Cancer Chemotherapy and Pharmacology

, Volume 84, Issue 6, pp 1333–1338 | Cite as

Cisplatin ototoxicity in children: risk factors and its relationship with polymorphisms of DNA repair genes ERCC1, ERCC2, and XRCC1

  • Caner Turan
  • Mehmet KantarEmail author
  • Çağdaş Aktan
  • Buket Kosova
  • Mehmet Orman
  • Cem Bilgen
  • Tayfun Kirazlı
Original Article



We aimed to investigate the cisplatin-related hearing toxicity and its possible relationship with polymorphic variants in DNA repair genes, ERCC1, ERCC2, and XRCC1.


Fifty patients treated with cisplatin in the past were included in the study. There were 29 females and 21 males; mean age 13.4 ± 6.0 years). The polymorphism in DNA repair genes was studied using primer and probes in Light Cycler device after DNA isolation was carried out with PCR technique. The polymorphisms and clinical risk factors were evaluated using Chi square test and logistic regression modelling.


The patients had hearing loss in 44%. For ERCC1 gene, the patients with hearing loss had 50% of GG (wild type), 40.9% of AG and 9.1% of AA genotypes, while the patients without hearing loss had 28.6% of GG, 53.5% of AG, and 17.9% of AA genotypes. For ERCC2 gene, the patients with hearing loss had 18.2% of GG (wild type), 40.9% of TG, and 40.9% of TT genotypes, while the patients without hearing loss had 10.7% of GG 39.3% of TG, and 50% of TT genotypes. For XRCC1 gene, the patients with hearing loss had 18.2% of CC (wild type), 59.1% of CT, and 22.7% of TT genotypes, while the patients without hearing loss had 35.7% of CC, 50% of CT, and 14.3% of TT genotypes. There was no statistically significant association among the groups (p = 0.24).


We did not find a relationship between DNA repair gene polymorphisms and hearing toxicity of cisplatin.


Ototoxicity Cisplatin DNA repair genes Polymorphism Children 


Compliance with ethical standards

Conflict of interest

The author(s) declare that they have no competing interests.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of PediatricsEge University School of MedicineIzmirTurkey
  2. 2.Department of Pediatrics, Division of Pediatric OncologyEge University School of MedicineIzmirTurkey
  3. 3.Department of Medical BiologyBeykent University School of MedicineIstanbulTurkey
  4. 4.Department of Biostatistics and Medical InformaticsEge University School of MedicineIzmirTurkey
  5. 5.Department of OtorhinolaryngologyEge University School of MedicineIzmirTurkey

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