International Journal of Molecular Sciences (Apr 2023)

Do GWAS-Identified Risk Variants for Chronic Lymphocytic Leukemia Influence Overall Patient Survival and Disease Progression?

  • Antonio José Cabrera-Serrano,
  • José Manuel Sánchez-Maldonado,
  • Rob ter Horst,
  • Angelica Macauda,
  • Paloma García-Martín,
  • Yolanda Benavente,
  • Stefano Landi,
  • Alyssa Clay-Gilmour,
  • Yasmeen Niazi,
  • Blanca Espinet,
  • Juan José Rodríguez-Sevilla,
  • Eva María Pérez,
  • Rossana Maffei,
  • Gonzalo Blanco,
  • Matteo Giaccherini,
  • James R. Cerhan,
  • Roberto Marasca,
  • Miguel Ángel López-Nevot,
  • Tzu Chen-Liang,
  • Hauke Thomsen,
  • Irene Gámez,
  • Daniele Campa,
  • Víctor Moreno,
  • Silvia de Sanjosé,
  • Rafael Marcos-Gragera,
  • María García-Álvarez,
  • Trinidad Dierssen-Sotos,
  • Andrés Jerez,
  • Aleksandra Butrym,
  • Aaron D. Norman,
  • Mario Luppi,
  • Susan L. Slager,
  • Kari Hemminki,
  • Yang Li,
  • Sonja I. Berndt,
  • Delphine Casabonne,
  • Miguel Alcoceba,
  • Anna Puiggros,
  • Mihai G. Netea,
  • Asta Försti,
  • Federico Canzian,
  • Juan Sainz

DOI
https://doi.org/10.3390/ijms24098005
Journal volume & issue
Vol. 24, no. 9
p. 8005

Abstract

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Chronic lymphocytic leukemia (CLL) is the most common leukemia among adults worldwide. Although genome-wide association studies (GWAS) have uncovered the germline genetic component underlying CLL susceptibility, the potential use of GWAS-identified risk variants to predict disease progression and patient survival remains unexplored. Here, we evaluated whether 41 GWAS-identified risk variants for CLL could influence overall survival (OS) and disease progression, defined as time to first treatment (TTFT) in a cohort of 1039 CLL cases ascertained through the CRuCIAL consortium. Although this is the largest study assessing the effect of GWAS-identified susceptibility variants for CLL on OS, we only found a weak association of ten single nucleotide polymorphisms (SNPs) with OS (p p < 0.05); however, these did not reach the multiple testing significance threshold, and the meta-analysis with previous published data did not confirm any of the associations. As expected, PRSs built with these SNPs showed reduced accuracy in prediction of disease progression (AUROC = 0.62). These results suggest that susceptibility variants for CLL do not impact overall survival and disease progression in CLL patients.

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