Page last updated: 2024-10-27

fluorouracil and Dihydropyrimidine Dehydrogenase Deficiency

fluorouracil has been researched along with Dihydropyrimidine Dehydrogenase Deficiency in 132 studies

Fluorouracil: A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.
5-fluorouracil : A nucleobase analogue that is uracil in which the hydrogen at position 5 is replaced by fluorine. It is an antineoplastic agent which acts as an antimetabolite - following conversion to the active deoxynucleotide, it inhibits DNA synthesis (by blocking the conversion of deoxyuridylic acid to thymidylic acid by the cellular enzyme thymidylate synthetase) and so slows tumour growth.

Dihydropyrimidine Dehydrogenase Deficiency: An autosomal recessive disorder affecting DIHYDROPYRIMIDINE DEHYDROGENASE and causing familial pyrimidinemia. It is characterized by thymine-uraciluria in homozygous deficient patients. Even a partial deficiency in the enzyme leaves individuals at risk for developing severe 5-FLUOROURACIL-associated toxicity.

Research Excerpts

ExcerptRelevanceReference
"Dihydropyrimidine dehydrogenase (DPD) deficiency is a pharmacogenetic syndrome associated with potentially life-threatening toxicity following the administration of standard doses of 5-fluorouracil."8.82Dihydropyrimidine dehydrogenase deficiency, a pharmacogenetic syndrome associated with potentially life-threatening toxicity following 5-fluorouracil administration. ( Diasio, R; Ezzeldin, H, 2004)
" These individuals are typically asymptomatic until exposed to 5-fluorouracil (5-FU) or capecitabine (which forms 5-FU) for treatment of gastrointestinal or breast cancer."8.02Testing for dihydropyrimidine dehydrogenase deficiency in New Zealand to improve the safe use of 5-fluorouracil and capecitabine in cancer patients. ( Burns, K; Findlay, M; Helsby, N; Porter, D; Strother, M, 2021)
"500 mg/m(2) uracil was administered orally to 12 subjects with stages II-III colorectal cancer (CRC) who were treated in the adjuvant setting and to 12 subjects with stage IV metastasized CRC, all treated with CAP containing therapy."7.81Influence of metastatic disease on the usefulness of uracil pharmacokinetics as a screening tool for DPD activity in colorectal cancer patients. ( Gelderblom, H; Guchelaar, HJ; Maring, JG; Opdam, F; van Kuilenburg, AB; van Staveren, MC, 2015)
"In Nordic countries, the standard treatment of colorectal cancer (CRC) in the adjuvant setting is bolus 5-fluorouracil (5-FU) plus leucovorin alone or in combination with oxaliplatin."7.78Pretherapeutic uracil and dihydrouracil levels of colorectal cancer patients are associated with sex and toxic side effects during adjuvant 5-fluorouracil-based chemotherapy. ( Carlsson, G; Gustavsson, B; Odin, E; Wettergren, Y, 2012)
"5-fluorouracil chemotherapy in patients with dihydropyrimidine dehydrogenase deficiency, can give rise to ocular and cutaneous toxicity."7.77A bilateral cicatricial ectropion and bilateral upper lid shortening caused by 5-fluorouracil toxicity in a patient with dihydropyrimidine dehydrogenase deficiency. ( Kemp, E; McDonald, A; Obi, EE, 2011)
"5-fluorouracil (5-FU) is a chemotherapeutic agent widely used in the treatment of solid malignancies, especially in colorectal cancer."7.72Lethal toxicity after 5-fluorouracil chemotherapy and its possible relationship to dihydropyrimidine dehydrogenase deficiency: a case report and review of the literature. ( Aparicio, J; Calderero, V; Díaz, R; Guerrero, A; Pellín, L; Segura, A, 2004)
"DPD deficiency was suspected because he developed many severe adverse events of capecitabine early and was finally confirmed based on the finding of a low DPD activity level in peripheral blood mononuclear cells."6.82Severe Gastrointestinal Disorder Due to Capecitabine Associated with Dihydropyrimidine Dehydrogenase Deficiency: A Case Report and Literature Review. ( Akutsu, D; Fukuda, S; Hagiwara, Y; Ikeda, N; Inagaki, Y; Kobayashi, M; Moriwaki, T; Narasaka, T; Niisato, Y; Onoda, T; Suzuki, H; Tange, Y; Tomisaki, R; Tsuchiya, K; Tsuji, M; Yamada, K; Yamada, T; Yamamoto, Y, 2022)
"Capecitabine has become a standard treatment option for metastatic breast cancer, as a single agent or in combination."6.50Breast cancer, DPYD mutations and capecitabine-related ileitis: description of two cases and a review of the literature. ( Aftimos, PG; Errihani, H; Mokrim, M; Piccart-Gebhart, M, 2014)
"Uridine triacetate has been shown to be an effective antidote against mortality and toxicity caused by either overdoses or exaggerated susceptibility to the widely used anticancer agents 5-fluorouracil (5-FU) and capecitabine."5.48Prompt treatment with uridine triacetate improves survival and reduces toxicity due to fluorouracil and capecitabine overdose or dihydropyrimidine dehydrogenase deficiency. ( Bamat, MK; Garcia, RAG; Saydoff, JA; von Borstel, RW, 2018)
"The patient underwent sigmoidectomy for sigmoid cancer and was treated with capecitabine as adjuvant chemotherapy."5.42[Suspected dihydropyrimidine dehydrogenase deficiency in a patient receiving capecitabine as adjuvant chemotherapy after colon resection]. ( Nagai, K; Ohara, Y; Okuda, Y; Yamamoto, M, 2015)
"This patient with DPD deficiency manifested a variant of HFS."5.33Hand-foot syndrome variant in a dihydropyrimidine dehydrogenase-deficient patient treated with capecitabine. ( Diasio, R; Elfiky, A; Saif, MW, 2006)
"A 37-year-old female with gastric cancer underwent a curative operation, followed by adjuvant chemotherapy consisting of 5-FU and epirubicin."5.33Unpredicted severe toxicity after 5-fluorouracil treatment due to dihydropyrimidine dehydrogenase deficiency. ( Baek, JH; Hong, YJ; Kim, DH; Kim, JG; Kim, SN; Lee, KB; Sohn, SK, 2006)
"5-Fluorouracil (5-FU) is a mainstay for treating colorectal cancer, alone or more frequently as part of combination therapies."4.86Routine dihydropyrimidine dehydrogenase testing for anticipating 5-fluorouracil-related severe toxicities: hype or hope? ( Ciccolini, J; Dahan, L; Gross, E; Lacarelle, B; Mercier, C, 2010)
"Dihydropyrimidine dehydrogenase (DPD) deficiency is a pharmacogenetic syndrome associated with potentially life-threatening toxicity following the administration of standard doses of 5-fluorouracil."4.82Dihydropyrimidine dehydrogenase deficiency, a pharmacogenetic syndrome associated with potentially life-threatening toxicity following 5-fluorouracil administration. ( Diasio, R; Ezzeldin, H, 2004)
" Patients with a (partial) dihydropyrimidine dehydrogenase deficiency proved to be at risk of developing severe toxicity after the administration of 5FU."4.82Pyrimidine degradation defects and severe 5-fluorouracil toxicity. ( Meinsma, R; van Gennip, AH; van Kuilenburg, AB, 2004)
" These individuals are typically asymptomatic until exposed to 5-fluorouracil (5-FU) or capecitabine (which forms 5-FU) for treatment of gastrointestinal or breast cancer."4.02Testing for dihydropyrimidine dehydrogenase deficiency in New Zealand to improve the safe use of 5-fluorouracil and capecitabine in cancer patients. ( Burns, K; Findlay, M; Helsby, N; Porter, D; Strother, M, 2021)
"A 63-year-old Japanese male with stomach adenocarcinoma received oral 5-fluorouracil derivative, cisplatin and trastuzumab chemotherapy."3.96A Japanese Patient with Gastric Cancer and Dihydropyrimidine Dehydrogenase Deficiency Presenting with DPYD Variants. ( Fujiki, S; Hiratsuka, A; Ishiguro, M; Kawai, D; Ogura, K; Okada, H; Takeda, H; Takenaka, R; Tsugeno, H, 2020)
"500 mg/m(2) uracil was administered orally to 12 subjects with stages II-III colorectal cancer (CRC) who were treated in the adjuvant setting and to 12 subjects with stage IV metastasized CRC, all treated with CAP containing therapy."3.81Influence of metastatic disease on the usefulness of uracil pharmacokinetics as a screening tool for DPD activity in colorectal cancer patients. ( Gelderblom, H; Guchelaar, HJ; Maring, JG; Opdam, F; van Kuilenburg, AB; van Staveren, MC, 2015)
"In Nordic countries, the standard treatment of colorectal cancer (CRC) in the adjuvant setting is bolus 5-fluorouracil (5-FU) plus leucovorin alone or in combination with oxaliplatin."3.78Pretherapeutic uracil and dihydrouracil levels of colorectal cancer patients are associated with sex and toxic side effects during adjuvant 5-fluorouracil-based chemotherapy. ( Carlsson, G; Gustavsson, B; Odin, E; Wettergren, Y, 2012)
"5-fluorouracil chemotherapy in patients with dihydropyrimidine dehydrogenase deficiency, can give rise to ocular and cutaneous toxicity."3.77A bilateral cicatricial ectropion and bilateral upper lid shortening caused by 5-fluorouracil toxicity in a patient with dihydropyrimidine dehydrogenase deficiency. ( Kemp, E; McDonald, A; Obi, EE, 2011)
"Hand-foot syndrome (HFS), the most common toxicity of capecitabine, is characterized by tingling, numbness, pain, erythema, dryness, rash, swelling, increased pigmentation, and/or pruritus of the palmar and/or plantar surfaces of the hands and/or feet."3.76Unilateral hand-foot syndrome: an extraordinary side effect of capecitabine. ( Abali, H; Disel, U; Gürkut, O; Kaleağasi, H; Mertsoylu, H; Ozyilkan, O; Saif, MW, 2010)
"African-American patients with colorectal cancer were observed to have increased 5-fluorouracil (5-FU)-associated toxicity (leukopenia and anemia) and decreased overall survival compared with Caucasian patients."3.73Increased prevalence of dihydropyrimidine dehydrogenase deficiency in African-Americans compared with Caucasians. ( Desmond, RA; Diasio, RB; Fourie, J; Mattison, LK; Modak, A; Saif, MW, 2006)
"5-fluorouracil (5-FU) is a chemotherapeutic agent widely used in the treatment of solid malignancies, especially in colorectal cancer."3.72Lethal toxicity after 5-fluorouracil chemotherapy and its possible relationship to dihydropyrimidine dehydrogenase deficiency: a case report and review of the literature. ( Aparicio, J; Calderero, V; Díaz, R; Guerrero, A; Pellín, L; Segura, A, 2004)
" In this review, we survey the evidence-based pharmacogenetics and therapeutic recommendations regarding DPYD (the gene encoding DPD) genotyping and DPD phenotyping to prevent toxicity and optimize dosing adaptation before FP administration."3.01Current diagnostic and clinical issues of screening for dihydropyrimidine dehydrogenase deficiency. ( Barin-Le Guellec, C; Boige, V; Chouchana, L; Ciccolini, J; Etienne-Grimaldi, MC; Loriot, MA; Narjoz, C; Pallet, N; Taieb, J; Thomas, F; Zaanan, A, 2023)
"DPD deficiency was suspected because he developed many severe adverse events of capecitabine early and was finally confirmed based on the finding of a low DPD activity level in peripheral blood mononuclear cells."2.82Severe Gastrointestinal Disorder Due to Capecitabine Associated with Dihydropyrimidine Dehydrogenase Deficiency: A Case Report and Literature Review. ( Akutsu, D; Fukuda, S; Hagiwara, Y; Ikeda, N; Inagaki, Y; Kobayashi, M; Moriwaki, T; Narasaka, T; Niisato, Y; Onoda, T; Suzuki, H; Tange, Y; Tomisaki, R; Tsuchiya, K; Tsuji, M; Yamada, K; Yamada, T; Yamamoto, Y, 2022)
"DPD deficiency is a pharmacogenetics syndrome associated with severe/lethal toxicities upon 5-FU or capecitabine intake."2.76DPD-based adaptive dosing of 5-FU in patients with head and neck cancer: impact on treatment efficacy and toxicity. ( Bagarry-Liegey, D; Blesius, A; Brunet, C; Chefrour, M; Ciccolini, J; Dahan, L; Duffaud, F; Favre, R; Ferri-Dessens, RM; Frances, N; Giovanni, A; Lacarelle, B; Marouani, H; Mercier, C; Seitz, JF; Varoquaux, A; Yang, CG; Zanaret, M, 2011)
"It is now well established that DPD deficiency could lead to severe toxicities and, thus, require dose reduction in deficient patients."2.58[5-fluorouracil therapeutic drug monitoring: Update and recommendations of the STP-PT group of the SFPT and the GPCO-Unicancer]. ( Boyer, JC; Chatelut, E; Ciccolini, J; Evrard, A; Goirand, F; Guilhaumou, R; Launay, M; Lemaitre, F; Paludetto, MN; Schmitt, A, 2018)
"Capecitabine has become a standard treatment option for metastatic breast cancer, as a single agent or in combination."2.50Breast cancer, DPYD mutations and capecitabine-related ileitis: description of two cases and a review of the literature. ( Aftimos, PG; Errihani, H; Mokrim, M; Piccart-Gebhart, M, 2014)
"DPD-deficient cancer patients may be at risk of severe and sometimes lethal toxicity after the administration of 5-FU."2.48[Review of methods for determination of dihydropyrimidine dehydrogenase and possible application in screening previous chemotheraphy with 5-fluorouracil]. ( Dołegowska, B; Ostapowicz, A, 2012)
" Because of this, long term administration of such antibiotics could induce depletion of carnitine from the body and lead to low ketotic hypoglycemia, convulsion and consciousness disturbance."2.45Children's toxicology from bench to bed--Liver injury (1): Drug-induced metabolic disturbance--toxicity of 5-FU for pyrimidine metabolic disorders and pivalic acid for carnitine metabolism. ( Ito, T, 2009)
"The treatment of cancer patients with 5-fluorouracil (5FU)-based chemotherapy can be accompanied by severe and sometimes lethal toxicity."2.43Screening for dihydropyrimidine dehydrogenase deficiency: to do or not to do, that's the question. ( van Kuilenburg, AB, 2006)
"Patients with a partial DPD deficiency have an increased risk of developing grade IV neutropenia."2.42Dihydropyrimidine dehydrogenase and the efficacy and toxicity of 5-fluorouracil. ( van Kuilenburg, AB, 2004)
"Indeed, the rate of DPD deficiency decreased from 86."1.91Impact of renal impairment on dihydropyrimidine dehydrogenase (DPD) phenotyping. ( Ciccolini, J; Derain, L; Guitton, J; Launay, M; Parant, F; Royer, B; Thomas, F, 2023)
"Compared with no screening for DPD deficiency, DPYD genotyping increased per-patient costs by $78 and improved survival by 0."1.72Cost-effectiveness of DPYD Genotyping Prior to Fluoropyrimidine-based Adjuvant Chemotherapy for Colon Cancer. ( Brooks, GA; Busam, JA; Daly, AT; Tapp, S; Tosteson, ANA, 2022)
"Uridine was significantly higher in the low DPD activity group and is a precursor of U involved in pyrimidine metabolism; therefore, we speculated that DPD deficiency can influence uridine levels in plasma."1.72Endogenous metabolic markers for predicting the activity of dihydropyrimidine dehydrogenase. ( Cho, JY; Jang, IJ; Jeon, I; Kang, J; Kim, AH; Lee, S; Oh, J, 2022)
" Uncertainty remains regarding optimal dosing practice."1.72Treating patients with dihydropyrimidine dehydrogenase (DPD) deficiency with fluoropyrimidine chemotherapy since the onset of routine prospective testing-The experience of a large oncology center in the United Kingdom. ( Essapen, S; Howlett, S; Wang, L, 2022)
"2%) US medical oncologists, of whom 98% strongly or somewhat agree that patients with dihydropyrimidine dehydrogenase (DPD) deficiency have increased toxicity risk and 96% would modify FP dosing for a patient with known DPD deficiency."1.72Survey of US Medical Oncologists' Practices and Beliefs Regarding ( Henry, NL; Hertz, DL; Koo, K; Pasternak, AL; Sahai, V, 2022)
" Tolerance was good and 5-FU dosing was next shifted to 25% reduction, then further shifted to normal dosing at the 5th course, with still no sign for drug-related toxicities."1.72Renal impairment and DPD testing: Watch out for false-positive results! ( Carriat, L; Ciccolini, J; Quaranta, S; Rony, M; Solas, C, 2022)
" 121 Kurdish patients receiving fluoropyrimidine derivatives were enrolled, and clinical information regarding the dosage and toxicity was analyzed."1.72Introducing a simple and cost-effective RT-PCR protocol for detection of DPYD*2A polymorphism: the first study in Kurdish population. ( Abdi, M; Fotoohi, A; Fotouhi, O; Ghaderi, B; Omid-Shafa'at, R; Salmani, M; Vahabzadeh, Z, 2022)
"Screening for DPD deficiency should be implemented in practice."1.72Joint Belgian recommendation on screening for DPD-deficiency in patients treated with 5-FU, capecitabine (and tegafur). ( Bm Claes, K; Borbath, I; Casneuf, V; Demey, W; Geboes, KP; Haufroid, V; Van den Eynde, M; Verheezen, Y; Verstraete, AG, 2022)
"Consensus guidelines exist for genotype-guided fluoropyrimidine dosing based on variation in the gene dihydropyrimidine dehydrogenase (DPYD)."1.62Impact of pretreatment dihydropyrimidine dehydrogenase genotype-guided fluoropyrimidine dosing on chemotherapy associated adverse events. ( Choi, YH; Keller, D; Kim, RB; Legan, RM; Lenehan, J; Mailloux, J; Medwid, S; Nevison, S; Panuganty, V; Povitz, BL; Sarma, S; Schwarz, UI; Siebring, V; Teft, WA; Welch, S; Wigle, TJ; Winquist, E, 2021)
" From the clinical course, we suspected that the severe adverse effects were caused due to a deficiency of DPD."1.62[A Case of Colon Cancer with Suspected DPD Deficiency Causing Severe Adverse Effects following Adjuvant Chemotherapy with Capecitabine]. ( Aoki, H; Araki, H; Arata, T; Katsuda, K; Kimura, Y; Minagi, H; Nagahisa, S; Ogawa, T; Tanakaya, K; Taniguchi, F; Watanabe, M, 2021)
" Our study is the first to show that DPYD*2A genotype-guided dosing appears to have no negative effect on effectiveness of fluoropyrimidine-based chemotherapy, while resulting in significantly improved patient safety."1.51Effectiveness and safety of reduced-dose fluoropyrimidine therapy in patients carrying the DPYD*2A variant: A matched pair analysis. ( Beijnen, JH; Cats, A; de Boer, A; Deenen, MJ; Henricks, LM; Meulendijks, D; Schellens, JHM; van Merendonk, LN, 2019)
" Severe (grade ≥III) toxicity in DPYD variant allele carriers receiving upfront FP dose reductions according to pharmacogenetic dosing guidelines and DPYD variant allele carriers not receiving FP dose reductions was compared with DPYD wild-type patients receiving standard dose of FPs in CRT."1.48Standard fluoropyrimidine dosages in chemoradiation therapy result in an increased risk of severe toxicity in DPYD variant allele carriers. ( Cecchin, E; Dreussi, E; Fiocco, M; Gelderblom, H; Guchelaar, HJ; Henricks, LM; Lunenburg, CATC; Meulendijks, D; Peters, FP; Schellens, JHM; Swen, JJ; Toffoli, G, 2018)
"Uridine triacetate has been shown to be an effective antidote against mortality and toxicity caused by either overdoses or exaggerated susceptibility to the widely used anticancer agents 5-fluorouracil (5-FU) and capecitabine."1.48Prompt treatment with uridine triacetate improves survival and reduces toxicity due to fluorouracil and capecitabine overdose or dihydropyrimidine dehydrogenase deficiency. ( Bamat, MK; Garcia, RAG; Saydoff, JA; von Borstel, RW, 2018)
"Uracil was superior to the dihydrouracil/uracil ratio as a predictor of severe toxicity."1.46Pretreatment serum uracil concentration as a predictor of severe and fatal fluoropyrimidine-associated toxicity. ( Aliev, A; Beijnen, JH; Cats, A; de Boer, A; de Vries, N; Deenen, MJ; Henricks, LM; Jacobs, BAW; Mandigers, CMPW; Meulendijks, D; Rosing, H; Schellens, JHM; Soesan, M; van Werkhoven, E, 2017)
" A lethal toxicity in two DPD patients suggests that fluoropyrimidines combined with other therapies such as radiotherapy might be particularly toxic for DPD deficient patients."1.46Severe fluoropyrimidine toxicity due to novel and rare DPYD missense mutations, deletion and genomic amplification affecting DPD activity and mRNA splicing. ( Dezentjé, V; Dobritzsch, D; Hennekam, RC; Hertz, JM; Jansen, RL; Knegt, LC; Los, M; Maurer, D; Meijer, J; Meinsma, R; van Huis-Tanja, LH; van Kampen, RJ; van Kuilenburg, AB; Zoetekouw, L, 2017)
"In line with partial DPD deficiency in both patients, sequence analysis of DPD cDNA demonstrated a normal-sized (wild type) cDNA fragment of 486 bp, as well as a larger-sized (mutant) 530-bp fragment containing an aberrant 44-bp insertion in intron 10."1.43Patients homozygous for DPYD c.1129-5923C>G/haplotype B3 have partial DPD deficiency and require a dose reduction when treated with fluoropyrimidines. ( Aliev, A; Beijnen, JH; Cats, A; de Graaf, H; Henricks, LM; Jacobs, BA; Meijer, J; Meulendijks, D; Rozeman, L; Schellens, JH; van Kuilenburg, AB, 2016)
"5 weeks (range 3-4 weeks), indicating that Vistogard might be able to delay 5-FU toxicity despite higher doses than standard bolus dose of 5-FU used in gastrointestinal malignancies and the appearance of a potentially less toxic adverse effect of 5-FU at an unusual site (cutaneous) in one patient."1.43Benefit of uridine triacetate (Vistogard) in rescuing severe 5-fluorouracil toxicity in patients with dihydropyrimidine dehydrogenase (DPYD) deficiency. ( Diasio, RB; Saif, MW, 2016)
"This feasibility study shows how simplified DPD-based adaptive dosing of 5-FU can reduce sharply the incidence of treatment-related severe toxicities while maintaining efficacy as part of routine clinical practice in digestive oncology."1.43Beating the odds: efficacy and toxicity of dihydropyrimidine dehydrogenase-driven adaptive dosing of 5-FU in patients with digestive cancer. ( Ciccolini, J; Dahan, L; Duluc, M; Duval, M; Lacarelle, B; Launay, M; Milano, G; Rodallec, A; Seitz, JF, 2016)
"The patient underwent sigmoidectomy for sigmoid cancer and was treated with capecitabine as adjuvant chemotherapy."1.42[Suspected dihydropyrimidine dehydrogenase deficiency in a patient receiving capecitabine as adjuvant chemotherapy after colon resection]. ( Nagai, K; Ohara, Y; Okuda, Y; Yamamoto, M, 2015)
"Depending on the type of cancer, physicians use the generally accepted schema of treatment, for example pharmacotherapy."1.39[Dihydropirymidine dehydrogenase (DPD)--a toxicity marker for 5-fluorouracil?]. ( Dołegowska, B; Jedrzychowska, A, 2013)
" We summarize evidence from the published literature supporting this association and provide dosing recommendations for fluoropyrimidines based on DPYD genotype (updates at http://www."1.39Clinical Pharmacogenetics Implementation Consortium guidelines for dihydropyrimidine dehydrogenase genotype and fluoropyrimidine dosing. ( Caudle, KE; Diasio, RB; Klein, TE; McLeod, HL; Schwab, M; Swen, JJ; Thorn, CF, 2013)
" So far, only very limited information is available regarding the pharmacokinetics of 5FU in patients with a (partial) DPD deficiency and no limited sampling models have been developed taking into account the non-linear pharmacokinetic behaviour of 5FU."1.38Evaluation of 5-fluorouracil pharmacokinetics in cancer patients with a c.1905+1G>A mutation in DPYD by means of a Bayesian limited sampling strategy. ( Behnke, D; Häusler, P; Jabschinsky, K; Maring, JG; Proost, JH; Schalhorn, A; Schwabe, W; Tanck, MW; Terborg, C; van Kuilenburg, AB, 2012)
"5-Fluorouracil (5-FU) is a mainstay for treating various solid tumours in adults, including digestive and head and neck cancers."1.375-FU-induced neurotoxicity in cancer patients with profound DPD deficiency syndrome: a report of two cases. ( Ciccolini, J; Cordier, PY; Lacarelle, B; Mercier, C; Nau, A; Oliver, M; Peytel, E, 2011)
"Patients with a DPD deficiency can experience severe toxicity of 5-FU."1.36[Severe toxicity following capecitabine administration because of dihydropyrimidine deshydrogenase (DPD) deficiency]. ( Bontemps, H; Coursier, S; Emptoz, J; Guillermet, A; Martelet, S; Villier, C, 2010)
"Thus, a DPD deficiency could be predicted from 5FU blood concentrations measured after the administration of a test dose of 5FU."1.35Pharmacokinetics of 5-fluorouracil in patients heterozygous for the IVS14+1G > A mutation in the dihydropyrimidine dehydrogenase gene. ( Behnke, D; Hausler, P; Jabschinsky, K; Maring, JG; Schalhorn, A; Schmalenberg, H; Schwabe, W; Terborg, C; van Kuilenburg, AB, 2008)
" In this work, an artificial receptor in the format of molecularly imprinted polymer (MIP) brush 'grafted to' the surface of sol-gel immobilized on cost-effective homemade solid-phase microextraction (SPME) fibers, individually imprinted with either of Ura and 5FU, was used in combination with a voltammetric sensor duly modified with the same MIP."1.35Ultratrace analysis of uracil and 5-fluorouracil by molecularly imprinted polymer brushes grafted to silylated solid-phase microextraction fiber in combination with complementary molecularly imprinted polymer-based sensor. ( Patel, AK; Prasad, BB; Sharma, PS; Singh, M; Srivastava, S; Tiwari, K, 2009)
"Syndrome of DPD deficiency manifests as diarrhea, stomatitis, mucositis, and neurotoxicity and in some cases death."1.34DPYD*2A mutation: the most common mutation associated with DPD deficiency. ( Diasio, RB; Ezzeldin, H; Saif, MW; Sellers, S; Vance, K, 2007)
"8% (3/38) and was accompanied by severe Gr 4 toxic symptoms (neutropenia, mucositis, diarrhea)."1.34[Pharmacogenetic studies on the prediction of efficacy and toxicity of fluoropyrimidine-based adjuvant therapy in colorectal cancer]. ( Adleff, V; Budai, B; Hitre, E; Komlósi, V; Kralovánszky, J; Pap, E; Réti, A, 2007)
"Pseudomembranous colitis is frequently associated with antibiotics and more rarely with chemotherapeutic agents such as 5-fluorouracil."1.33Pseudomembranous colitis associated with chemotherapy with 5-fluorouracil. ( Aranda Aguilar, E; de la Haba Rodríguez, JR; Gómez España, MA; Méndez Vidal, MJ; Morales Chamorro, R; Rubio Pérez, MJ; Serrano Blanch, R, 2005)
"DPD deficiency was identified phenotypically by both enzyme assay and uracil breath test, and genotypically by denaturing high-performance liquid chromatography."1.33Methylation of the DPYD promoter: an alternative mechanism for dihydropyrimidine dehydrogenase deficiency in cancer patients. ( Diasio, RB; Ezzeldin, HH; Lee, AM; Mattison, LK, 2005)
" A reduction in irinotecan dosage or use of an alternative agent may be warranted in patients with risk factors for toxicity."1.33Individualizing chemotherapeutic treatment of colorectal cancer. ( Crews, KR, 2006)
"A 37-year-old female with gastric cancer underwent a curative operation, followed by adjuvant chemotherapy consisting of 5-FU and epirubicin."1.33Unpredicted severe toxicity after 5-fluorouracil treatment due to dihydropyrimidine dehydrogenase deficiency. ( Baek, JH; Hong, YJ; Kim, DH; Kim, JG; Kim, SN; Lee, KB; Sohn, SK, 2006)
"This patient with DPD deficiency manifested a variant of HFS."1.33Hand-foot syndrome variant in a dihydropyrimidine dehydrogenase-deficient patient treated with capecitabine. ( Diasio, R; Elfiky, A; Saif, MW, 2006)
" Comparison of the U/UH2 ratios with a reference, non-toxic population, showed abnormal values suggesting impaired DPD activity in 57 out of the 80 toxic patients (71%) included in this study, and in 4 out of 5 patients (80%) with a fatal outcome."1.33A rapid and inexpensive method for anticipating severe toxicity to fluorouracil and fluorouracil-based chemotherapy. ( Blanquicett, C; Blesius, A; Boyer, JC; Ciccolini, J; Dahan, L; Duffaud, F; Durand, A; Evrard, A; Favre, R; Lacarelle, B; Mercier, C; Milano, G; Richard, K; Seitz, JF, 2006)
"In addition to this study we analyzed a DPD deficiency case and a DHPuria case."1.30Possible prediction of adverse reactions to fluorouracil by the measurement of urinary dihydrothymine and thymine. ( Dobashi, K; Hayashi, K; Kidouchi, K; Kondou, M; Kouwaki, M; Sumi, S; Togari, H; Wada, Y, 1998)

Research

Studies (132)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (0.76)18.2507
2000's44 (33.33)29.6817
2010's55 (41.67)24.3611
2020's32 (24.24)2.80

Authors

AuthorsStudies
Jeong, SH1
Chavani, O1
Burns, K2
Porter, D2
Findlay, M2
Helsby, N2
Strother, M1
Kang, J1
Kim, AH1
Jeon, I1
Oh, J1
Jang, IJ1
Lee, S1
Cho, JY1
Wang, L1
Howlett, S1
Essapen, S1
Nagahisa, S1
Watanabe, M1
Minagi, H1
Ogawa, T1
Araki, H1
Kimura, Y1
Taniguchi, F1
Arata, T1
Katsuda, K1
Tanakaya, K1
Aoki, H1
Hagiwara, Y1
Yamamoto, Y1
Inagaki, Y1
Tomisaki, R1
Tsuji, M1
Fukuda, S2
Onoda, T1
Suzuki, H2
Niisato, Y1
Tange, Y1
Ikeda, N1
Yamada, K1
Kobayashi, M1
Akutsu, D1
Yamada, T1
Moriwaki, T1
Narasaka, T1
Tsuchiya, K1
Koo, K1
Pasternak, AL1
Henry, NL1
Sahai, V1
Hertz, DL1
Launay, M9
Guitton, J6
Balluet, R1
Moreau, A1
Phelip, JM1
Tholance, Y1
Gonzalo, P1
White, C1
Scott, RJ1
Paul, C1
Ziolkowski, A1
Mossman, D1
Fox, SB1
Michael, M1
Ackland, S1
Brooks, GA1
Tapp, S1
Daly, AT1
Busam, JA1
Tosteson, ANA1
Carriat, L1
Quaranta, S3
Solas, C2
Rony, M1
Ciccolini, J18
Salmani, M1
Ghaderi, B1
Fotoohi, A1
Omid-Shafa'at, R1
Vahabzadeh, Z1
Fotouhi, O1
Abdi, M1
Maillard, M2
Royer, B8
Gautier-Veyret, E3
Broutin, S1
Tron, C3
Le Louedec, F1
Richard, D1
Alarcan, H1
Haufroid, V7
Tafzi, N1
Schmitt, A4
Etienne-Grimaldi, MC9
Narjoz, C4
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Loriot, MA7
Boyer, JC9
De Luca, O3
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Winquist, E1
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Rosenfeld, L2
Lecompte, T2
Berger, V2
Morel, A4
Gamelin, E4
Meulendijks, D4
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Jacobs, BAW1
Aliev, A2
Deenen, MJ4
de Vries, N1
Rosing, H1
van Werkhoven, E1
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Beijnen, JH4
Mandigers, CMPW1
Soesan, M2
Cats, A5
Schellens, JHM4
Le Guellec, CB1
Chatelut, E3
Evrard, A5
Paci, A2
Philippe Metges, J1
Barin-Le-Guellec, C2
Milano, G6
Picard, N1
Becquemont, L1
Verstuyft, C1
Bobin-Dubigeon, C1
Harle, A1
Poinsignon, V1
Hennart, B1
Broly, F1
Lafay-Chebassier, C1
Wozny, AS1
Masskouri, F2
Penel, N2
Garcia, RAG1
Saydoff, JA1
Bamat, MK1
von Borstel, RW1
Del Re, M1
Danesi, R1
Raymond, E1
Goirand, F1
Paludetto, MN1
Guilhaumou, R1
Lunenburg, CATC1
Dreussi, E1
Peters, FP1
Fiocco, M1
Toffoli, G1
Guchelaar, HJ4
Swen, JJ4
Gelderblom, H3
van Merendonk, LN1
Robert, J1
Mukherji, D1
Massih, SA1
Tfayli, A1
Kanso, M1
Faraj, W1
Maharjan, AS1
McMillin, GA1
Patel, GK1
Awan, S1
Taylor, WR1
Pai, S1
Frankel, AE1
Nelson, C1
Wang, B1
Hosein, PJ1
Singh, AP1
Khushman, M1
Carni, P1
Le Malicot, K1
Seitz, JF5
Michel, P1
Legoux, JL1
Bouché, O1
André, T1
Delaloge, S1
Malka, D1
Guigay, J1
Thariat, J1
Ostapowicz, A1
Dołegowska, B2
Magnani, E1
Farnetti, E1
Nicoli, D1
Casali, B1
Savoldi, L1
Focaccetti, C1
Boni, C1
Albini, A1
Banzi, M1
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Maring, JG5
Caudle, KE1
Thorn, CF1
Klein, TE1
McLeod, HL3
Diasio, RB10
Schwab, M2
Bolina, MB1
Martins, FL1
Pianetti, GA1
Cesar, IC1
Toshima, T1
Kodera, M1
Yamashita, Y1
Oishi, M1
Seshimo, K1
Yamamura, M1
Kato, H1
Ikeda, H1
Mizuno, K1
Bank, PC1
Offer, SM1
Butterfield, GL1
Jerde, CR1
Fossum, CC1
Wegner, NJ1
Toh, JW1
Morris, D1
Chen, Z1
Chen, C1
Papanastasopoulos, P1
Stebbing, J1
Mokrim, M1
Aftimos, PG1
Errihani, H1
Piccart-Gebhart, M1
Jedrzychowska, A1
Nagai, K1
Okuda, Y1
Ohara, Y1
Yamamoto, M1
Falvella, FS1
Cheli, S1
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Mazzali, C1
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Sottotetti, E1
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de Braud, F1
Clementi, E1
Pietrantonio, F1
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Opdam, F1
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de Graaf, H1
Schellens, JH3
Maurer, D1
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Jansen, RL1
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van Kampen, RJ1
Hertz, JM1
Hennekam, RC1
Lunenburg, C1
Lazar, A2
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Jabschinsky, K2
Hausler, P2
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Shim, J1
Ben Fredj, R1
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Tiwari, K1
Singh, M1
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Patel, AK1
Srivastava, S1
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Ito, T1
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Brunet, C1
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Maibach, H1
Mandigers, CM1
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Johnson, MR2
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Stroomer, AE1
Van Lenthe, H1
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Hooiveld, EA1
Haanen, JB1
Westermann, AM1
Mattison, LK3
Carpenter, M1
Modak, A2
Mau-Holzmann, UA1
Kolb, H1
Reichenmiller, HE1
Riess, O1
Schömig, E1
Lim, WT1
Schouten, L1
Greijdanus, B1
de Vries, EG1
Uges, DR1
Díaz, R1
Segura, A1
Aparicio, J1
Calderero, V1
Guerrero, A1
Pellín, L1
Altundag, O1
Altundag, K1
Silay, K1
Turen, S1
Grem, JL1
Branca, MA1
Morales Chamorro, R1
Serrano Blanch, R1
Méndez Vidal, MJ1
Gómez España, MA1
Rubio Pérez, MJ1
de la Haba Rodríguez, JR1
Aranda Aguilar, E1
Al-Sanna'a, NA1
Atrak, TM1
Abdul-Jabbar, MA1
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Seller, S1
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Togari, H1
Wada, Y1

Reviews

24 reviews available for fluorouracil and Dihydropyrimidine Dehydrogenase Deficiency

ArticleYear
Severe Gastrointestinal Disorder Due to Capecitabine Associated with Dihydropyrimidine Dehydrogenase Deficiency: A Case Report and Literature Review.
    Internal medicine (Tokyo, Japan), 2022, Aug-15, Volume: 61, Issue:16

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Fluoroura

2022
Dihydropyrimidine Dehydrogenase Deficiency and Implementation of Upfront DPYD Genotyping.
    Clinical pharmacology and therapeutics, 2022, Volume: 112, Issue:4

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Current diagnostic and clinical issues of screening for dihydropyrimidine dehydrogenase deficiency.
    European journal of cancer (Oxford, England : 1990), 2023, Volume: 181

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrour

2023
    Pharmacogenomics, 2023, Volume: 24, Issue:2

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrour

2023
[Phenotype- or genotype test for dihydropyrimidin dehydrogenase deficiency before treatment with a fluoropyrimidine].
    Ugeskrift for laeger, 2021, 02-08, Volume: 183, Issue:6

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2021
[Dihydropyrimidine déhydrogenase (DPD) deficiency screening and securing of fluoropyrimidine-based chemotherapies: Update and recommendations of the French GPCO-Unicancer and RNPGx networks].
    Bulletin du cancer, 2018, Volume: 105, Issue:4

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrour

2018
[5-fluorouracil therapeutic drug monitoring: Update and recommendations of the STP-PT group of the SFPT and the GPCO-Unicancer].
    Bulletin du cancer, 2018, Volume: 105, Issue:9

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2018
[Review of methods for determination of dihydropyrimidine dehydrogenase and possible application in screening previous chemotheraphy with 5-fluorouracil].
    Przeglad lekarski, 2012, Volume: 69, Issue:9

    Topics: Antineoplastic Agents; Biomarkers; Breath Tests; Capecitabine; Comorbidity; Deoxycytidine; Dihydropy

2012
Evaluation of 5-fluorouracil pharmacokinetic models and therapeutic drug monitoring in cancer patients.
    Pharmacogenomics, 2013, Volume: 14, Issue:7

    Topics: Antimetabolites, Antineoplastic; Clinical Trials, Phase II as Topic; Clinical Trials, Phase III as T

2013
[A case in which dihydropyrimidine dehydrogenase deficiency was strongly suspected during adjuvant chemotherapy with capecitabine for colon cancer].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2013, Volume: 40, Issue:11

    Topics: Aged; Capecitabine; Chemotherapy, Adjuvant; Colonic Neoplasms; Deoxycytidine; Dihydropyrimidine Dehy

2013
Molecular basis of 5-fluorouracil-related toxicity: lessons from clinical practice.
    Anticancer research, 2014, Volume: 34, Issue:4

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2014
Breast cancer, DPYD mutations and capecitabine-related ileitis: description of two cases and a review of the literature.
    BMJ case reports, 2014, Apr-19, Volume: 2014

    Topics: Aged; Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherapy Protocols; Breast Neopla

2014
[Pharmacogenetics in oncology: 5-fluorouracil and the dihydropyrimidine dehydrogenase].
    Deutsche medizinische Wochenschrift (1946), 2008, Volume: 133, Issue:28-29

    Topics: Amino Acid Substitution; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency

2008
Unanticipated toxicity to capecitabine.
    Oncology nursing forum, 2009, Volume: 36, Issue:2

    Topics: Antimetabolites, Antineoplastic; Black or African American; Breast Neoplasms; Capecitabine; Deoxycyt

2009
Children's toxicology from bench to bed--Liver injury (1): Drug-induced metabolic disturbance--toxicity of 5-FU for pyrimidine metabolic disorders and pivalic acid for carnitine metabolism.
    The Journal of toxicological sciences, 2009, Volume: 34 Suppl 2

    Topics: Amidohydrolases; Animals; Anti-Bacterial Agents; Antineoplastic Agents; Carnitine; Cephalosporins; C

2009
Routine dihydropyrimidine dehydrogenase testing for anticipating 5-fluorouracil-related severe toxicities: hype or hope?
    Clinical colorectal cancer, 2010, Volume: 9, Issue:4

    Topics: Antimetabolites, Antineoplastic; Biomarkers, Pharmacological; Colorectal Neoplasms; Dihydropyrimidin

2010
Impact of dihydropyrimidine dehydrogenase on 5-fluorouracil treatment in cancer patients.
    European journal of medical research, 2003, May-30, Volume: 8, Issue:5

    Topics: Antimetabolites, Antineoplastic; Dermatitis; Diarrhea; Dihydropyrimidine Dehydrogenase Deficiency; D

2003
Dihydropyrimidine dehydrogenase and the efficacy and toxicity of 5-fluorouracil.
    European journal of cancer (Oxford, England : 1990), 2004, Volume: 40, Issue:7

    Topics: Antimetabolites, Antineoplastic; Colorectal Neoplasms; Dihydropyrimidine Dehydrogenase Deficiency; D

2004
Dihydropyrimidine dehydrogenase deficiency, a pharmacogenetic syndrome associated with potentially life-threatening toxicity following 5-fluorouracil administration.
    Clinical colorectal cancer, 2004, Volume: 4, Issue:3

    Topics: Antimetabolites, Antineoplastic; Diagnosis, Differential; Dihydropyrimidine Dehydrogenase Deficiency

2004
Pyrimidine degradation defects and severe 5-fluorouracil toxicity.
    Nucleosides, nucleotides & nucleic acids, 2004, Volume: 23, Issue:8-9

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2004
Dihydropyrimidine dehydrogenase deficiency: impact of pharmacogenetics on 5-fluorouracil therapy.
    Clinical advances in hematology & oncology : H&O, 2004, Volume: 2, Issue:8

    Topics: Antidotes; Antimetabolites, Antineoplastic; Biotransformation; Deoxyuracil Nucleotides; Diarrhea; Di

2004
Screening for dihydropyrimidine dehydrogenase deficiency: to do or not to do, that's the question.
    Cancer investigation, 2006, Volume: 24, Issue:2

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Fluorouracil; Humans; M

2006
Profiling dihydropyrimidine dehydrogenase deficiency in patients with cancer undergoing 5-fluorouracil/capecitabine therapy.
    Clinical colorectal cancer, 2006, Volume: 6, Issue:4

    Topics: Antineoplastic Combined Chemotherapy Protocols; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehyd

2006
Should DPD analysis be required prior to prescribing fluoropyrimidines?
    European journal of cancer (Oxford, England : 1990), 2007, Volume: 43, Issue:6

    Topics: Antimetabolites, Antineoplastic; Chromatography, High Pressure Liquid; Dihydropyrimidine Dehydrogena

2007

Trials

2 trials available for fluorouracil and Dihydropyrimidine Dehydrogenase Deficiency

ArticleYear
Prevention of 5-fluorouracil-induced early severe toxicity by pre-therapeutic dihydropyrimidine dehydrogenase deficiency screening: Assessment of a multiparametric approach.
    Seminars in oncology, 2017, Volume: 44, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Cohort Studies; Dihydropyrimidine D

2017
DPD-based adaptive dosing of 5-FU in patients with head and neck cancer: impact on treatment efficacy and toxicity.
    Cancer chemotherapy and pharmacology, 2011, Volume: 67, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Def

2011

Other Studies

106 other studies available for fluorouracil and Dihydropyrimidine Dehydrogenase Deficiency

ArticleYear
Severe 5-Fluorouracil-Associated Gastrointestinal Toxicity Unexplained by Dihydropyrimidine Dehydrogenase Deficiency and Renal Impairment: Should We Be Investigating Other Elimination Pathways to Assess the Risk of 5-Fluorouracil Toxicity?
    European journal of drug metabolism and pharmacokinetics, 2021, Volume: 46, Issue:6

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Drug-Related Side Effec

2021
Testing for dihydropyrimidine dehydrogenase deficiency in New Zealand to improve the safe use of 5-fluorouracil and capecitabine in cancer patients.
    The New Zealand medical journal, 2021, 11-12, Volume: 134, Issue:1545

    Topics: Antimetabolites, Antineoplastic; Breast Neoplasms; Capecitabine; Dihydropyrimidine Dehydrogenase Def

2021
Endogenous metabolic markers for predicting the activity of dihydropyrimidine dehydrogenase.
    Clinical and translational science, 2022, Volume: 15, Issue:5

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2022
Treating patients with dihydropyrimidine dehydrogenase (DPD) deficiency with fluoropyrimidine chemotherapy since the onset of routine prospective testing-The experience of a large oncology center in the United Kingdom.
    Seminars in oncology, 2022, Volume: 49, Issue:2

    Topics: Antimetabolites, Antineoplastic; Cancer Care Facilities; Capecitabine; Dihydropyrimidine Dehydrogena

2022
[A Case of Colon Cancer with Suspected DPD Deficiency Causing Severe Adverse Effects following Adjuvant Chemotherapy with Capecitabine].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2021, Volume: 48, Issue:13

    Topics: Aged; Antineoplastic Combined Chemotherapy Protocols; Capecitabine; Chemotherapy, Adjuvant; Colectom

2021
Survey of US Medical Oncologists' Practices and Beliefs Regarding
    JCO oncology practice, 2022, Volume: 18, Issue:6

    Topics: Antimetabolites, Antineoplastic; Breast Neoplasms; Capecitabine; Dihydropyrimidine Dehydrogenase Def

2022
Clinical considerations for DPD deficiency testing in advanced cancer patients: tumor lysis syndrome should be considered as a major interference.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2022, Volume: 33, Issue:8

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2022
Cost-effectiveness of DPYD Genotyping Prior to Fluoropyrimidine-based Adjuvant Chemotherapy for Colon Cancer.
    Clinical colorectal cancer, 2022, Volume: 21, Issue:3

    Topics: Capecitabine; Chemotherapy, Adjuvant; Colonic Neoplasms; Cost-Benefit Analysis; Dihydropyrimidine De

2022
Renal impairment and DPD testing: Watch out for false-positive results!
    British journal of clinical pharmacology, 2022, Volume: 88, Issue:11

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrour

2022
Introducing a simple and cost-effective RT-PCR protocol for detection of DPYD*2A polymorphism: the first study in Kurdish population.
    Cancer chemotherapy and pharmacology, 2022, Volume: 90, Issue:5

    Topics: Antimetabolites, Antineoplastic; Cost-Benefit Analysis; Dihydropyrimidine Dehydrogenase Deficiency;

2022
Quantitative impact of pre-analytical process on plasma uracil when testing for dihydropyrimidine dehydrogenase deficiency.
    British journal of clinical pharmacology, 2023, Volume: 89, Issue:2

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Plasma Uracil as a DPD Phenotyping Test: Pre-Analytical Handling Matters!
    Clinical pharmacology and therapeutics, 2023, Volume: 113, Issue:3

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluorouracil; Humans

2023
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Predicting Dihydropyrimidine Dehydrogenase Deficiency and Related 5-Fluorouracil Toxicity: Opportunities and Challenges of
    International journal of molecular sciences, 2022, Nov-11, Volume: 23, Issue:22

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2022
Awareness and attitudes of oncology specialists toward dihydropyrimidine dehydrogenase testing in Saudi Arabia.
    Cancer reports (Hoboken, N.J.), 2023, Volume: 6, Issue:2

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Cross-Sectional Studies; Dihydropyrimidine Dehydrogen

2023
Discrepancies between dihydropyrimidine dehydrogenase phenotyping and genotyping: What are the explanatory factors?
    British journal of clinical pharmacology, 2023, Volume: 89, Issue:8

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrour

2023
Phenotype/Genotype Discrepancy of DPD Deficiency Screening in a Patient With Severe Capecitabine Toxicity: A Case Report.
    JCO precision oncology, 2023, Volume: 7

    Topics: Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Fluorouracil; Genotype; Humans; Phenotype

2023
Implementation of dihydropyrimidine dehydrogenase deficiency testing in Europe.
    ESMO open, 2023, Volume: 8, Issue:2

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2023
Impact of renal impairment on dihydropyrimidine dehydrogenase (DPD) phenotyping.
    ESMO open, 2023, Volume: 8, Issue:3

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2023
Prevalence of the DPYD variant (Y186C) in Brazilian individuals of African ancestry.
    Cancer chemotherapy and pharmacology, 2019, Volume: 84, Issue:6

    Topics: Antimetabolites, Antineoplastic; Black People; Brazil; Capecitabine; Dihydropyrimidine Dehydrogenase

2019
An Application of Machine Learning in Pharmacovigilance: Estimating Likely Patient Genotype From Phenotypical Manifestations of Fluoropyrimidine Toxicity.
    Clinical pharmacology and therapeutics, 2020, Volume: 107, Issue:4

    Topics: Antimetabolites, Antineoplastic; Databases, Factual; Dihydropyrimidine Dehydrogenase Deficiency; Flu

2020
A Simple and Rapid UPLC-UV Method for Detecting DPD Deficiency in Patients With Cancer.
    Clinical and translational science, 2020, Volume: 13, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Biomarkers; Capecitabine; Chromatog

2020
New DPYD variants causing DPD deficiency in patients treated with fluoropyrimidine.
    Cancer chemotherapy and pharmacology, 2020, Volume: 86, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Capecitabine; Computer Simulation;

2020
Dual deficiency of DPD and UGT1A1 in a case of colon cancer.
    Pharmacogenomics, 2020, Volume: 21, Issue:18

    Topics: Antimetabolites, Antineoplastic; Antineoplastic Agents, Phytogenic; Antineoplastic Combined Chemothe

2020
When helping the minority of patients may hurt the majority: The case for DPD phenotyping and 5-fluorouracil therapeutic drug monitoring.
    Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 2021, Volume: 53, Issue:2

    Topics: Aged; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Deh

2021
A Japanese Patient with Gastric Cancer and Dihydropyrimidine Dehydrogenase Deficiency Presenting with DPYD Variants.
    Acta medica Okayama, 2020, Volume: 74, Issue:6

    Topics: Adenocarcinoma; Antimetabolites, Antineoplastic; Contraindications, Drug; Dihydropyrimidine Dehydrog

2020
Joint Belgian recommendation on screening for DPD-deficiency in patients treated with 5-FU, capecitabine (and tegafur).
    Acta clinica Belgica, 2022, Volume: 77, Issue:2

    Topics: Antimetabolites, Antineoplastic; Belgium; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency;

2022
Impact of pretreatment dihydropyrimidine dehydrogenase genotype-guided fluoropyrimidine dosing on chemotherapy associated adverse events.
    Clinical and translational science, 2021, Volume: 14, Issue:4

    Topics: Aged; Antimetabolites, Antineoplastic; Canada; Capecitabine; Dihydropyrimidine Dehydrogenase Deficie

2021
Artificial increase of uracilemia during fluoropyrimidine treatment can lead to DPD deficiency misinterpretation.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2021, Volume: 32, Issue:6

    Topics: Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluoro

2021
Pretreatment serum uracil concentration as a predictor of severe and fatal fluoropyrimidine-associated toxicity.
    British journal of cancer, 2017, May-23, Volume: 116, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Alleles; Antimetabolites, Antineoplastic; Biomarkers; Capecitabine;

2017
Prevention of 5-fluorouracil-induced early severe toxicity by pre-therapeutic dihydropyrimidine dehydrogenase deficiency screening: The multiparametric approach is not convincing.
    Seminars in oncology, 2017, Volume: 44, Issue:2

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Drug-Related Side Ef

2017
In reply.
    Seminars in oncology, 2017, Volume: 44, Issue:2

    Topics: Dihydropyrimidine Dehydrogenase Deficiency; Fluorouracil; Humans

2017
[Requirement of DPD deficiency screening before prescription of fluoropyrimidines].
    Bulletin du cancer, 2018, Volume: 105, Issue:4

    Topics: Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Fluoro

2018
Prompt treatment with uridine triacetate improves survival and reduces toxicity due to fluorouracil and capecitabine overdose or dihydropyrimidine dehydrogenase deficiency.
    Toxicology and applied pharmacology, 2018, 08-15, Volume: 353

    Topics: Acetates; Animals; Antidotes; Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehyd

2018
Predicting fluoropyrimidine-related toxicity: turning wish to will, the PAMM-EORTC position.
    Annals of oncology : official journal of the European Society for Medical Oncology, 2018, 09-01, Volume: 29, Issue:9

    Topics: Consensus; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP); Dose-Resp

2018
Standard fluoropyrimidine dosages in chemoradiation therapy result in an increased risk of severe toxicity in DPYD variant allele carriers.
    European journal of cancer (Oxford, England : 1990), 2018, Volume: 104

    Topics: Adult; Aged; Aged, 80 and over; Alleles; Antimetabolites, Antineoplastic; Capecitabine; Chemoradioth

2018
Effectiveness and safety of reduced-dose fluoropyrimidine therapy in patients carrying the DPYD*2A variant: A matched pair analysis.
    International journal of cancer, 2019, 05-01, Volume: 144, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherap

2019
[5-FU: At last!]
    Bulletin du cancer, 2019, Volume: 106, Issue:3

    Topics: Acetates; Antidotes; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Fl

2019
Three different polymorphisms of the DPYD gene associated with severe toxicity following administration of 5-FU: a case report.
    Journal of medical case reports, 2019, Mar-22, Volume: 13, Issue:1

    Topics: Adenocarcinoma; Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherapy Protocols; Dih

2019
Fluoropyrimidines and DPD testing: is there truly an inexorable link?
    European journal of cancer (Oxford, England : 1990), 2019, Volume: 113

    Topics: Antineoplastic Agents; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP

2019
The Prevalence of DPYD*9A(c.85T>C) Genotype and the Genotype-Phenotype Correlation in Patients with Gastrointestinal Malignancies Treated With Fluoropyrimidines: Updated Analysis.
    Clinical colorectal cancer, 2019, Volume: 18, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherap

2019
[Dihydropyrimidine dehydrogenase deficiency screening for management of patients receiving a fluoropyrimidine: Results of two national practice surveys addressed to clinicians and biologists].
    Bulletin du cancer, 2019, Volume: 106, Issue:9

    Topics: Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherapy Protocols; Biology; Biomedical

2019
Fluoropyrimidine toxicity in patients with dihydropyrimidine dehydrogenase splice site variant: the need for further revision of dose and schedule.
    Internal and emergency medicine, 2013, Volume: 8, Issue:5

    Topics: Adult; Aged; Antimetabolites, Antineoplastic; Antineoplastic Agents; Capecitabine; Colonic Neoplasms

2013
Clinical Pharmacogenetics Implementation Consortium guidelines for dihydropyrimidine dehydrogenase genotype and fluoropyrimidine dosing.
    Clinical pharmacology and therapeutics, 2013, Volume: 94, Issue:6

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehydrogenase Defici

2013
(13)C-uracil breath test to predict 5-fluorouracil toxicity in gastrointestinal cancer patients.
    Cancer chemotherapy and pharmacology, 2013, Volume: 72, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Breath Tests; Carbon Isotopes; Dihy

2013
Fluoropyrimidine toxicity in patients with dihydropyrimidine dehydrogenase (DPD) splice site variant: the need for further revision of dose and schedule.
    Internal and emergency medicine, 2014, Volume: 9, Issue:4

    Topics: Antimetabolites, Antineoplastic; Antineoplastic Agents; Colonic Neoplasms; Deoxycytidine; Dihydropyr

2014
microRNAs miR-27a and miR-27b directly regulate liver dihydropyrimidine dehydrogenase expression through two conserved binding sites.
    Molecular cancer therapeutics, 2014, Volume: 13, Issue:3

    Topics: Animals; Binding Sites; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NAD

2014
Near fatal 5-FU gut toxicity post surgery--remarkable effect of high-dose sucralfate.
    Journal of chemotherapy (Florence, Italy), 2015, Volume: 27, Issue:3

    Topics: Adult; Anti-Ulcer Agents; Antimetabolites, Antineoplastic; Combined Modality Therapy; Dihydropyrimid

2015
[Dihydropirymidine dehydrogenase (DPD)--a toxicity marker for 5-fluorouracil?].
    Annales Academiae Medicae Stetinensis, 2013, Volume: 59, Issue:2

    Topics: Antimetabolites, Antineoplastic; Biomarkers, Tumor; Dihydropyrimidine Dehydrogenase Deficiency; Dihy

2013
[Suspected dihydropyrimidine dehydrogenase deficiency in a patient receiving capecitabine as adjuvant chemotherapy after colon resection].
    Gan to kagaku ryoho. Cancer & chemotherapy, 2015, Volume: 42, Issue:1

    Topics: Aged; Antimetabolites, Antineoplastic; Capecitabine; Chemotherapy, Adjuvant; Colectomy; Deoxycytidin

2015
DPD and UGT1A1 deficiency in colorectal cancer patients receiving triplet chemotherapy with fluoropyrimidines, oxaliplatin and irinotecan.
    British journal of clinical pharmacology, 2015, Volume: 80, Issue:3

    Topics: Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Camptothecin; Colorectal Neoplasms; Dih

2015
Lethal 5-fluorouracil toxicity in a colorectal patient with severe dihydropyrimidine dehydrogenase (DPD) deficiency.
    International journal of colorectal disease, 2016, Volume: 31, Issue:3

    Topics: Colorectal Neoplasms; Dihydropyrimidine Dehydrogenase Deficiency; Fatal Outcome; Female; Fluorouraci

2016
Influence of metastatic disease on the usefulness of uracil pharmacokinetics as a screening tool for DPD activity in colorectal cancer patients.
    Cancer chemotherapy and pharmacology, 2015, Volume: 76, Issue:1

    Topics: Antibodies, Monoclonal, Humanized; Antineoplastic Combined Chemotherapy Protocols; Bevacizumab; Cape

2015
Genotyping of a family with a novel deleterious DPYD mutation supports the pretherapeutic screening of DPD deficiency with dihydrouracil/uracil ratio.
    Clinical pharmacology and therapeutics, 2016, Volume: 99, Issue:2

    Topics: Adult; Antimetabolites, Antineoplastic; Biotransformation; Dihydropyrimidine Dehydrogenase Deficienc

2016
Beating the odds: efficacy and toxicity of dihydropyrimidine dehydrogenase-driven adaptive dosing of 5-FU in patients with digestive cancer.
    British journal of clinical pharmacology, 2016, Volume: 81, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Digestive System Neoplasms; Dihydro

2016
Capecitabine-Induced Severe Toxicity Secondary to DPD Deficiency and Successful Treatment with Low Dose 5-Fluorouracil.
    Journal of gastrointestinal cancer, 2017, Volume: 48, Issue:1

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dose-Resp

2017
Benefit of uridine triacetate (Vistogard) in rescuing severe 5-fluorouracil toxicity in patients with dihydropyrimidine dehydrogenase (DPYD) deficiency.
    Cancer chemotherapy and pharmacology, 2016, Volume: 78, Issue:1

    Topics: Acetates; Aged; Antidotes; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficien

2016
Current insights into the impact of dihydropyrimidine dehydrogenase deficiency in patients receiving treatment with 5-fluorouracil.
    Clinical advances in hematology & oncology : H&O, 2016, Volume: 14, Issue:7

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydroge

2016
Patients homozygous for DPYD c.1129-5923C>G/haplotype B3 have partial DPD deficiency and require a dose reduction when treated with fluoropyrimidines.
    Cancer chemotherapy and pharmacology, 2016, Volume: 78, Issue:4

    Topics: Aged; Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dih

2016
Severe fluoropyrimidine toxicity due to novel and rare DPYD missense mutations, deletion and genomic amplification affecting DPD activity and mRNA splicing.
    Biochimica et biophysica acta. Molecular basis of disease, 2017, Volume: 1863, Issue:3

    Topics: Aged; Antimetabolites, Antineoplastic; Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dih

2017
Capecitabine-Induced Severe Toxicity Secondary to DPD Deficiency and Successful Treatment with Low Dose 5-Fluorouracil.
    Journal of gastrointestinal cancer, 2017, Volume: 48, Issue:1

    Topics: Capecitabine; Dihydropyrimidine Dehydrogenase Deficiency; Dose-Response Relationship, Drug; Fluorour

2017
Pharmacokinetics of 5-fluorouracil in patients heterozygous for the IVS14+1G > A mutation in the dihydropyrimidine dehydrogenase gene.
    Nucleosides, nucleotides & nucleic acids, 2008, Volume: 27, Issue:6

    Topics: Antineoplastic Agents; Area Under Curve; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil D

2008
Thymidylate synthase and dihydropyrimidine dehydrogenase levels are associated with response to 5-fluorouracil in Caenorhabditis elegans.
    Molecules and cells, 2008, Oct-31, Volume: 26, Issue:4

    Topics: Amino Acid Sequence; Animals; Caenorhabditis elegans; Dihydropyrimidine Dehydrogenase Deficiency; Di

2008
The dihydrouracil/uracil ratio in plasma, clinical and genetic analysis for screening of dihydropyrimidine dehydrogenase deficiency in colorectal cancer patients treated with 5-fluorouracil.
    Pathologie-biologie, 2009, Volume: 57, Issue:6

    Topics: Adult; Aged; Antimetabolites, Antineoplastic; Biomarkers; Chromatography, High Pressure Liquid; Colo

2009
Ultratrace analysis of uracil and 5-fluorouracil by molecularly imprinted polymer brushes grafted to silylated solid-phase microextraction fiber in combination with complementary molecularly imprinted polymer-based sensor.
    Biomedical chromatography : BMC, 2009, Volume: 23, Issue:5

    Topics: Benzenesulfonates; Binding Sites; Dihydropyrimidine Dehydrogenase Deficiency; Fluorouracil; Humans;

2009
[Severe toxicity following capecitabine administration because of dihydropyrimidine deshydrogenase (DPD) deficiency].
    Gastroenterologie clinique et biologique, 2010, Volume: 34, Issue:3

    Topics: Adenocarcinoma; Aged; Antimetabolites, Antineoplastic; Capecitabine; Colorectal Neoplasms; Deoxycyti

2010
Unilateral hand-foot syndrome: an extraordinary side effect of capecitabine.
    Cutaneous and ocular toxicology, 2010, Volume: 29, Issue:2

    Topics: Aged; Antimetabolites, Antineoplastic; Atrophy; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehyd

2010
Lethal outcome of 5-fluorouracil infusion in a patient with a total DPD deficiency and a double DPYD and UTG1A1 gene mutation.
    British journal of clinical pharmacology, 2010, Volume: 70, Issue:2

    Topics: Adenocarcinoma; Aged; Antimetabolites, Antineoplastic; Colonic Neoplasms; Dihydropyrimidine Dehydrog

2010
A bilateral cicatricial ectropion and bilateral upper lid shortening caused by 5-fluorouracil toxicity in a patient with dihydropyrimidine dehydrogenase deficiency.
    Cutaneous and ocular toxicology, 2011, Volume: 30, Issue:2

    Topics: Aged, 80 and over; Antimetabolites, Antineoplastic; Carcinoma; Dihydropyrimidine Dehydrogenase Defic

2011
Determination of 5-fluorouracil and dihydrofluorouracil levels by using a liquid chromatography-tandem mass spectrometry method for evaluation of dihydropyrimidine dehydrogenase enzyme activity.
    Cancer chemotherapy and pharmacology, 2011, Volume: 68, Issue:2

    Topics: Antimetabolites, Antineoplastic; Biotransformation; Chromatography, High Pressure Liquid; Dihydropyr

2011
Standard-dose tegafur combined with uracil is not safe treatment after severe toxicity from 5-fluorouracil or capecitabine.
    Annals of internal medicine, 2010, Dec-07, Volume: 153, Issue:11

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehydrogenase Defici

2010
5-FU-induced neurotoxicity in cancer patients with profound DPD deficiency syndrome: a report of two cases.
    Cancer chemotherapy and pharmacology, 2011, Volume: 68, Issue:3

    Topics: Aged; Antimetabolites, Antineoplastic; Brain; Dihydropyrimidine Dehydrogenase Deficiency; Electroenc

2011
Pretherapeutic uracil and dihydrouracil levels of colorectal cancer patients are associated with sex and toxic side effects during adjuvant 5-fluorouracil-based chemotherapy.
    Cancer, 2012, Jun-01, Volume: 118, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Chemotherapy, Adjuva

2012
Evaluation of 5-fluorouracil pharmacokinetics in cancer patients with a c.1905+1G>A mutation in DPYD by means of a Bayesian limited sampling strategy.
    Clinical pharmacokinetics, 2012, Mar-01, Volume: 51, Issue:3

    Topics: Adult; Aged; Antimetabolites, Antineoplastic; Bayes Theorem; Biotransformation; Dihydropyrimidine De

2012
Reversible leukoencephalopathy with stroke-like presentation in a patient with 5-dihydropyrimidine dehydrogenase deficiency treated with continuous 5-fluorouracil infusion.
    Clinical colorectal cancer, 2012, Volume: 11, Issue:3

    Topics: Antineoplastic Combined Chemotherapy Protocols; Chemotherapy, Adjuvant; Colonic Neoplasms; Dihydropy

2012
Pharmacogenomic biomarkers in dermatologic drugs.
    The Journal of dermatological treatment, 2013, Volume: 24, Issue:6

    Topics: Androstenes; Aryl Hydrocarbon Hydroxylases; Biomarkers; Chloroquine; Cytochrome P-450 CYP2C19; Cytoc

2013
[Prevention of severe toxicity from capecitabine, 5-fluorouracil and tegafur by screening for DPD-deficiency].
    Nederlands tijdschrift voor geneeskunde, 2012, Volume: 156, Issue:48

    Topics: Aged; Antineoplastic Agents; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehydrogenase Deficiency

2012
Mutational analysis of the human dihydropyrimidine dehydrogenase gene by denaturing high-performance liquid chromatography.
    Genetic testing, 2003,Summer, Volume: 7, Issue:2

    Topics: Alleles; Antimetabolites, Antineoplastic; Base Sequence; Chromatography, High Pressure Liquid; Dihyd

2003
Denaturing high performance liquid chromatography analysis of the DPYD gene in patients with lethal 5-fluorouracil toxicity.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2003, Aug-01, Volume: 9, Issue:8

    Topics: Aged; Antimetabolites, Antineoplastic; Chromatography, High Pressure Liquid; Dihydropyrimidine Dehyd

2003
New insights in dihydropyrimidine dehydrogenase deficiency: a pivotal role for beta-aminoisobutyric acid?
    The Biochemical journal, 2004, Apr-01, Volume: 379, Issue:Pt 1

    Topics: Aminoisobutyric Acids; beta-Alanine; Brain Diseases, Metabolic, Inborn; Dihydropyrimidine Dehydrogen

2004
[Severe toxicity after treatment with capecitabine and fluorouracil due to partial dihydropyrimidine dehydrogenase deficiency].
    Nederlands tijdschrift voor geneeskunde, 2004, Mar-27, Volume: 148, Issue:13

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Deoxycytidine; Dihydropyrimidine Dehydrogenase Defici

2004
Rapid identification of dihydropyrimidine dehydrogenase deficiency by using a novel 2-13C-uracil breath test.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2004, Apr-15, Volume: 10, Issue:8

    Topics: Antimetabolites, Antineoplastic; Breath Tests; Carbon Dioxide; Carbon Isotopes; Chromatography, High

2004
Multiple organ failure due to 5-fluorouracil chemotherapy in a patient with a rare dihydropyrimidine dehydrogenase gene variant.
    Onkologie, 2004, Volume: 27, Issue:6

    Topics: Adenocarcinoma; Adult; Antineoplastic Agents; Cecal Neoplasms; Dihydropyrimidine Dehydrogenase Defic

2004
Should screening for DPD deficiency be mandatory before 5-FU exposure?
    Onkologie, 2004, Volume: 27, Issue:6

    Topics: Antineoplastic Agents; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP

2004
A simple and sensitive fully validated HPLC-UV method for the determination of 5-fluorouracil and its metabolite 5,6-dihydrofluorouracil in plasma.
    Therapeutic drug monitoring, 2005, Volume: 27, Issue:1

    Topics: Chromatography, High Pressure Liquid; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehy

2005
Lethal toxicity after 5-fluorouracil chemotherapy and its possible relationship to dihydropyrimidine dehydrogenase deficiency: a case report and review of the literature.
    Journal of chemotherapy (Florence, Italy), 2004, Volume: 16, Issue:6

    Topics: Antimetabolites, Antineoplastic; Colorectal Neoplasms; Deficiency Diseases; Dihydropyrimidine Dehydr

2004
Gender differences in the dihydropyrimidine dehydrogenase expression may contribute to higher toxicity in women treated with 5-fluorouracil therapy.
    Medical hypotheses, 2005, Volume: 65, Issue:6

    Topics: Antineoplastic Agents; Clinical Trials as Topic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydro

2005
Screening for dihydropyrimidine dehydrogenase deficiency.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2005, Jul-15, Volume: 11, Issue:14

    Topics: Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Fluorouracil; Humans; L

2005
BiDil raises questions about race as a marker.
    Nature reviews. Drug discovery, 2005, Volume: 4, Issue:8

    Topics: Biomarkers; Black People; Clinical Trials as Topic; Dihydropyrimidine Dehydrogenase Deficiency; Dihy

2005
Pseudomembranous colitis associated with chemotherapy with 5-fluorouracil.
    Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2005, Volume: 7, Issue:6

    Topics: Adenocarcinoma; Antimetabolites, Antineoplastic; Clostridioides difficile; Dihydropyrimidine Dehydro

2005
Dihydropyrimidine dehydrogenase deficiency presenting at birth.
    Journal of inherited metabolic disease, 2005, Volume: 28, Issue:5

    Topics: Age of Onset; Antimetabolites; Binding Sites; Digestive System Abnormalities; Dihydropyrimidine Dehy

2005
Toxic death-case after capecitabine + oxaliplatin (XELOX) administration: probable implication of dihydropyrimidine deshydrogenase deficiency.
    Cancer chemotherapy and pharmacology, 2006, Volume: 58, Issue:2

    Topics: Antineoplastic Combined Chemotherapy Protocols; Base Sequence; Capecitabine; Carcinoma, Hepatocellul

2006
Methylation of the DPYD promoter: an alternative mechanism for dihydropyrimidine dehydrogenase deficiency in cancer patients.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2005, Dec-15, Volume: 11, Issue:24 Pt 1

    Topics: Adult; Antimetabolites, Antineoplastic; Chromatography, High Pressure Liquid; CpG Islands; Dihydropy

2005
Is capecitabine safe in patients with gastrointestinal cancer and dihydropyrimidine dehydrogenase deficiency?
    Clinical colorectal cancer, 2006, Volume: 5, Issue:5

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Carcinoma, Hepatocellular; Contraindications; Deoxycy

2006
Individualizing chemotherapeutic treatment of colorectal cancer.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2006, May-01, Volume: 63, Issue:9 Suppl 2

    Topics: Antibodies, Monoclonal; Antibodies, Monoclonal, Humanized; Antineoplastic Agents; Bilirubin; Biomark

2006
Unpredicted severe toxicity after 5-fluorouracil treatment due to dihydropyrimidine dehydrogenase deficiency.
    The Korean journal of internal medicine, 2006, Volume: 21, Issue:1

    Topics: Adenocarcinoma; Adult; Antimetabolites, Antineoplastic; Chemotherapy, Adjuvant; Dihydropyrimidine De

2006
Increased prevalence of dihydropyrimidine dehydrogenase deficiency in African-Americans compared with Caucasians.
    Clinical cancer research : an official journal of the American Association for Cancer Research, 2006, Sep-15, Volume: 12, Issue:18

    Topics: Adult; Aged; Anemia; Black or African American; Breath Tests; Carbon Dioxide; Colorectal Neoplasms;

2006
Peripheral neuropathy exacerbation associated with topical 5-fluorouracil.
    Anti-cancer drugs, 2006, Volume: 17, Issue:9

    Topics: Aged; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Deh

2006
Hand-foot syndrome variant in a dihydropyrimidine dehydrogenase-deficient patient treated with capecitabine.
    Clinical colorectal cancer, 2006, Volume: 6, Issue:3

    Topics: Antimetabolites, Antineoplastic; Capecitabine; Chemotherapy, Adjuvant; Deficiency Diseases; Deoxycyt

2006
A rapid and inexpensive method for anticipating severe toxicity to fluorouracil and fluorouracil-based chemotherapy.
    Therapeutic drug monitoring, 2006, Volume: 28, Issue:5

    Topics: Adult; Aged; Antimetabolites, Antineoplastic; Chromatography, High Pressure Liquid; Dihydropyrimidin

2006
5-Fluorouracil-related severe toxicity: a comparison of different methods for the pretherapeutic detection of dihydropyrimidine dehydrogenase deficiency.
    Cancer letters, 2007, May-08, Volume: 249, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Def

2007
DPYD*2A mutation: the most common mutation associated with DPD deficiency.
    Cancer chemotherapy and pharmacology, 2007, Volume: 60, Issue:4

    Topics: Adenocarcinoma; Aged; Dihydropyrimidine Dehydrogenase Deficiency; Dihydrouracil Dehydrogenase (NADP)

2007
[Pharmacogenetic studies on the prediction of efficacy and toxicity of fluoropyrimidine-based adjuvant therapy in colorectal cancer].
    Magyar onkologia, 2007, Volume: 51, Issue:2

    Topics: Antimetabolites, Antineoplastic; Antineoplastic Combined Chemotherapy Protocols; Chemotherapy, Adjuv

2007
Adjuvant therapy with raltitrexed in patients with colorectal cancer intolerant of 5-fluorouracil: British Columbia Cancer Agency experience.
    Cancer investigation, 2007, Volume: 25, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Antimetabolites, Antineoplastic; Colorectal Neoplasms; Dihydropyrimi

2007
A well-tolerated 5-FU-based treatment subsequent to severe capecitabine-induced toxicity in a DPD-deficient patient.
    British journal of clinical pharmacology, 2008, Volume: 65, Issue:6

    Topics: Adult; Antimetabolites, Antineoplastic; Breast Neoplasms; Capecitabine; Deoxycytidine; Dihydropyrimi

2008
Atypical toxicity associated with 5-Fluororacil in a DPD-deficient patient with pancreatic cancer. Is ethnicity a risk factor?
    JOP : Journal of the pancreas, 2008, Mar-08, Volume: 9, Issue:2

    Topics: Adenocarcinoma; Aged; Antimetabolites, Antineoplastic; Dihydropyrimidine Dehydrogenase Deficiency; D

2008
Possible prediction of adverse reactions to fluorouracil by the measurement of urinary dihydrothymine and thymine.
    International journal of molecular medicine, 1998, Volume: 2, Issue:4

    Topics: Adolescent; Adult; Antimetabolites, Antineoplastic; Child; Child, Preschool; Dihydropyrimidine Dehyd

1998