Evidence map›Paper›PMID 41820267›Full record

ArticleCancer medicine2026

Chemotherapy-Induced Myelosuppression in Patients With gBRCA-m Epithelial Ovarian Cancer: A Retrospective Study.

Hongtao Hu, Xianglin Nie, Yuxin Jiang, Chaoyi Shi, Xing Chen, Weiyue Zhang, Shan Wu, Yanmei Cheng, Lin Zhang, Yi Jiang and 4 more

Abstract read
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Article in Cancer medicine, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Hongtao HuDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Xianglin NieDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Yuxin JiangDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Chaoyi ShiDepartment of Reproductive Medicine, Women and Children's Hospital of Ningbo University, Zhejiang, China.
Xing ChenDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Weiyue ZhangDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Shan WuDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Yanmei ChengDepartment of Gynaecology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Lin ZhangDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Yi JiangDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Shulin ZhouDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Chengyan LuoDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0002-8154-8670
Lin YuanDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.
Wenjun ChengDepartment of Gynaecology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, Jiangsu, China.ORCID https://orcid.org/0000-0003-3134-4853

Funding

Jiangsu Health International Exchange Program sponsorshipNational Natural Science Foundation of China 82303134National Natural Science Foundation of China 82303547Ningbo Yong Jiang Talent Programme 2021B-012-GYoung Scholars Fostering Fund of the First Affiliated Hospital of Nanjing Medical University PY2021009Youth Talents Development Program of Jiangsu Women and Children Health Hospital FYRC202004
6 · The paper itself

Abstract

backgroundExisting evidence indicates that germline BRCA mutation (gBRCA-m) may increase chemotherapy sensitivity and toxicity. However, its role in chemotherapy-induced myelosuppression (CIM) remains unclear. We conducted this study to investigate the influence of gBRCA-m on CIM incidence and severity in patients with epithelial ovarian carcinoma (EOC).

methodsPatients with EOC treated at the First Affiliated Hospital of Nanjing Medical University from January 2018 to August 2023 were classified into two groups: gBRCA-m and gBRCA wild-type. Chemotherapy regimen and myelosuppression data were retrospectively reviewed. Multivariate analysis assessed the association between gBRCA-m and CIM incidence and severity in patients with EOC receiving first-line chemotherapy.

resultsSixty six (27%) of 242 included patients were gBRCA-m carriers. The median times to myelosuppression onset and the most severe occurrence were significantly shorter for patients with gBRCA-m (6.0 vs. 27.0 days, p < 0.001; 73.5 vs. 121.0 days, p < 0.001). Patients with gBRCA-m had a greater likelihood of Grade IV (GIV) myelosuppression at onset (aOR = 5.585, 95% CI = 1.621-19.241). During the most severe myelosuppression, patients with gBRCA-m experienced more pronounced decreases in white blood cells (1.83 × 10

conclusionsEOC patients with gBRCA-m experienced earlier and more severe CIM, highlighting the need for careful monitoring and tailored management.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBRCA1 ProteinBRCA2 ProteinCarcinoma, Ovarian EpithelialGerm-Line MutationOvarian NeoplasmsAdultAgedCytopeniaFemaleHumansMiddle AgedRetrospective StudiesBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanchemotherapy‐induced myelosuppressionepithelial ovarian carcinomafirst‐line chemotherapygBRCA1/2 mutation

Identifiers

PMID41820267
PMCPMC13093525

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