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Updated: Jul 7, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Susceptibility loci involved in cisplatin-induced cytotoxicity and apoptosis
Sunita J Shukla1, Shiwei Duan, Judith A Badner
1Department of Human Genetics, University of Chicago, Chicago Illinois 60637, USA.
Objectives:
Cisplatin is a widely used chemotherapeutic agent; however, nephrotoxicity and neuropathy are obstacles for drug efficacy. Little is known about the genes or genetic variants contributing to the risk of developing these toxicities or chemotherapeutic response. Thus, we have applied a cell-based model to identify and characterize previously unknown genes that may be involved in cellular susceptibility to cisplatin.
Methods:
Lymphoblastoid cell lines from 27 large Centre d'Etude du Polymorphisme Humain pedigrees were used to elucidate the genetic contribution to cisplatin-induced cytotoxicity. Phenotype was defined as cell growth inhibition following exposure of cell lines to increasing concentrations of cisplatin for 48 h.
Results:
Significant heritability, ranging from 0.32 to 0.43 (P<10), was found for the cytotoxic effects of each concentration (1, 2.5, 5, 10, and 20 micromol/l) and IC50, the concentration required for 50% cell growth inhibition. Linkage analysis revealed 11 genomic regions on six chromosomes with logarithm of odds (LOD) scores above 1.5 for cytotoxic phenotypes. The highest LOD score was found on chromosome 4q21.3-q35.2 (LOD=2.65, P=2.4x10(-4)) for 5 micromol/l cisplatin. Quantitative transmission disequilibrium tests were performed using 191973 nonredundant single nucleotide polymorphisms (SNPs) located in the 1 LOD confidence interval of these 11 regions. Twenty SNPs, with 10 SNPs located in five genes, were significantly associated with cisplatin-induced cytotoxicity (P
Conclusions:
Our results suggest that genetic factors involved in cytotoxicity also contribute to cisplatin-induced apoptosis. These cell lines provide a paradigm to identify previously unknown pharmacogenetic variants associated with drug cytotoxicity.
Insights
Genetic factors influence cisplatin toxicity. This study identified specific gene variants associated with cisplatin-induced cell death, offering new avenues for personalized cancer treatment strategies.
Area of Science:
- Pharmacogenomics
- Cancer Biology
- Genetics
Background:
- Cisplatin is a vital chemotherapy drug, but its use is limited by nephrotoxicity and neuropathy.
- Genetic factors influencing patient response and toxicity to cisplatin remain largely uncharacterized.
Purpose of the Study:
- To identify novel genes and genetic variants contributing to cellular susceptibility to cisplatin.
- To characterize the genetic basis of cisplatin-induced cytotoxicity using a cell-based model.
Main Methods:
- Utilized lymphoblastoid cell lines from 27 Centre d'Etude du Polymorphisme Humain pedigrees.
- Defined phenotype by cell growth inhibition after cisplatin exposure.
- Performed linkage analysis and quantitative transmission disequilibrium tests on single nucleotide polymorphisms (SNPs).
Main Results:
- Significant heritability for cisplatin cytotoxicity was observed (0.32–0.43).
- Identified 11 genomic regions associated with cytotoxic phenotypes, with a notable region on chromosome 4q21.3-q35.2.
- Discovered 20 significant SNPs, including 10 within five genes, linked to cisplatin-induced cytotoxicity; four SNPs explained over 10% of apoptosis variation.
Conclusions:
- Genetic factors play a crucial role in cisplatin-induced cytotoxicity and apoptosis.
- The identified cell lines serve as a model for discovering novel pharmacogenetic variants related to drug toxicity.
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