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Genetic variability of HIF1A and response to treatment with cisplatin in combination with pemetrexed or gemcitabine in patients with malignant mesothelioma Cover

Genetic variability of HIF1A and response to treatment with cisplatin in combination with pemetrexed or gemcitabine in patients with malignant mesothelioma

Open Access
|Sep 2025

Figures & Tables

Association between investigated single nucleotide polymorphisms with response and chemotherapy (N = 226)

SNPGenotypeSD/PD N (%)CR/PR N (%)OR (95% CI)PORadj (95% CI)adjPadj
rs11549465CC92 (62.2)56 (37.8)Ref. Ref.
CT31 (77.5)9 (22.5)0.48 (0.21–1.08)0.0740.37 (0.14–0.97)0.044
TT10 (62.5)6 (37.5)0.99 (0.34–2.86)0.9791.55 (0.48–4.98)0.464
CT+TT41 (73.2)15 (26.8)0.60 (0.31–1.18)0.1410.60 (0.28–1.30)0.194
rs11549467GG126 (65.6)66 (34.4)Ref. Ref.
GA+AA14 (66.7)7 (33.3)0.96 (0.37–2.48)0.9241.06 (0.38–2.98)0.906
rs2057482CC95 (63.3)55 (36.7)Ref. Ref.
CT41 (66.1)21 (33.9)0.89 (0.48–1.65)0.6990.92 (0.45–1.85)0.806
TT7 (70.0)3 (30.0)0.74 (0.18–2.98)0.6720.61 (0.11–3.39)0.574
CT+TT48 (66.7)24 (33.3)0.86 (0.48–1.56)0.6270.87 (0.45–1.71)0.689

Clinical characteristics of patients with malignant mesothelioma (N = 234)

CharacteristicCategory/UnitN (%) [N]
SexMan, N (%)176 (75.2)
Woman, N (%)58 (24.8)
AgeAge, median (25%– 75%)66 (58–72)
StageI15 (6.4) [1]
II53 (22.7)
III75 (32.2)
IV62 (26.6)
Peritoneal MM28 (12.0)
Histological typeEpithelioid183 (78.2)
Biphasic20 (8.5)
Sarcomatoid22 (9.4)
Not specified9 (3.8)
ECOG performance status015 (6.4)
1126 (53.8)
290 (38.5)
33 (1.3)
C-reactive protein (CRP)Median (25%–75%)21 (8–59) [19]
Asbestos exposureNo, N (%)60 (25.8) [1]
Yes, N (%)173 (74.2)
SmokingNo, N (%)129 (55.6) [2]
Yes, N (%)103 (44.4)
PainNo, N (%)99 (43.4) [6]
Yes, N (%)129 (56.6)
Weight lossNo, N (%)76 (34.4) [13]
Yes, N (%)145 (65.6)
Type of chemotherapyGemcitabine/cisplatin152 (65.0)
Pemetreksed/cisplatin82 (35.0)
Response to chemotherapySD+PD147 (65.0) [8]
CR+PR79 (35.0)
Disease progressionNo, N (%)21 (9.1) [3]
Yes, N (%)210 (90.9)
DeathNo, N (%)65 (27.8)
Yes, N (%)169 (72.2)
Progression-free survivalMonths, median value (25%–75%)7.9 (5.3–13.8)
Overall survivalMonths, median value (25%–75%)18.2 (9.7–28.0)
Follow-up durationMonths, median valu (25%–75%)44.4 (20.4–75.5)

Association between investigated polymorphisms and progression-free survival (N = 231)

SNPGenotypePFS median (25–75%)HR (95% CI)PHRadj (95% Cl)adjPadj
rs11549465CC7.8 (5.6–13.0)Ref. Ref.
CT8.9 (5.3–16.2)0.92 (0.64–1.33)0.6650.79 (0.52–1.20)0.271
TT5.6 (3.5–17.4)1.1 (0.69–1.90)0.6080.98 (0.55–1.72)0.932
CT+TT8.5 (4.8–16.2)0.98 (0.71–1.35)0.9120.84 (0.59–1.21)0.354
rs11549467GG7.7 (5.2–13.1)Ref. Ref.
GA+AA11.2 (7.7–16.0)0.74 (0.46–1.19)0.2200.67 (0.40–1.11)0.119
rs2057482CC8.9 (5.5–16.0)Ref. Ref.
CT7.9 (5.3–12.4)1.21 (0.89–1.65)0.2231.35 (0.95–1.92)0.099
TT7.6 (5.5–8.3)1.63 (0.83–3.21)0.1581.41 (0.65–3.07)0.390
CT+TT7.6 (5.3–11.9)1.25 (0.93–1.68)0.1311.35 (0.97–1.89)0.076

Association between investigated polymorphisms and overall survival (N = 234)

SNPGenotypeOS median (25%–75%)HR (95% CI)PHRadj (95% CI)adjPadj
rs11549465CC18.1 (9.9–28.0)Ref. Ref.
CT21.0 (6.8–29.8)0.85 (0.56–1.30)0.4510.75 (0.47–1.19)0.217
TT20.3 (9.1–32.5)1.00 (0.56–1.77)0.9940.85 (0.46–1.59)0.610
CT+TT21.0 (8.7–29.8)0.89 (0.62–1.28)0.5420.78 (0.52–1.16)0.215
rsll549467GG18.1 (9.2–28.7)Ref. Ref.
GA+AA22.2 (12.6–29.6)0.90 (0.55–1.48)0.6870.95 (0.56–1.60)0.847
rs2057482CC19.6 (9.8–27.9)Ref. Ref.
CT18.0 (9.8–29.7)1.07 (0.76–1.50)0.6941.07 (0.74–1.52)0.729
TT11.6 (9.4–22.1)1.44 (0.70–2.95)0.3251.43 (0.66–3.10)0.366
CT+TT15.6 (9.8–29.7)1.11 (0.81–1.53)0.5291.10 (0.78–1.55)0.573
DOI: https://doi.org/10.2478/raon-2025-0049 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 403 - 411
Submitted on: Jun 15, 2025
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Accepted on: Jul 19, 2025
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Published on: Sep 5, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Matic Setina, Eva Setina, Ziga Doljak, Katja Goricar, Vita Dolzan, Viljem Kovac, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.