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Abstract
In children with cancer, the heterogeneity in ototoxicity occurrence after similar treatment suggests a role for genetic susceptibility. Using a genome-wide association study (GWAS) approach, we identified a genetic variant in TCERG1L (rs893507) to be associated with hearing loss in 390 non-cranial irradiated, cisplatin-treated children with cancer. These results were replicated in two independent, similarly treated cohorts (n = 192 and 188, respectively) (combined cohort: P = 5.3 × 10−10, OR 3.11, 95% CI 2.2–4.5). Modulating TCERG1L expression in cultured human cells revealed significantly altered cellular responses to cisplatin-induced cytokine secretion and toxicity. These results contribute to insights into the genetic and pathophysiological basis of cisplatin-induced ototoxicity.
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1 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e)
2 University Hospital for Children and Adolescents, Department of Pediatric Oncology and Hematology, Lübeck, Germany (GRID:grid.411668.c) (ISNI:0000 0000 9935 6525)
3 Erasmus Medical Center, Department of Internal Medicine, Rotterdam, The Netherlands (GRID:grid.5645.2) (ISNI:000000040459992X)
4 University of Alberta, Department of Medical Microbiology and Immunology, Edmonton, Canada (GRID:grid.17089.37)
5 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); Erasmus MC – Sophia Children’s Hospital, Department of Pediatric Oncology, Rotterdam, The Netherlands (GRID:grid.416135.4)
6 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); Oncode Institute, Utrecht, The Netherlands (GRID:grid.499559.d)
7 University Medical Center of the Johannes Gutenberg University Mainz, German Childhood Cancer Registry, Institute of Medical Biostatistics, Epidemiology and Informatics, Mainz, Germany (GRID:grid.410607.4); Faculty of Medicine and Medical Center, University of Freiburg, Institute of Medical Biometry and Statistics, Freiburg, Germany (GRID:grid.5963.9)
8 Boyne Research Institute, Drogheda, Ireland (GRID:grid.427696.8)
9 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); VU Medical Center, Amsterdam, The Netherlands (GRID:grid.16872.3a) (ISNI:0000 0004 0435 165X)
10 IRCCS Istituto Giannina Gaslini, Department of Neurooncology, Genova, Italy (GRID:grid.419504.d) (ISNI:0000 0004 1760 0109)
11 University Medical Center of the Johannes Gutenberg University Mainz, German Childhood Cancer Registry, Institute of Medical Biostatistics, Epidemiology and Informatics, Mainz, Germany (GRID:grid.410607.4)
12 Danish Cancer Society Research Center, Childhood Cancer Research Group, Copenhagen, Denmark (GRID:grid.417390.8) (ISNI:0000 0001 2175 6024)
13 Danish Cancer Society Research Center, Childhood Cancer Research Group, Copenhagen, Denmark (GRID:grid.417390.8) (ISNI:0000 0001 2175 6024); Aarhus University and University Hospital, Department of Clinical Medicine, Faculty of Health, Aarhus, Denmark (GRID:grid.7048.b) (ISNI:0000 0001 1956 2722)
14 Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark (GRID:grid.475435.4)
15 Aarhus University Hospital, Department of Pediatrics, Aarhus, Denmark (GRID:grid.154185.c) (ISNI:0000 0004 0512 597X)
16 University Hospital Brno, Brno, Czech Republic (GRID:grid.412554.3) (ISNI:0000 0004 0609 2751); International Clinical Research Center (FNUSA-ICRC), Brno, Czech Republic (GRID:grid.412752.7) (ISNI:0000 0004 0608 7557)
17 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); University of Groningen, University Medical Center Groningen, Department of Pediatric Oncology, Groningen, The Netherlands (GRID:grid.4494.d) (ISNI:0000 0000 9558 4598)
18 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); Erasmus MC – Sophia Children’s Hospital, Department of Obstetrics and Gynecology, Rotterdam, The Netherlands (GRID:grid.416135.4)
19 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); Academic Medical Center Amsterdam, Department of Pediatric Oncology, Amsterdam, The Netherlands (GRID:grid.5650.6) (ISNI:0000000404654431)
20 Motol University Hospital Prague, Department of Children Hemato-Oncology, Prague, Czech Republic (GRID:grid.412826.b) (ISNI:0000 0004 0611 0905)
21 University of Bern, Institute of Social and Preventive Medicine, Bern, Switzerland (GRID:grid.5734.5) (ISNI:0000 0001 0726 5157); University Children’s Hospital Bern, University of Bern, Pediatric Hematology and Oncology, Bern, Switzerland (GRID:grid.5734.5) (ISNI:0000 0001 0726 5157)
22 University Hospital Münster, Westphalian Wilhelm University, Department of Phoniatrics and Pedaudiology, Münster, Germany (GRID:grid.16149.3b) (ISNI:0000 0004 0551 4246)
23 University Children’s Hospital Muenster, Pediatric Hematology and Oncology, Muenster, Germany (GRID:grid.16149.3b) (ISNI:0000 0004 0551 4246)
24 University Hospital Utrecht, Department of Otorhinolaryngology, Head and Neck Surgery, Utrecht, The Netherlands (GRID:grid.7692.a) (ISNI:0000000090126352)
25 University of Lübeck, Institute of Social Medicine and Epidemiology, Lübeck, Germany (GRID:grid.4562.5) (ISNI:0000 0001 0057 2672)
26 University Hospital of Schleswig-Holstein, Campus Lübeck, Department of Internal Medicine, Lübeck, Germany (GRID:grid.412468.d) (ISNI:0000 0004 0646 2097)
27 IRCCS Istituto Giannina Gaslini, Epidemiology and Biostatistics Unit and DOPO Clinic, Genova, Italy (GRID:grid.419504.d) (ISNI:0000 0004 1760 0109)
28 Medical University of Graz, Department of Pediatric and Adolescent Medicine, Graz, Austria (GRID:grid.11598.34) (ISNI:0000 0000 8988 2476)
29 Stuttgart Cancer Center, Olgahospital, Department of Pediatric Oncology/Hematology/Immunology, Stuttgart, Germany (GRID:grid.459687.1) (ISNI:0000 0004 0493 3975)
30 Princess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands (GRID:grid.487647.e); Erasmus Medical Center, Department of Internal Medicine, Rotterdam, The Netherlands (GRID:grid.5645.2) (ISNI:000000040459992X)
31 BC Children’s Hospital Research Institute, Vancouver, Canada (GRID:grid.414137.4) (ISNI:0000 0001 0684 7788); University of British Columbia, Division of Translational Therapeutics, Department of Pediatrics, Vancouver, Canada (GRID:grid.17091.3e) (ISNI:0000 0001 2288 9830)
32 BC Children’s Hospital, Audiology and Speech Pathology Department, Vancouver, Canada (GRID:grid.414137.4) (ISNI:0000 0001 0684 7788)
33 Erasmus Medical Center, Departement of Otorhinolaryngology, Rotterdam, The Netherlands (GRID:grid.5645.2) (ISNI:000000040459992X)
34 BC Children’s Hospital Research Institute, Vancouver, Canada (GRID:grid.414137.4) (ISNI:0000 0001 0684 7788); University of British Columbia, Faculty of Pharmaceutical Sciences, British Columbia, Canada (GRID:grid.17091.3e) (ISNI:0000 0001 2288 9830)
35 University of Alberta, Department of Medical Microbiology and Immunology, Edmonton, Canada (GRID:grid.17089.37); University of Alberta, Department of Medical Genetics, Edmonton, Canada (GRID:grid.17089.37)
36 Brandenburg Medical School, Institute of Clinical Pharmacology, Rüdersdorf, Germany (GRID:grid.473452.3)