C. Sweeney et al., Association between survival after treatment for breast cancer and glutathione S-transferase P1 Ile(105)Val polymorphism, CANCER RES, 60(20), 2000, pp. 5621-5624
A glutathione S-transferase (GST) P1 polymorphism results in an amino acid
substitution, Ile(105)Val; the Val-containing enzyme has reduced activity t
oward alkylating agents. Cancer patients with the variant enzyme may differ
in removal of treatment agents and in outcomes of therapy, We evaluated su
rvival according to GSTP1 genotype among women (a = 240) treated Pur breast
cancer. Women with the low-activity Val/Val genotype had better survival.
Compared with Ile/Ile, hazard ratios for overall survival were 0.8 (95% con
fidence interval, 0.5-1.3) for Ile/Val and 0.3 (95% confidence interval, 0.
1-1.0) for Val/Val (P for trend = 0.04). Inherited metabolic variability ma
y influence treatment outcomes.