Abstract
Effects of ABCB1 Gene Polymorphism on Toxicity of Taxane Based Chemotherapy in Bangladeshi Triple Negative Breast Cancer Patients
Abu Syed Md Mosaddek*, Md Siddiqul Islam, Habiba Khanom Lubna, Jannatul Ferdusi Mim, Popy Sarkar, Suchana Akter, Md Assadik Alam, Md Asif Sarker, Zebunnesa Ahmed, Hrishik Iqbal, Nafisa Mosaddek
Corresponding Author: Abu Syed Md Mosaddek, Quest Bangladesh University, Bangladesh.
Revised: September 04, 2024; Available Online: September 04, 2024
Citation: Mosaddek ASMd, Islam MdS, Lubna HK, Mim JF, Sarkar P, et al. (2024) Effects of ABCB1 Gene Polymorphism on Toxicity of Taxane Based Chemotherapy in Bangladeshi Triple Negative Breast Cancer Patients. J Womens Health Safety Res, 8(S1): 01.
Copyrights: ©2024 Mosaddek ASMd, Islam MdS, Lubna HK, Mim JF, Sarkar P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Background: Triple-negative breast cancer (TNBC) poses a significant therapeutic challenge due to its aggressive nature and limited treatment options. There is a chance of developing toxicities with Taxane-based treatments and these can differ from person to person. Drug response and toxicity may be influenced by variations of ABCB1 gene.

Objectives: To assess the impact of ABCB1 (rs1045642) polymorphisms on the toxicity of Taxane based chemotherapy in Bangladeshi triple-negative breast cancer patients.

Methods: 100 female patients with breast cancer who had received docetaxel or paclitaxel containing neoadjuvant chemotherapy were included in this study. The Taxane-induced toxicity during the treatment was evaluated. Genetic polymorphisms were detected with by PCR-RFLP technique.

Results: ABCB1 (rs1045642) polymorphism was found to be significantly associated with chemotherapy-induced anemia, neutropenia and gastrointestinal toxicity. Patients with the “TT” genotype of the ABCB1 (rs1045642) gene had a significantly higher risk of developing Anemia (OR = 4.40, 95% CI = 1.06 to 18.09, p = 0.0400) compared to those with the 'CC' genotype. Additionally, patients with the 'TT' and 'CT plus TT' genotypes of the ABCB1 (rs1045642) gene had a significantly higher risk of developing Neutropenia and Gastrointestinal Toxicity compared to those with the 'CC' genotype (OR = 4.38, 95% CI = 0.99 to 19.35, p = 0.0511 and OR = 3.76, 95% CI = 0.95 to 14.87, p = 0.0581 and OR = 4.33, 95% CI = 1.02 to 18.25, p = 0.0457; OR = 3.63, 95% CI = 1.05 to 12.55, p = 0.0416). This study did not find any significant relationship between leukopenia and the ABCB1 (rs1045642) gene variant.

Conclusion: Genetic variations in ABCB1 (rs1045642) may influence the toxicity of Taxane-based chemotherapy in Bangladeshi TNBC patients. This study sheds light on pharmacogenomic markers for personalized Triple-negative breast cancer treatment, optimizing efficacy and minimizing adverse effects.

Keywords: ABCB1, P-glycoprotein, Polymorphisms, Breast cancer treatment, Taxane-based chemotherapy, Drug resistance