Evidence map›Paper›PMID 38771533›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2024

HER2/neu 655 polymorphism, trastuzumab-induced cardiotoxicity, and survival in HER2-positive breast cancer patients.

Isabel Blancas, Marina Linares-Rodríguez, Celia Martín-Bravo, Celia Gómez-Peña, Fernando Rodríguez-Serrano

Abstract read
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Isabel BlancasDepartment of Medicine, University of Granada, Granada, Spain. iblancas@ugr.es.ORCID http://orcid.org/0000-0002-5867-6615
Marina Linares-RodríguezBiopathology and Regenerative Medicine Institute (IBIMER), Biomedical Research Centre, University of Granada, Avenida del Conocimiento S/N, 18016, Armilla, Granada, Spain.ORCID http://orcid.org/0000-0001-7075-1123
Celia Martín-BravoDepartment of Oncology, Costa del Sol Hospital, Marbella, Spain.ORCID http://orcid.org/0000-0003-3807-5043
Celia Gómez-PeñaDepartment of Pharmacy, Hospital Universitario Clínico San Cecilio, Granada, Spain.ORCID http://orcid.org/0000-0002-3957-7865
Fernando Rodríguez-SerranoInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain. fernrs@ugr.es.ORCID http://orcid.org/0000-0002-7105-4060

Funding

Consejería de Salud y Familias, Junta de Andalucía PECART-0207-2020
6 · The paper itself

Abstract

purposeHER2 overexpression in breast cancer correlates with poor outcomes. The incorporation of Trastuzumab into the treatment regimen has notably improved patient prognoses. However, cardiotoxicity emerges in approximately 20% of patients treated with the drug. This study aims to investigate the association between the HER2 655 A > G polymorphism, Trastuzumab-induced cardiotoxicity, and patient survival.

methodsThe study involved 88 patients treated with Trastuzumab. Cardiotoxicity, defined as a reduction in left ventricular ejection fraction (LVEF) from baseline or the emergence of clinical signs of congestive heart failure, was identified during treatment follow-up. Genotyping of HER2 655 A > G employed TaqMan SNP technology.

resultsGenotype frequencies of HER2/neu 655 (53 AA, 32 AG, and 3 GG) were consistent with Hardy-Weinberg equilibrium. No significant differences were observed in mean baseline LVEF between patients who developed cardiotoxicity and those who did not. Within these groups, neither AA nor AG genotypes showed an association with changes in mean baseline or reduced LVEF levels. Logistic regression analysis, adjusted for hormonal status and anthracycline treatment, revealed that AG genotype carriers face a significantly higher risk of cardiotoxicity compared to AA carriers (OR = 4.42; p = 0.037). No association was found between the HER2/neu 655 A > G polymorphism and disease-free or overall survival, regardless of whether the data was adjusted for stage or not.

conclusionHER2 655 A > G polymorphism is significantly linked to an increased risk of Trastuzumab-induced cardiotoxicity but does not correlate with variations in disease-free survival or overall survival rates.

Indexed as

Antineoplastic Agents, ImmunologicalBreast NeoplasmsCardiotoxicityErb-b2 Receptor Tyrosine KinasesPolymorphism, Single NucleotideTrastuzumabAdultAgedFemaleGenotypeHumansMiddle AgedPrognosisSurvival RateAntineoplastic Agents, ImmunologicalERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesTrastuzumabBreast cancerCardiotoxicityHER2 polymorphismSurvivalTrastuzumab

Identifiers

PMID38771533
PMCPMC11410839

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.