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Published on: May 3, 2021
Role of pharmacogenetics of drug-metabolizing enzymes in treating osteosarcoma
Claudia Maria Hattinger1, Massimo Serra
1a Orthopaedic Rizzoli Institute, Laboratory of Experimental Oncology, Pharmacogenomics and Pharmacogenetics Research Unit , Via di Barbiano 1/10, I-40136 Bologna, Italy +390 516 366 762 ; +390 516 366 763 ; massimo.serra@ior.it.
Introduction:
Drug-metabolizing enzymes (DMEs) biotransform several toxins and xenobiotics in both tumor and normal cells, resulting in either their detoxification or their activation. Since DMEs also metabolize several chemotherapeutic drugs, they can significantly influence tumor response to chemotherapy and susceptibility of normal tissues to collateral toxicity of anticancer treatments.
Areas Covered:
This review discusses the pharmacogenetics of DMEs involved in the metabolism of drugs which constitute the backbone of osteosarcoma (OS) chemotherapy, highlighting what is presently known for this tumor and their possible impact on the modulation of future treatment approaches.
Expert Opinion:
Achieving further insight into pharmacogenetic markers and biological determinants related to treatment response in OS may ultimately lead to individualized treatment regimens, based on a combination of genotype and tumor characteristics of each patient.
Insights
Drug-metabolizing enzymes (DMEs) impact chemotherapy effectiveness and toxicity in osteosarcoma. Understanding their pharmacogenetics can personalize treatments for better patient outcomes.
Area of Science:
- Pharmacogenetics
- Oncology
- Drug Metabolism
Background:
- Drug-metabolizing enzymes (DMEs) process toxins and xenobiotics, affecting chemotherapy efficacy and normal tissue toxicity.
- DMEs play a crucial role in both detoxification and activation of xenobiotics, including anticancer drugs.
Purpose of the Study:
- To review the pharmacogenetics of DMEs in osteosarcoma (OS) chemotherapy.
- To explore the impact of DME pharmacogenetics on current and future OS treatment strategies.
Main Methods:
- Literature review focusing on DMEs involved in OS chemotherapy.
- Analysis of pharmacogenetic data related to osteosarcoma treatment.
Main Results:
- DMEs significantly influence the response to osteosarcoma chemotherapy.
- Pharmacogenetics of DMEs offers potential for modulating treatment approaches.
Conclusions:
- Further research into pharmacogenetic markers can lead to individualized OS treatment.
- Integrating genotype and tumor characteristics will enable personalized medicine for osteosarcoma patients.
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Pharmacogenetics of Drug Metabolism: Overview
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Pharmacogenetics and Pharmacogenomics: Overview
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenomics: Identification of New Drug Targets
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase

