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Updated: Apr 15, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Human OCT2 variant c.808G>T confers protection effect against cisplatin-induced ototoxicity
Claudia Lanvers-Kaminsky1, Jason A Sprowl, Ingrid Malath
1Department of Pediatric Hematology & Oncology, University Children's Hospital of Muenster, Muenster, Germany.
Aim:
Assuming that genetic variants of the SLC22A2 and SLC31A1 transporter affect patients' susceptibility to cisplatin-induced ototoxicity, we compared the distribution of 11 SLC22A2 variants and the SLC31A1 variant rs10981694 between patients with and without cisplatin-induced ototoxicity.
Patients & Methods:
Genotyping was performed in 64 pediatric patients and significant findings were re-evaluated in 66 adults.
Results:
The SLC22A2 polymorphism rs316019 (c.808G>T; Ser270Ala) was significantly associated with protection from cisplatin-induced ototoxicity in the pediatric (p = 0.022) and the adult cohort (p = 0.048; both: Fisher's exact test). This result was confirmed by multiple logistic regression analysis accounting for age which was identified as a relevant factor for ototoxicity as well (rs316019: OR [G/T vs G/G] = 0.12, p = 0.009; age: OR [per year]: 0.84, p = 0.02).
Conclusion:
These results identified rs316019 as potential pharmacogenomic marker for cisplatin-induced ototoxicity and point to a critical role of SLC22A2 for cisplatin transport in humans and its contribution to the organ specific side effects of this drug. Original submitted 17 September 2014; Revision submitted 19 December 2014.
Insights
Genetic variants in the SLC22A2 gene, specifically rs316019, may protect against cisplatin-induced ototoxicity. This finding highlights SLC22A2
Area of Science:
- Pharmacogenomics
- Molecular Biology
- Oncology
Background:
- Cisplatin is a widely used chemotherapy drug.
- Ototoxicity is a common and serious side effect of cisplatin treatment.
- Genetic factors may influence individual susceptibility to cisplatin-induced ototoxicity.
Purpose of the Study:
- To investigate the association between genetic variants of the SLC22A2 and SLC31A1 transporters and cisplatin-induced ototoxicity.
- To identify potential pharmacogenomic markers for predicting ototoxicity risk.
Main Methods:
- Genotyping of 11 SLC22A2 variants and 1 SLC31A1 variant (rs10981694) in pediatric and adult patients.
- Comparison of variant distribution between patients with and without cisplatin-induced ototoxicity.
- Statistical analysis including Fisher's exact test and logistic regression.
Main Results:
- The SLC22A2 polymorphism rs316019 (c.808G>T; Ser270Ala) was significantly associated with protection from cisplatin-induced ototoxicity in both pediatric and adult cohorts.
- Age was also identified as a significant factor influencing ototoxicity.
- Logistic regression confirmed the protective effect of rs316019 and the risk associated with age.
Conclusions:
- The rs316019 variant of SLC22A2 is a potential pharmacogenomic marker for cisplatin-induced ototoxicity.
- This study underscores the crucial role of SLC22A2 in cisplatin transport and its contribution to ototoxicity.
- Further research may lead to personalized cisplatin treatment strategies to mitigate ototoxicity.
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