Pharmacogenomics for the efficacy of platinum-based chemotherapy: Old drugs, new integrated perspective

Biomed Pharmacother. 2020 Jun:126:110057. doi: 10.1016/j.biopha.2020.110057. Epub 2020 Mar 4.

Abstract

Platinum-based chemotherapy remains the cornerstone of treatment for many malignancies. However, although therapeutic efficiency varies greatly among individuals, there is a lack of pharmacogenomic biomarkers that can be used in clinical settings to identify chemosensitive patients and allow stratification. With the development of high-throughput screening techniques and systems biology approaches, a growing body of evidence has shown that platinum resistance is a multifactorial, multi-dimensional, dynamic process incorporating genetic background, tumor evolution and gut microbes. This review critically summarizes potential pharmacogenomic biomarkers for predicting the efficacy of platinum drugs and provides a comprehensive, time-varying perspective that integrates multiple markers.

Keywords: Biomarker; Efficacy; Pharmacogenomics; Platinum; Resistance.

Publication types

  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / pharmacokinetics
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Biomarkers, Tumor / genetics*
  • Carboplatin / pharmacokinetics
  • Carboplatin / therapeutic use*
  • Cisplatin / pharmacokinetics
  • Cisplatin / therapeutic use*
  • DNA Repair / drug effects
  • DNA Repair / genetics
  • Genome-Wide Association Study
  • Humans
  • Pharmacogenetics / methods*
  • Pharmacogenomic Variants*

Substances

  • Biomarkers, Tumor
  • Carboplatin
  • Cisplatin