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Feng, Xiaodong_ Xie, Hong-Guang - Applying pharmacogenomics in therapeutics-CRC Press (2016)

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6

Clinical Applications

of Pharmacogenomics

in Cancer Therapy

Mario Listiawan, Max Feng, and Xiaodong Feng

CONTENTS

Key Concepts.......................................................................................................... 144

Introduction............................................................................................................. 144

PGx Biomarkers for Toxicities Associated with Cancer Therapy........................... 146

Patient Case 1.......................................................................................................... 153

UGT1A1 and Irinotecan..................................................................................... 153

Patient Case 2.......................................................................................................... 157

TPMT Polymorphisms and 6-MP...................................................................... 157

TPMT Polymorphisms and Cisplatin................................................................. 158

Patient Case 3.......................................................................................................... 159

Dihydropyrimidine and 5-FU............................................................................. 159

CYP PGx............................................................................................................ 160

Patient Case 4.......................................................................................................... 161

G6PD and Rasburicase and Dabrafenib............................................................. 162

Drug Transporter–Related Biomarkers.............................................................. 162

Patient Case 5.......................................................................................................... 163

Drug Target–Related Biomarkers....................................................................... 163

HER2 Blocking Monoclonal Antibody and Breast Cancer............................... 163

Patient Case 6.......................................................................................................... 165

ER/PR Receptors................................................................................................ 166

Patient Case 7.......................................................................................................... 166

EGFR Antagonist and Targeted Therapy for Cancer......................................... 167

Cetuximab and Panitumumab................................................................................. 168

Crizotinib and Ceritinib.......................................................................................... 169

A New Generation of the BCR-ABL TKIs............................................................. 170

BRAF and MEK Inhibition in Melanoma with BRAF V600 Mutations................ 171

MEK Inhibitor Trametinib................................................................................. 172

PD-1 Inhibitors................................................................................................... 172

Others................................................................................................................. 172

Conclusions and Future Perspectives...................................................................... 173

Study Questions...................................................................................................... 173

References............................................................................................................... 175

143

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