遗传变异影响儿童骨肉瘤患者口腔黏膜炎的严重程度。

IF 2.9 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Oral diseases Pub Date : 2024-12-10 DOI:10.1111/odi.15217
Renata de Almeida Zieger, Mariana Rodrigues Botton, Marina Curra, Amanda de Farias Gabriel, Stefanie Thieme, Luisa Comerlato Jardim, Marco Antonio Trevizani Martins, Ursula da Silveira Matte, André Tesainer Brunetto, Lauro José Gregianin, Rafael Roesler, Stephen T Sonis, Marina Siebert, Manoela Domingues Martins
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引用次数: 0

摘要

背景:口腔黏膜炎(OM)患者风险的变异性部分归因于宿主基因组学的差异。目的是通过研究遗传变异与接受化疗(CT)的骨肉瘤(OS)儿科患者OM的存在和严重程度之间的关系,更好地定义基因组学作为OM风险的作用。方法:采用纵向观察回顾性研究。根据世界卫生组织(WHO)的标准每日评估OM的严重程度。采集了血液样本,提取了DNA。对17个候选基因进行了54个编码区分析。结果:对14例接受HDMTX(66.9%)和阿霉素+顺铂(34.1%)治疗OS的儿童患者进行了164次CT循环评估。诊断为OM的周期为129个(78.7%)。在HDMTX周期中,OM的存在与ABCA3 (rs13332514)相关,而在多变量分析中,OM的严重程度与ABCC2 (rs2273697)相关。多因素分析显示,在阿霉素+顺铂中,ABC家族基因(ABCC2和ABCC6)的遗传变异与OM相关。结论:在接受HDMTX、阿霉素和顺铂治疗OS的儿童人群中,口腔黏膜炎的风险和严重程度与ABC家族的基因(ABCA3、ABCC2和ABCC6基因)有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic Variants Influence the Severity of Oral Mucositis in Pediatric Osteosarcoma Patients.

Background: The variability in patients' risk of oral mucositis (OM) has been, in part, attributed to differences in host genomics. The aim better define the role of genomics as an OM risk by investigating the association between genetic variants and the presence and severity of OM in pediatric patients with osteosarcoma (OS) undergoing chemotherapy (CT).

Methods: A longitudinal observational retrospective study was conducted. Severity of OM was assessed daily using World Health Organization (WHO) criteria. Blood samples were collected, and DNA was extracted. 54 coding regions were analyzed for 17 candidate genes using next-generation sequencing.

Results: A total of 164 CT cycles were evaluated in 14 pediatric patients being treated for OS with HDMTX (66.9%) and doxorubicin + cisplatin (34.1%). OM was diagnosed in 129 cycles (78.7%). Whereas the presence of OM was associated with ABCA3 (rs13332514) in HDMTX cycles, OM severity was associated with ABCC2 (rs2273697) in multivariate analysis. In doxorubicin + cisplatin, genetic variants of ABC family genes (ABCC2 and ABCC6) were associated with OM in multivariate analysis.

Conclusion: Oral mucositis risk and severity in a pediatric population being treated for OS with HDMTX, doxorubicin, and cisplatin were associated with genes in the ABC family (ABCA3, ABCC2, and ABCC6 genes).

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来源期刊
Oral diseases
Oral diseases 医学-牙科与口腔外科
CiteScore
7.60
自引率
5.30%
发文量
325
审稿时长
4-8 weeks
期刊介绍: Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.
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