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                  <mods:namePart>Rodriguez Antona, Cristina</mods:namePart>
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                  <mods:namePart>Ministerio de Ciencia e Innovación (España)</mods:namePart>
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               <mods:identifier type="citation">Cancer Res  . 2012 ;72(18):4744-52.</mods:identifier>
               <mods:identifier type="doi">10.1158/0008-5472.CAN-11-2861</mods:identifier>
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               <mods:abstract>Cellular microtubules composed of α-β-tubulin heterodimers that are essential for cell shape, division, and intracellular transport are valid targets for anticancer therapy. However, not all the conserved but differentially expressed members of the β-tubulin gene superfamily have been investigated for their role in these settings. In this study, we examined roles for the hematologic isoform β-tubulin VI and functional genetic variants in the gene. β-tubulin VI was highly expressed in blood cells with a substantial interindividual variability (seven-fold variation in mRNA). We characterized DNA missense variations leading to Q43P, T274M, and R307H, and a rare nonsense variant, Y55X. Because variations in the hematologic target of microtubule-binding drugs might alter their myelosuppressive action, we tested their effect in cell lines stably expressing the different β-tubulin VI full-length variants, finding that the T274M change significantly decreased sensitivity to paclitaxel-induced tubulin polymerization. Furthermore, patients treated with paclitaxel and carrying β-tubulin VI T274M exhibited a significantly lower thrombocytopenia than wild-type homozygous patients (P = 0.031). Together, our findings define β-tubulin VI as a hematologic isotype with significant genetic variation in humans that may affect the myelosuppresive action of microtubule-binding drugs. A polymorphism found in a tubulin isoform expressed only in hemapoietic cells may contribute to the patient variation in myelosuppression that occurs after treatment with microtubule-binding drugs.</mods:abstract>
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                  <mods:title>Hematologic β-tubulin VI isoform exhibits genetic variability that influences paclitaxel toxicity.</mods:title>
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