Table 3

Genotypes of QUASAR2 individuals with grade 4 toxicity at selected DPYD variants

CaseDVHNPMSPossible explanation2846*2AA551T*13*4*5*6*9AM166VK259Ers12132152rs12022243rs2612091
14020000000000000002
240000000000000000012
304000000000110000011
442200000000000210000
540000012846T>A1000110000000
62144022846T>A1000100000021
73024433A551T0010000000012
831342330000020000012
940200100000100000012
1041300100000000000012
11421100000001000012
120034433*2A0100000110001
1340101110000010000011
1404301000000000110012
1540100110000010000001
1640200000000000000011
171040000000000000010
1824300010000010000000
193024404*130001000
  • The variants shown are (1) those identified by this study (rs12132152, rs12022243, rs2612091, DPYD A551 T), (2) DPYD alleles (2846 A>T and *2A) shown to be associated with 5-FU toxicity in the meta-analysis of Rosmarin et al7 and (3) potential DPYD toxicity alleles from Caudle et al.8 Genotypes shown are major allele homozygote (0), heterozygote (1) and minor or variant allele homozygote (2). Blank cells denote missing data. The allele that provides a plausible explanation for the severe toxicity is shown. Note that *4 and *5 DPYD alleles are in complete linkage disequilibrum (D’=1.0) with 2A or 2846T>A. Overall association statistics and genotype frequencies in cases and controls are shown for the analysis of binary global toxicity in online supplementary table S3.

  • For the toxicities, D=diarrhoea; H=HFS; M=mucositis; N=neutropaenia; P=thrombocytpaenia; S=stomatitis; V=vomiting.