PMID- 37165991 OWN - NLM STAT- MEDLINE DCOM- 20230512 LR - 20230512 IS - 0022-9040 (Print) IS - 0022-9040 (Linking) VI - 63 IP - 4 DP - 2023 May 1 TI - [Anthra-cycline-Induced Cardiotoxicity: the Role of Genetic Predictors]. PG - 22-28 LID - 10.18087/cardio.2023.4.n1946 [doi] AB - Aim To evaluate the predictive significance of gene polymorphism in endothelin-1 type 2A receptor, NADPH oxidase, p53 protein, endothelial nitric oxide synthase, caspase 8, interleukin-1beta, tumor necrosis factor-alpha, superoxide dismutase-2, glutathione peroxidase-1, beta1-adrenoceptor, angiotensin-converting enzyme, and matrix metalloproteinase-3 (MMP-3) genes in evaluating the risk of anthracycline-induced cardiotoxicity (AIC) in women without concurrent cardiovascular diseases (CVD).Material and methods This study included 176 women aged 45.0 [42.0; 50.0] years with breast cancer without concurrent CVD who were scheduled for polychemotherapy (PCT) with anthracycline antibiotics. Echocardiography was performed for all patients at baseline and at 12 months after the end of PCT course. Genetic polymorphism was determined with the polymerase chain reaction.Results At 12 months, all patients were in remission of the underlying disease. They were retrospectively included into 2 groups: 1st group, 52 patients with AIC and 2nd group, 124 women without AIC symptoms. The development of AIC was associated with the presence of the p53 protein gene Arg / Arg genotype (odds ratio (OR), 2.972; p=0.001), NOS3 gene T / T genotype (OR, 3.059; p=0.018), NADPH oxidase gene T / T genotype (OR, 2.753; p=0.008), GPX1 gene C / C genotype (OR, 2.345; p=0.007), MMP-3 gene 5A / 5A genotype (OR, 2.753; p=0.008), and ADRB1 gene G / G genotype (OR, 3.271; p=0.043).Conclusion Evaluation of genetic polymorphism in p53 protein (rs1042522), NOS3 (rs1799983), NADPH-oxidase (rs4673), GPX1 (rs1050450), ADRB1 (Arg389Gly, rs1801253), and MMP-3 (rs3025058) genes can be recommended for use prior to starting chemotherapy in women with breast cancer without CVD for assessing the risk of AIC. A maximum risk of cardiotoxicity is associated with the presence of the p53 protein gene Arg / Arg genotype and NOS3 gene T / T genotype. FAU - Kopeva, K V AU - Kopeva KV AD - Research Institute of Cardiology, Tomsk National Research Medical Center. FAU - Grakova, E V AU - Grakova EV AD - Research Institute of Cardiology, Tomsk National Research Medical Center. FAU - Shilov, S N AU - Shilov SN AD - Novosibirsk State Medical University. FAU - Popova, A A AU - Popova AA AD - Novosibirsk State Medical University. FAU - Berezikova, E N AU - Berezikova EN AD - Novosibirsk State Medical University, Novosibirsk. FAU - Neupokoeva, M N AU - Neupokoeva MN AD - Novosibirsk State Medical University. FAU - Ratushnyak, E T AU - Ratushnyak ET AD - Novosibirsk State Medical University. FAU - Teplyakov, A T AU - Teplyakov AT AD - Research Institute of Cardiology, Tomsk National Research Medical Center. LA - rus PT - English Abstract PT - Journal Article DEP - 20230501 PL - Russia (Federation) TA - Kardiologiia JT - Kardiologiia JID - 0376351 RN - 0 (Tumor Suppressor Protein p53) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) RN - 0 (Anthracyclines) RN - EC 1.6.3.- (NADPH Oxidases) SB - IM MH - Humans MH - Female MH - Tumor Suppressor Protein p53/genetics MH - Matrix Metalloproteinase 3/genetics MH - Retrospective Studies MH - Cardiotoxicity/etiology MH - Genotype MH - Nitric Oxide Synthase Type III/genetics MH - *Cardiovascular Diseases/genetics MH - *Breast Neoplasms MH - Anthracyclines MH - NADPH Oxidases/genetics MH - Genetic Predisposition to Disease MH - Polymorphism, Single Nucleotide EDAT- 2023/05/11 13:18 MHDA- 2023/05/12 07:06 CRDT- 2023/05/11 06:33 PHST- 2021/11/23 00:00 [received] PHST- 2022/03/25 00:00 [accepted] PHST- 2023/05/12 07:06 [medline] PHST- 2023/05/11 13:18 [pubmed] PHST- 2023/05/11 06:33 [entrez] AID - 10.18087/cardio.2023.4.n1946 [doi] PST - epublish SO - Kardiologiia. 2023 May 1;63(4):22-28. doi: 10.18087/cardio.2023.4.n1946.