Effect of CYP3A4 Genetic Polymorphism on Clinical Response of Tamoxifen in Postmenopausal Iraqi Women with Breast Cancer

Authors

  • Arjwan Fouad Hussain Department of Pharmacology and Toxicology, College of Pharmacy, University of Kerbala, Kerbala, Iraq
  • Shaima Jabbar Department of Pharmacology and Toxicology, College of Pharmacy, University of Kerbala, Kerbala, Iraq.
  • Amal Umran Mosa Department of Pharmacology and Toxicology, College of Pharmacy, University of Kerbala, Karbala, Iraq.
  • Ahmed Salih Sahib Department of Pharmacology and Toxicology, College of Pharmacy, Ahl al Bayt University, Karbala, Iraq
  • Jamal Ali Ashoor Department of Pharmaceutics, College of Pharmacy, University of Kerbala, Karbala, Iraq.
  • Karrar Kadhim Mohsin College of Medicine, University of Kerbala, Karbala, Iraq

DOI:

https://doi.org/10.31351/vol34iss4pp23-32

Abstract

Breast cancer is the leading cause of death and is the most frequent disease among women. Tamoxifen is an antiestrogen used to treat breast cancer. It may completely halt the disease's progression in high-risk individuals and lower the risk of death and recurrence in premenopausal and postmenopausal women. Variations in tamoxifen responsiveness between individuals may be attributed to polymorphisms in the primary metabolizing enzyme CYP3A4. The wild genotype (GG) of rs35599367 was found to be most common in 100 female breast cancer patients who were hormone receptor positive and taking tamoxifen, according to the study. This genetic variation may have a significant impact, as the GG genotype is strongly linked to significantly lower levels of CA15.3 and estrogen. Therefore, the results of this study imply that CYP3A4 variations may be a useful predictor of a patient's prognosis and response to tamoxifen.

Keywords: CA 15.3, CYP3A4 polymorphism, Estradiol, Tamoxifen.

 

How to Cite

1.
Arjwan Fouad Hussain, Shaima Jabbar, Amal Umran Mosa, Ahmed Salih Sahib, Jamal Ali Ashoor, Karrar Kadhim Mohsin. Effect of CYP3A4 Genetic Polymorphism on Clinical Response of Tamoxifen in Postmenopausal Iraqi Women with Breast Cancer. Iraqi Journal of Pharmaceutical Sciences [Internet]. 2025 Dec. 20 [cited 2025 Dec. 21];34(4):23-32. Available from: https://www.bijps.uobaghdad.edu.iq/index.php/bijps/article/view/3256

Publication Dates

Received

2023-12-23

Revised

2024-01-11

Accepted

2024-06-27

Published Online First

2025-12-20

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2025-12-20

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