CYP2D6 does not impact on breast cancer-free survival in Southeast Mexican patients under tamoxifen treatment

Per Med. 2020 Jul 1;17(4):261-270. doi: 10.2217/pme-2019-0135. Epub 2020 Jun 26.

Abstract

Aim: We conducted a retrospective analysis in 71 Mexican Mestizo patients to evaluate the breast cancer-free survival (BCFS) among the inferred genetic phenotypes (GP) of CYP2D6. Patients & methods:CYP2D6 was genotyped through Taqman-probe analysis; GP were inferred according to international guidelines. The BCFS was estimated through Kaplan-Meier method and analyzed with a log-rank test; hazard ratios were calculated with 95% CI and p < 0.05. Results: The BCFS did not differ among CYP2D6 GP (p = 0.45) and recurrence risk was similar between gNM + gUM and gPM + gIM groups (hazard ratio: 1.54, 95% CI: 0.37-6.38; p = 0.55). Conclusion: The findings do not support any impact of CYP2D6 on BCFS. Evaluation of other genetic/nongenetic biomarkers is needed in Mexican Mestizo patients under tamoxifen treatment.

Keywords: CYP2D6; breast cancer-free survival; genetic phenotype; mexican mestizos; recurrence; tamoxifen.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Breast Neoplasms / genetics*
  • Cytochrome P-450 CYP2D6 / genetics*
  • Cytochrome P-450 CYP2D6 / metabolism
  • Disease-Free Survival
  • Ethnicity / genetics
  • Female
  • Genetic Association Studies / methods
  • Genotype
  • Humans
  • Kaplan-Meier Estimate
  • Mexico / epidemiology
  • Middle Aged
  • Phenotype
  • Polymorphism, Genetic / genetics
  • Retrospective Studies
  • Tamoxifen / therapeutic use

Substances

  • Tamoxifen
  • Cytochrome P-450 CYP2D6