Influence of the ABCB1 polymorphisms on the response to Taxane-containing chemotherapy: a systematic review and meta-analysis

Cancer Chemother Pharmacol. 2018 Feb;81(2):315-323. doi: 10.1007/s00280-017-3496-1. Epub 2017 Dec 5.

Abstract

Purpose: Multidrug resistance mediated by ABCB1 has been perceived to be one of the obstacles for cancer chemotherapy. This meta-analysis was performed to verify the effect of the ABCB1 rs1045642 and rs1128503 polymorphisms on the response to Taxane-containing chemotherapy.

Methods: Pooled odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were employed to evaluate the impact of these two ABCB1 polymorphisms. R scripts were developed to perform the meta-analysis.

Results: A total of nine articles (including nine studies for rs1045642 and five for rs1128503) were collected in our systematic review. However, our meta-analysis showed no significant effect of these two ABCB1 polymorphisms on the response to Taxane-containing regimens.

Conclusions: This study highlights the unsuitability of relying on the ABCB1 rs1045642 and rs1128503 polymorphisms as therapeutic response biomarkers of Taxane-containing chemotherapy. Further polycentric studies in larger and multiracial populations are needed to validate the conclusions.

Keywords: ABCB1; Meta-analysis; Polymorphism; Sensitivity; Taxane-containing chemotherapy.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Systematic Review

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • Antineoplastic Agents, Phytogenic / therapeutic use*
  • Biomarkers / blood
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / genetics*
  • Polymorphism, Genetic / genetics
  • Taxoids / therapeutic use*

Substances

  • ABCB1 protein, human
  • ATP Binding Cassette Transporter, Subfamily B
  • Antineoplastic Agents, Phytogenic
  • Biomarkers
  • Taxoids