RT Journal Article T1 The association of germline variants with chronic lymphocytic leukemia outcome suggests the implication of novel genes and pathways in clinical evolution A1 Mosquera Orgueira, Adrián A1 Alonso Vence, Natalia A1 Díaz Arias, José Ángel A1 Antelo Rodríguez, Beatriz A1 Díaz Varela, Nicolás Antonio A1 Pérez Encinas, Manuel Mateo A1 Allegue Toscano, Catarina A1 Goiricelaya Seco, Elena María A1 Carracedo Álvarez, Ángel A1 Bello López, José Luis K1 Chronic lymphocytic leukemia K1 Germline K1 Polymorphism K1 Association K1 Prognosis AB BackgroundChronic Lymphocytic Leukemia (CLL) is the most frequent lymphoproliferative disorder in western countries and is characterized by a remarkable clinical heterogeneity. During the last decade, multiple genomic studies have identified a myriad of somatic events driving CLL proliferation and aggressivity. Nevertheless, and despite the mounting evidence of inherited risk for CLL development, the existence of germline variants associated with clinical outcomes has not been addressed in depth.MethodsExome sequencing data from control leukocytes of CLL patients involved in the International Cancer Genome Consortium (ICGC) was used for genotyping. Cox regression was used to detect variants associated with clinical outcomes. Gene and pathways level associations were also calculated.ResultsSingle nucleotide polymorphisms in PPP4R2 and MAP3K4 were associated with earlier treatment need. A gene-level analysis evidenced a significant association of RIPK3 with both treatment need and survival. Furthermore, germline variability in pathways such as apoptosis, cell-cycle, pentose phosphate, GNα13 and Nitric oxide was associated with overall survival.ConclusionOur results support the existence of inherited conditionants of CLL evolution and points towards genes and pathways that may results useful as biomarkers of disease outcome. More research is needed to validate these findings. PB BMC SN 1471-2407 YR 2019 FD 2019 LK http://hdl.handle.net/10347/21674 UL http://hdl.handle.net/10347/21674 LA eng NO Mosquera Orgueira, A., Antelo Rodríguez, B., Alonso Vence, N. et al. The association of germline variants with chronic lymphocytic leukemia outcome suggests the implication of novel genes and pathways in clinical evolution. BMC Cancer 19, 515 (2019). https://doi.org/10.1186/s12885-019-5628-y DS Minerva RD 23 abr 2026