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In figure 3, these relative values for IL-6 and TGF-β1 are plotted separately on a base 10 logarithmic scale for the patients without RP (grade 0), as well as for patients with moderate (grade I/II) and severe lung toxicity (grade III/IV).
Patients with AA genotype of AKT2: rs33933140 and MLD ≥ 15 Gy or V20 ≥ 24% had the highest risk of RP grade ≥ 3 compared with other groups (P < 0.0001 and P < 0.0001, respectively, Fig. 3A, B).
In our cohort, patients with age ≥ 58, MLD ≥ 15 Gy, and V20 ≥ 24%, and without receiving IMRT had a greater risk of developing RP grade ≥ 3, which verified the associations between the patient‐ and radiation dosimetric‐related factors and the occurrence of severe RP.
We also discovered that the association between rs33933140 and RP grade ≥ 3 was independent of MLD and V20, and further identified a group of patients with the highest risk of severe RP (patients with AA genotype of rs33933140 and MLD ≥ 15 Gy or V20 ≥ 24%).
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Within 12 months of radiotherapy, 37 patients (14.2%) suffered RP ≥ grade 3. The associations between patient‐, tumor‐, and therapy‐related characteristics and RP ≥ grade 3 are listed in Tables 1.
Patients who did not experience RP ≥ grade 3 within 12 months of RT were censored.
The occurrences of RP ≥ grade 3 were 14.2%, which were similar to those reported previously 14.
The end point for this study was the development of RP ≥ grade 3. The time to the end point was calculated from the start of radiotherapy.
Among them, PI3CA: rs9838117, AKT2: rs33933140, and AKT2: rs11880261 were found to be significantly associated with the occurrence of RP ≥ grade 3 (Table S3).
Figure 2 is a plot of the RP‐free survival percentage for RP ≥ grade 3 for each genotype of PI3CA: rs9838117, AKT2: rs33933140, and AKT2: rs11880261 determined by the Kaplan Meier method.
Among them, three SNPs, PI3CA: rs9838117, AKT2: rs33933140, and AKT2: rs11880261, were found to be significantly associated with the occurrence of RP ≥ grade 3. Patients with the TT genotype of PI3CA: rs9838117, the AA genotype of AKT2: rs33933140, and the CT+TT genotype of AKT2: rs11880261 had a significantly increased risk of RP after radiotherapy for lung cancer.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com