Topic Highlight
Copyright ©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Aug 7, 2014; 20(29): 9775-9827
Published online Aug 7, 2014. doi: 10.3748/wjg.v20.i29.9775
Table 1 Some common polymorphisms of genes TYMS, MTHFR, DPYD and UMPS and their potential impact on the functioning of proteins associated with the pharmacology of 5-fluorouracil
dbSNP rs cluster IDType of polymorphismFunctionRef.
Thymidylate synthase (TYMS) (OMIM # 188350)
rs45445694VNTR[43-51,68,409-413]
TSER*2/ TSER*3TSER polymorphism (TS 2R/3R repeat) is a tandem repeat upstream of the TYMS translational start site containing either double (2R) or triple (3R) repeats of 28-bp sequences
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 45445694
rs34743033SNP[44-46,49,50,414]
TSER*3G>CTSER*2/*3 repeat is studied together with a G to C SNP within the second repeat of the TSER*3 allele
TSER*3C allele = decrease transcriptional activity of TYMS
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 34743033
rs151264360Del/Ins[44,46,49,51,72,415]
TS 1494del6bp-6-bp deletion, decreased stability of TS mRNA
+6-bp insertion, increased stability of TS mRNA
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 151264360
Methylenetetrahydrofolate reductase (MTHFR) (OMIM # 607093)
rs1801133SNP[66-69,72,313,316,362]
677C>TAt codon 222 in exon 4 (Ala → Val)
Reduces enzymatic activity and increased thermolability
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801133
rs1801131SNP[67-69,72,313,316]
1298A>CAt codon 429 in exon 7 (Glu → Ala)
Reduces MTHFR activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801131
rs4846051aSNPs[71,416]
1305T>CAt codon 435 (synonymous), effect unknown
rs201095365b1798G>AAt codon 600 (Glu → Lys), effect unknown
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4846051
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 201095365
Dihydropyrimidine dehydrogenase (DPYD) (OMIM # 612779)
rs3918290SNP[88,412,417,418]
IVS14+1G>AExon 14 is skipped as a result of the G → A translocation at intron 14, inactive enzyme is formed
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3918290
rs75017182SNP[92,419]
c.1129– 5923C>GCryptic splice donor site leads to a 44 bp fragment of intron 10 insert in mrna, frameshift and premature stop codon in exon 11
Associated with toxicity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 75017182
-SNPs[92,417]
IVS5+18G>AG → A translocation at intron 5, effect unknown
IVS6+139G>AG → A translocation at intron 6, effect unknown
IVS9–51T>GT → G translocation at intron 9, effect unknown
rs1801265SNP[85,420-424]
85T>CAt codon 29 in exon 2 (Cys → Arg)
Decreased expression
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801265
rs2297595SNP[420,421,424-427]
496A>GAt codon 166 in exon 6 (Met → Val)
Significantly conserved site close to the Fe-S motif, may disrupt electron transport
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2297595
rs1801159SNP[421,424,427-430]
1627A>GAt codon 543 in exon 13 (Ile → Val)
Decreased expression
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801159
rs55886062SNP[92,422,431-434]
1679T>GAt codon 560 in exon 13 (Ile → Ser)
Might destabilize FMN (flavine mononucleotide) binding domain
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 55886062
rs1801160SNP[424,428]
2194G>AAt codon 732 in exon 18 (Val → Ile)
Decreased expression
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801160
rs67376798SNP[92,412,417,422,425,426, 432,435-437]
2846A>TAt codon 949 in exon 22 (Asp → Val)
Significantly conserved site near the Fe-S motif, may disrupt cluster formation and electron transport and lead to lower DPD activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 67376798
Uridine monophosphate synthetase (UMPS) [OMIM #613891]
rs121917890aSNPs[122-126]
213A>GAt codon 96 (Arg → Gly), effect unknown
rs121917892b326T>GAt codon 109 (Val → Gly), effect unknown
rs1801019c638G>CAt codon 213 (Gly → Ala), increase activity
rs2291078d1050T>AAt codon 350 (synonymous), effect unknown
rs121917891e1285G>CAt codon 429 (Gly → Arg), effect unknown
rs3772809f1336A>GAt codon 446 (Ile → Val), effect unknown
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 121917890
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 121917892
chttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1801019
dhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2291078
ehttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 121917891
fhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3772809
Table 2 Gene/protein expression or metabolic enzyme activity in colorectal cancer cells and correlation with outcome of patients receiving fluoropyrimidine-based chemotherapy
Treatment settingMethodPatients (n)Better response to chemotherapyForm of the diseaseRef.
Thymidylate synthase (TYMS) [OMIM # 188350]
5-FURT-PCR29Low expressionmCRCIyevleva et al[24]
5-FURT-PCR39Low expressionCRCIshida et al[25]
5-FUIHC57Low expressionmCRCHosokawa et al[26]
5-FUIHC62Low expressionaCRCCiaparrone et al[27]
5-FURT-PCR92Low expressionCRCNakajima et al[28]
5-FURT-PCR309Low expressionCRCKornmann et al[29]
5-FUIHC391Not significantaCRCWestra et al[438]
5-FUIHC945Not significantCRCSoong et al[107]
FUdRIHC36Low expressionmCRCDavies et al[31]
5-FU/LV or 5-FURT-PCR29Low expressionmCRCKornmann et al[32]
5-FU/LVRT-PCR33Low expressionaCRCSalonga et al[17]
5-FU/LVRT-PCR36Low expressionmCRCLenz et al[7]
5-FU/LVRT-PCR42Low expressionCRCLeichman et al[19]
5-FU/LVRIA102Low expressionmCRCEtienne et al[33]
5-FU/OXRT-PCR45Low expressionaCRCShirota et al[34]
5-FU/MTXIHC108Low expressionaCRCParadiso et al[35]
5-FU or 5-FU/MTX or 5-FU/LVIHC24Not significantaCRCBelvedere et al[439]
5-FU or 5-FU/MTX or 5-FU/LVIHC27Not significantmCRCAschele et al[23]
5-FU or 5-FU/MTX or 5-FU/LVIHC48Low expressionmCRCAschele et al[36]
5-FU/LV/CPT-11RT-PCR13Low expressionaCRCYanagisawa et al[37]
5-FU/LV/CPT-11IHC54Low expressionaCRCBendardaf et al[38]
5-FU/LV/CPT-11IHC57Not significantaCRCParadiso et al[440]
UFT/LVRT-PCR37Low expressionmCRCIchikawa et al[39]
CapecitabineRT-PCR37Not significantaCRCVallböhmer et al[97]
CapecitabineIHC39Not significantCRCLindebjerg et al[441]
Capecitabine/CPT-11IHC556Not significantaCRCKoopman et al[110]
5-FU-based therapyIHC681Not significantCRCKarlberg et al[442]
Dihydropyrimidine dehydrogenase (DPYD) (OMIM # 612779)
5-FURT-PCR29Not significantmCRCIyevleva et al[24]
5-FURT-PCR39Not significantCRCIshida et al[25]
5-FUIHC62Low expressionaCRCCiaparrone et al[27]
5-FUIHC303Low expressionCRCJensen et al[443]
5-FURT-PCR309Low expressionCRCKornmann et al[29]
5-FUIHC391Not significantaCRCWestra et al[438]
5-FUIHC945Not significantCRCSoong et al[107]
5-FU/LVRT-PCR33Low expressionaCRCSalonga et al[17]
UFT/LVRT-PCR37Low expressionmCRCIchikawa et al[39]
5-FU/LV/CPT-11RT-PCR13Not significantaCRCYanagisawa et al[37]
CapecitabineRT-PCR37Low expressionaCRCVallböhmer et al[97]
Capecitabine/CPT-11RT-PCR67Not significantaCRCMeropol et al[98]
Capecitabine/CPT-11IHC556Low expressionaCRCKoopman et al[110]
5-FU-based therapyELISA64Low expressionaCRCOi et al[444]
5-FU-based therapyRT-PCR102Low expressionCRCLassman et al[445]
5-FU-based therapyRT-PCR144Low expressionaCRCGustavsson et al[446]
5-FU-based therapyIHC150Low expressionaCRCTokunaga et al[447]
Thymidine phosphorylase (TYMP) (OMIM # 131222)
5-FUIHC62Not significantaCRCCiaparrone et al[27]
5-FUIHC945Not significantCRCSoong et al[107]
5-FU/LVRT-PCR33Low expressionaCRCSalonga et al[17]
5-FU/LV/CPT-11RT-PCR13Not significantaCRCYanagisawa et al[37]
CapecitabineRT-PCR37Not significantaCRCVallböhmer et al[97]
Capecitabine/OXIHC41High expressionmCRCPetrioli et al[448]
Capecitabine/CPT-11RT-PCR67High expressionaCRCMeropol et al[98]
Capecitabine/CPT-11IHC556Not significantaCRCKoopman et al[110]
5-FU-based therapyRT-PCR144Low expressionaCRCGustavsson et al[446]
5-FU-based therapyIHC150Low expressionaCRCTokunaga et al[447]
Uridine monophosphate synthetase (UMPS) (OMIM #613891)
5-FURT-PCR38Not significantmCRCSameshima et al[449]
5-FURT-PCR39Not significantCRCIshida et al[25]
5-FU/LV/OXRT-PCR58Not significantCRCDong et al[450]
5-FU/LV/cisplatinRT-PCR22High expressionmCRCMatsuyama et al[113]
UFTRIA40High expressionCRCIchikawa et al[114]
UFTRIA124High expressionCRCOchiai et al[115]
UFTIHC150High expressionCRCTokunaga et al[116]
UFTIHC160High expressionCRCTokunaga et al[117]
UFT/LVRT-PCR37High expressionmCRCIchikawa et al[118]
UFT/LVRT-PCR103High expressionCRCYamada et al[119]
5-FU-based therapyRT-PCR10Not significantCRCIshibashi et al[451]
5-FU-based therapyRIA11Not significantCRCYamada et al[452]
5-FU-based therapyRT-PCR52Not significantCRCKinoshita et al[453]
5-FU-based therapyRIA54High expressionCRCFujii et al[120]
5-FU-based therapyRIA90High expressionCRCOchiai et al[121]
Table 3 Selected common polymorphisms of UGT1A1, UGT1A7, UGT1A9, CES2, CYP3A4, CYP3A5, MDR1, MRP1, MRP2, BCRP, OATP1B1 genes and their potential impact on functioning of proteins related to CPT-11 pharmacology
dbSNP rs cluster IDType of polymorphismFunctionRef.
UDP-glycosyltransferase 1A1 (UGT1A1) (OMIM # 191740)
rs8175347VNTR[177,178,180,182,191,192,197,219,317,356,454-460]
-53(TA)6>7UGT1A1*28, reduced activity
-53(TA)6>5UGT1A1*36, increased activity
-53(TA)6>8UGT1A1*37, reduced activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 8175347
rs3755319SNP[187]
-3279T>GUGT1A1*60, reduced activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3755319
rs10929302aSNP[192,404]
-3156G>AUGT1A1*93, reduced activity
rs887829b-3140G>Aeffect unknown
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 10929302
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 887829
rs4148323SNP[186,191,461]
211G>AGly71Arg, UGT1A1*6, reduced activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4148323
rs35350960SNP[172,174,189]
686C>APro229Gln, UGT1A1*27, reduced activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 35350960
rs34993780SNP[170,174,189]
1456T>GTyr486Asp, UGT1A1*7, reduced activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 34993780
UDP-glycosyltransferase 1A7 (UGT1A7) (OMIM #606432)
rs17868323aSNP[188,189,197,237]
387T>GAsn129Lys, UGT1A7*2 and *3, increased activity
rs17863778b391C>AArg131Lys, UGT1A7*2 and *3, increased activity
rs11692021c622C>TTrp208Arg, UGT1A7*3 and *4, reduced activity
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 17868323
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 17863778
chttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 11692021
UDP-glycosyltransferase 1A9 (UGT1A9) (OMIM #606434)
rs45625337VNTR[190,197,462]
–118(T)9>10UGT1A9*22, increased activity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 45625337
rs2741049SNP[197,463]
IVS1+399C>TEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2741049
Carboxylesterase 2 (CES2) (OMIM #605278)
-SNP[159,161,166]
1A>TMet1Leu, CES*5
rs72547531a100C>TArg98Trp, CES*2
rs72547532b424G>AVal206Met, CES*3
rs8192924c617G>AArg270His, CES*6
rs11075646d830C>GSynonymous
rs72547533eIVS8-2A>GSplicing defect, CES*4
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 72547531
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 72547532
chttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 8192924
dhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 11075646
ehttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 72547533
Cytochrome P450, subfamily IIIA, polypeptide 4 (CYP3A4) (OMIM #124010)
rs2740574aSNP[211,464,465]
-392A>GCYP3A4*1b, altered pharmacokinetics and toxicity
rs4986907b485G>ACYP3A4*15, Arg162Gln
rs4986908c520G>CCYP3A4*10, Asp174His
rs12721627d554C>GCYP3A4*16, Thr185Ser
rs4987161e566T>CCYP3A4*17, Phe189Ser, altered pharmacokinetics
rs55785340f664T>CCYP3A4*2, Ser222Pro, altered pharmacokinetics and toxicity
rs28371759g878T>CCYP3A4*18, Leu293Pro, altered pharmacokinetics and toxicity
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2740574
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4986907
chttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4986908
dhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 12721627
ehttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4987161
fhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 55785340
ghttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 28371759
rs4986910SNP[210,465]
1334T>CCYP3A4*3, Met444Thr
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4986910
Cytochrome P450, subfamily IIIA, polypeptide 5 (CYP3A5) (OMIM #605325)
rs776746SNP[179,464-467]
6986A>GSynonymous
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 776746
Multidrug resistance 1 (MDR1, ABCB1) (OMIM #171050)
rs1128503SNP[210,211,217,460,467-469]
1236C>TSynonymous, CTP-11 or SN-38 AUC ↑
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1128503
rs2032582SNP[217,468-470]
2677G>T/ASer893Ala or Ser893Thr
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2032582
rs1045642SNP[179,217,468-475]
3435C>TSynonymous, CTP-11 AUC ↑
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1045642
rs10276036SNP[207]
IVS9-44A>GEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 10276036
Multidrug resistance-associated protein 1 (MRP1, ABCC1) (OMIM #158343)
rs35605SNP[210,476]
1684T>CSynonymous
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 35605
rs17287570SNP[237]
c.1677+4951A>CEffect unknown
rs3765129SNP[207,210,476]
IVS11-48C>TEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3765129
rs2074087SNP[476,477]
IVC18-30C>GEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2074087
Multidrug resistance-associated protein 2 (MRP2, ABCC2) (OMIM #601107)
rs1885301SNP[477]
-1549A>GEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1885301
rs2804402SNP[207]
-1019A>GEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2804402
rs717620SNP[477-479]
-24C>TEffect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 717620
rs2273697SNP[467,479,480]
1249G>AVal417Ile, effect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2273697
rs3740066SNP[477,479,481]
3972C>TSynonymous, CTP-11 or APC or SN-38G AUC ↑
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3740066
Breast cancer resistance protein (BCRP, ABCG2) (OMIM #603756)
rs2622604aSNP[237]
c.-19-17758A>GSynonymous
rs3109823bc.-19-3436G>ASynonymous
ahttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2622604
bhttp://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3109823
rs2231142SNP[239-244,482]
421C>AGln141Lys, no significant changes in CPT-11 pharmacokinetics
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2231142
rs2231137SNP[242,467,482]
34G>AVal12Met, higher drug resistance in vitro (SN-38)
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2231137
rs1481012SNP[483]
c.841+179T>CSynonymous
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1481012
Organic anion-transporting polypeptide 1B1 (OATP1B1, SLCO1B1) (OMIM #604843)
rs2306283SNP[247-249,460,467,484]
388A>GAsn130Asp, effect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2306283
rs4149056SNP[247-249,460]
521T>CVal174Ala, effect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 4149056
Table 4 Selected common polymorphisms of MDR1, GSTP1, ERCC1, ERCC2, XRCC1 genes and their potential impact on functioning of proteins related to OX pharmacology
dbSNP rs cluster IDType of polymorphismFunctionRef.
Multidrug resistance 1 (MDR1, ABCB1) (OMIM #171050)
rs1128503SNP[152,296,318,485]
1236C>TSynonymous, effect unknown
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1128503
rs2032582SNP[152,296]
2677G>T/ASer893Ala or Ser893Thr, the GG genotype carriers have the highest while the AT genotype carriers have the lowest levels of ABCB1 expression
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 2032582
rs1045642SNP[152,296,350,485]
3435C>TSynonymous, TT genotype carriers have lower intestinal ABCB1 expression
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1045642
Glutathione S-transferase π (GSTP1) (OMIM #134660)
rs1138272SNP[311,477]
341C>TAla114Val, altered enzyme kinetics, altered toxicity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1138272
rs1695SNP[51,180,311-329,467,477]
313A>GIle105Val, decreased enzymatic activity, altered toxicity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1695
Excision repair cross-complementation group 1 (ERCC1) (OMIM #126380)
rs11615SNP[51,313,344,345,357,486]
354T>CSynonymous, decreased transcriptional activity of ERCC1
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 11615
rs3212948SNP[487]
321+74C>GIntronic SNP (intron 2), protective effect of the C allele to cancer risk
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 3212948
Excision repair cross-complementation group 2 (ERCC2, XPD) (OMIM #126340)
rs13181SNP[51,313,336,337,350,351,353,356,357,486]
2251A>CLys751Gln, the Gln allele is associated with a higher DNA adduct level or lower DNA repair capacity
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 13181
rs1799793SNP[313,336,337,353]
862G>AAsp312Asn, lower DNA repair capacity for the Asn allele than the Asp allele
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 1799793
X-ray cross complementation factor (XRCC1) (OMIM #194360)
rs25487SNP[51,313,349,350,361-364,486]
1196A>GArg399Gln, reduced base excision repair function for Gln allele than the Arg allele
http://www.ncbi.nlm.nih.gov/SNP/snp_ref.cgi?rs = 25487