CAT rs1001179 Single Nucleotide Polymorphism Identifies an Aggressive Clinical Behavior in Chronic Lymphocytic Leukemia

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Auteurs principaux: Marilisa Galasso, Vittoria Salaorni, Riccardo Moia, Valentina Mozzo, Ester Lovato, Chiara Cosentino, Omar Perbellini, Simona Gambino, Ornella Lovato, Maria Elena Carazzolo, Isacco Ferrarini, Francesca M. Quaglia, Massimo Donadelli, Maria G. Romanelli, Carlo Visco, Mauro Krampera, Gianluca Gaidano, Maria T. Scupoli
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Publié: Wiley 2024
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author Marilisa Galasso
Vittoria Salaorni
Riccardo Moia
Valentina Mozzo
Ester Lovato
Chiara Cosentino
Omar Perbellini
Simona Gambino
Ornella Lovato
Maria Elena Carazzolo
Isacco Ferrarini
Francesca M. Quaglia
Massimo Donadelli
Maria G. Romanelli
Carlo Visco
Mauro Krampera
Gianluca Gaidano
Maria T. Scupoli
author_facet Marilisa Galasso
Vittoria Salaorni
Riccardo Moia
Valentina Mozzo
Ester Lovato
Chiara Cosentino
Omar Perbellini
Simona Gambino
Ornella Lovato
Maria Elena Carazzolo
Isacco Ferrarini
Francesca M. Quaglia
Massimo Donadelli
Maria G. Romanelli
Carlo Visco
Mauro Krampera
Gianluca Gaidano
Maria T. Scupoli
Marilisa Galasso
Vittoria Salaorni
Riccardo Moia
Valentina Mozzo
Ester Lovato
Chiara Cosentino
Omar Perbellini
Simona Gambino
Ornella Lovato
Maria Elena Carazzolo
Isacco Ferrarini
Francesca M. Quaglia
Massimo Donadelli
Maria G. Romanelli
Carlo Visco
Mauro Krampera
Gianluca Gaidano
Maria T. Scupoli
collection Wiley Open Access
contents CAT rs1001179 Single Nucleotide Polymorphism Identifies an Aggressive Clinical Behavior in Chronic Lymphocytic Leukemia Marilisa Galasso Vittoria Salaorni Riccardo Moia Valentina Mozzo Ester Lovato Chiara Cosentino Omar Perbellini Simona Gambino Ornella Lovato Maria Elena Carazzolo Isacco Ferrarini Francesca M. Quaglia Massimo Donadelli Maria G. Romanelli Carlo Visco Mauro Krampera Gianluca Gaidano Maria T. Scupoli Hematological Oncology ABSTRACT Chronic lymphocytic leukemia (CLL) is characterized by an extremely variable clinical course. Although several parameters have been shown to be associated with clinical outcomes in patients with CLL, there remains substantial intragroup clinical heterogeneity in otherwise molecularly and staging homogeneous CLL subgroups. We have recently shown that high catalase (CAT) expression identifies patients with an aggressive clinical course and that higher CAT expression is associated with the presence of the rs1001179 single nucleotide polymorphism (SNP) T allele in the CAT promoter. Herein, we genotyped CLL patients for CAT rs1001179 SNP in an exploratory study ( n  = 235) and in a sequential independent validation study ( n  = 531). Time‐to‐event modeling analyses for time‐to‐first‐treatment (TTFT) from the two patients' cohorts showed that TT genotype was associated with a shorter TTFT, independently of other currently used prognostic parameters in CLL. Moreover, the TT genotype identifies CLL patients with a faster clinical progression even within subgroups of patients with low‐risk biological and clinical hallmarks. In conclusion, our data show that the TT genotype identifies CLL patients with a shorter TTFT, pointing to this SNP as a possible prognostic factor, which can improve patients' risk stratification leading to better patient management and personalized therapeutic choices. 10.1002/hon.70002 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/hon.70002
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id wiley_oa_10_1002_hon_70002
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2024
publisher Wiley
record_format wiley_oa
spellingShingle CAT rs1001179 Single Nucleotide Polymorphism Identifies an Aggressive Clinical Behavior in Chronic Lymphocytic Leukemia
Marilisa Galasso
Vittoria Salaorni
Riccardo Moia
Valentina Mozzo
Ester Lovato
Chiara Cosentino
Omar Perbellini
Simona Gambino
Ornella Lovato
Maria Elena Carazzolo
Isacco Ferrarini
Francesca M. Quaglia
Massimo Donadelli
Maria G. Romanelli
Carlo Visco
Mauro Krampera
Gianluca Gaidano
Maria T. Scupoli
Hematological Oncology
CAT rs1001179 Single Nucleotide Polymorphism Identifies an Aggressive Clinical Behavior in Chronic Lymphocytic Leukemia Marilisa Galasso Vittoria Salaorni Riccardo Moia Valentina Mozzo Ester Lovato Chiara Cosentino Omar Perbellini Simona Gambino Ornella Lovato Maria Elena Carazzolo Isacco Ferrarini Francesca M. Quaglia Massimo Donadelli Maria G. Romanelli Carlo Visco Mauro Krampera Gianluca Gaidano Maria T. Scupoli Hematological Oncology ABSTRACT Chronic lymphocytic leukemia (CLL) is characterized by an extremely variable clinical course. Although several parameters have been shown to be associated with clinical outcomes in patients with CLL, there remains substantial intragroup clinical heterogeneity in otherwise molecularly and staging homogeneous CLL subgroups. We have recently shown that high catalase (CAT) expression identifies patients with an aggressive clinical course and that higher CAT expression is associated with the presence of the rs1001179 single nucleotide polymorphism (SNP) T allele in the CAT promoter. Herein, we genotyped CLL patients for CAT rs1001179 SNP in an exploratory study ( n  = 235) and in a sequential independent validation study ( n  = 531). Time‐to‐event modeling analyses for time‐to‐first‐treatment (TTFT) from the two patients' cohorts showed that TT genotype was associated with a shorter TTFT, independently of other currently used prognostic parameters in CLL. Moreover, the TT genotype identifies CLL patients with a faster clinical progression even within subgroups of patients with low‐risk biological and clinical hallmarks. In conclusion, our data show that the TT genotype identifies CLL patients with a shorter TTFT, pointing to this SNP as a possible prognostic factor, which can improve patients' risk stratification leading to better patient management and personalized therapeutic choices. 10.1002/hon.70002 http://creativecommons.org/licenses/by/4.0/
title CAT rs1001179 Single Nucleotide Polymorphism Identifies an Aggressive Clinical Behavior in Chronic Lymphocytic Leukemia
topic Hematological Oncology
url https://onlinelibrary.wiley.com/doi/10.1002/hon.70002