The late radiotherapy normal tissue injury phenotypes of telangiectasia, fibrosis and atrophy in breast cancer patients have distinct genotype-dependent causes
2007

Genetics of Late Radiotherapy Damage in Breast Cancer Patients

Sample size: 167 publication Evidence: moderate

Author Information

Author(s): Giotopoulos G, Symonds R P, Foweraker K, Griffin M, Peat I, Osman A, Plumb M

Primary Institution: University of Leicester

Hypothesis

What are the genetic factors contributing to late normal tissue radiation injury in breast cancer patients?

Conclusion

The study found that distinct genetic factors contribute to different types of late radiation injuries in breast cancer patients.

Supporting Evidence

  • 8% of patients homozygous for the TGFβ1 (C-509T) variant allele have a 15-fold increased risk of fibrosis.
  • An early acute reaction to radiation increases the risk of long-term fibrosis by an odds ratio of 8.5.
  • The XRCC1 (R399Q) polymorphism is associated with an increased risk of telangiectasia.

Takeaway

Some people get hurt in different ways after radiation treatment for breast cancer, and this study looks at how genes might play a role in that.

Methodology

Patients were genotyped for SNPs in eight candidate genes and assessed for late normal tissue damage using SOMA and RTOG scales.

Potential Biases

Multiple testing on the same patient samples may lead to false positive or negative results.

Limitations

The sample size is relatively small, which may reduce the statistical power of the findings.

Participant Demographics

The majority of participants were Caucasian, with some of Asian and African Caribbean descent.

Statistical Information

P-Value

0.000003

Confidence Interval

95% CI: 3.76–60.3

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6603637

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