“…Therefore, apart from TYMS , the genes involved in the folate cycle and DNA repair pathways play an important role in the PD of capecitabine ( Figure 1 ) [ 8 ]. Indeed, numerous studies have investigated the impact of several SNPs in genes related to capecitabine’s PD, such as TYMS , enolase superfamily member 1 gene ( ENOSF1 ), methylenetetrahydrofolate reductase gene ( MTHFR ), ERCC excision repair 1, endonuclease non-catalytic subunit gene ( ERCC1 ), ERCC excision repair 2, TFIIH core complex helicase subunit gene ( ERCC2 ), X-ray repair cross-complementing 1 gene ( XRCC1 ), and X-ray repair cross-complementing 3 gene ( XRCC3 ) on the effectiveness of FP therapy in gastrointestinal neoplasms [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ]. However, the available evidence remains limited and characterized by conflicting findings, necessitating further investigation and exploration.…”