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Cited by 310

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.

Association of CYP 3 A 4 genotype with treatment-related leukemia

Open access
Felix, Carolyn A., Walker, Amy H., Lange, Beverly J., Williams, Terence M., Winick, Naomi J., Cheung, Nai-Kong V., Lovett, Brian D., Nowell, Peter C., Blair, Ian A., Rebbeck, Timothy R.·1998·Proceedings of the National Academy of Sciences

Abstract

Epipodophyllotoxins are associated with leukemias characterized by translocations of the MLL gene at chromosome band 11q23 and other translocations. Cytochrome P450 (CYP) 3A metabolizes epipodophyllotoxins and other chemotherapeutic agents. CYP3A metabolism generates epipodophyllotoxin catechol and quinone metabolites, which could damage DNA. There is a polymorphism in the 5′ promoter region of the CYP3A4 gene ( CYP3A4-V ) that might alter the metabolism of anticancer drugs. We examined 99 de novo and 30 treatment-related leukemias with a conformation-sensitive gel electrophoresis assay for the presence of the CYP3A4-V . In all treatment-related cases, there was prior exposure to one or more anticancer drugs metabolized by CYP3A. Nineteen of 99 de novo (19%) and 1 of 30 treatment-related (3%) leukemias carried the CYP3A4-V ( P = 0.026; Fisher’s Exact Test, FET). Nine of 42 de novo leukemias with MLL gene translocations (21%), and 0 of 22 treatment-related leukemias with MLL gene translocations carried the CYP3A4-V ( P = 0.016, FET). This relationship remained significant when 19 treatment-related leukemias with MLL gene translocations that followed epipodophyllotoxin exposure were compared with the same 42 de novo cases ( P = 0.026, FET). These data suggest that individuals with CYP3A4-W genotype may be at increased risk for treatment-related leukemia and that epipodophyllotoxin metabolism by CYP3A4 may contribute to the secondary cancer risk. The CYP3A4-W genotype may increase production of potentially DNA-damaging reactive intermediates. The variant may decrease production of the epipodophyllotoxin catechol metabolite, which is the precursor of the potentially DNA-damaging quinone.

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Metadata

Authors
Felix, C. A., Walker, A. H., Lange, B. J., Williams, T. M., Winick, N. J., Cheung, N.-K. V., Lovett, B. D., Nowell, P. C., Blair, I. A., & Rebbeck, T. R.
Venue
Proceedings of the National Academy of Sciences
Published
1998-10-27
Volume
95
Issue
22
Pages
13176-13181
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2072467180
Cited by
310
References
44
FWCI
19.78
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Association of CYP 3 A 4 genotype with treatment-related leukemia. https://app.cochat.ai/papers/10.1073/pnas.95.22.13176
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Felix, C. A., Walker, A. H., Lange, B. J., Williams, T. M., Winick, N. J., Cheung, N.-K. V., Lovett, B. D., Nowell, P. C., Blair, I. A., & Rebbeck, T. R. (1998). Association of CYP 3 A 4 genotype with treatment-related leukemia. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.95.22.13176

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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