical Press - Blue Policies in RoMEO 2017
Subjects:
Online Access:http://eprints.usm.my/36770/
http://eprints.usm.my/36770/1/%28ABCB1_genetic_variants%29_PGPM-105208_051217.pdf
_version_ 1848878005244395520
author Ankathil, Ravindran
author_facet Ankathil, Ravindran
author_sort Ankathil, Ravindran
building USM Institutional Repository
collection Online Access
description Despite improvements in treatment of different types of leukemia, not all patients respond optimally for a particular treatment. Some treatments will work better for some, while being harmful or ineffective for others. This is due to genetic variation in the form of singlenucleotide polymorphisms (SNPs) that affect gene expression or function and cause inherited interindividual differences in the metabolism and disposition of drugs. Drug transporters are one of the determinants governing the pharmacokinetic profile of chemotherapeutic drugs. The ABCB1 transporter gene transports a wide range of drugs, including drugs used in leukemia treatment. Polymorphisms in the ABCB1 gene do affect intrinsic resistance and pharmacokinetics of several drugs used in leukemia treatment protocols and thereby affect the efficacy of treatment and event-free survival. This review focuses on the impact of three commonly occurring SNPs (1236C>T, 2677G>T/A, and 3435C>T) of ABCB1 on treatment response of various types of leukemia. From the literature available, some of the genotypes and haplotypes of these SNPs have been found to be potential determinants of interindividual variability in drug disposition and pharmacologic response in different types of leukemia. However, due to inconsistencies in the results observed across the studies, additional studies, considering novel genomic methodologies, comprehensive definition of clinical phenotypes, adequate sample size, and uniformity in all the confounding factors, are warranted.
first_indexed 2025-11-15T17:24:27Z
format Article
id usm-36770
institution Universiti Sains Malaysia
institution_category Local University
language English
last_indexed 2025-11-15T17:24:27Z
publishDate 2017
publisher Dove Medical Press - Blue Policies in RoMEO
recordtype eprints
repository_type Digital Repository
spelling usm-367702017-09-26T02:02:05Z http://eprints.usm.my/36770/ ABCB1 genetic variants in leukemias: current insights into treatment outcomes Ankathil, Ravindran R5-130.5 General works Despite improvements in treatment of different types of leukemia, not all patients respond optimally for a particular treatment. Some treatments will work better for some, while being harmful or ineffective for others. This is due to genetic variation in the form of singlenucleotide polymorphisms (SNPs) that affect gene expression or function and cause inherited interindividual differences in the metabolism and disposition of drugs. Drug transporters are one of the determinants governing the pharmacokinetic profile of chemotherapeutic drugs. The ABCB1 transporter gene transports a wide range of drugs, including drugs used in leukemia treatment. Polymorphisms in the ABCB1 gene do affect intrinsic resistance and pharmacokinetics of several drugs used in leukemia treatment protocols and thereby affect the efficacy of treatment and event-free survival. This review focuses on the impact of three commonly occurring SNPs (1236C>T, 2677G>T/A, and 3435C>T) of ABCB1 on treatment response of various types of leukemia. From the literature available, some of the genotypes and haplotypes of these SNPs have been found to be potential determinants of interindividual variability in drug disposition and pharmacologic response in different types of leukemia. However, due to inconsistencies in the results observed across the studies, additional studies, considering novel genomic methodologies, comprehensive definition of clinical phenotypes, adequate sample size, and uniformity in all the confounding factors, are warranted. Dove Medical Press - Blue Policies in RoMEO 2017-05 Article PeerReviewed application/pdf en http://eprints.usm.my/36770/1/%28ABCB1_genetic_variants%29_PGPM-105208_051217.pdf Ankathil, Ravindran (2017) ABCB1 genetic variants in leukemias: current insights into treatment outcomes. Pharmacogenomics and Personalized Medicine, 12 (10). pp. 169-181. ISSN 1178-7066 https://www.ncbi.nlm.nih.gov/pubmed/28546766
spellingShingle R5-130.5 General works
Ankathil, Ravindran
ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title_full ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title_fullStr ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title_full_unstemmed ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title_short ABCB1 genetic variants in leukemias: current insights into treatment outcomes
title_sort abcb1 genetic variants in leukemias: current insights into treatment outcomes
topic R5-130.5 General works
url http://eprints.usm.my/36770/
http://eprints.usm.my/36770/
http://eprints.usm.my/36770/1/%28ABCB1_genetic_variants%29_PGPM-105208_051217.pdf