TY - JOUR AU - Clavero, Esther AU - Sanchez-Maldonado, José Manuel AU - Macauda, Angelica AU - Ter Horst, Rob AU - Sampaio-Marques, Belém AU - Jurczyszyn, Artur AU - Clay-Gilmour, Alyssa AU - Stein, Angelika AU - Hildebrandt, Michelle A T AU - Weinhold, Niels AU - Buda, Gabriele AU - García-Sanz, Ramón AU - Tomczak, Waldemar AU - Vogel, Ulla AU - Jerez, Andrés AU - Zawirska, Daria AU - Wątek, Marzena AU - Hofmann, Jonathan N AU - Landi, Stefano AU - Spinelli, John J AU - Butrym, Aleksandra AU - Kumar, Abhishek AU - Martínez-López, Joaquín AU - Galimberti, Sara AU - Sarasquete, María Eugenia AU - Subocz, Edyta AU - Iskierka-Jażdżewska, Elzbieta AU - Giles, Graham G AU - Rybicka-Ramos, Malwina AU - Kruszewski, Marcin AU - Abildgaard, Niels AU - Verdejo, Francisco García AU - Sánchez Rovira, Pedro AU - da Silva Filho, Miguel Inacio AU - Kadar, Katalin AU - Razny, Małgorzata AU - Cozen, Wendy AU - Pelosini, Matteo AU - Jurado, Manuel AU - Bhatti, Parveen AU - Dudzinski, Marek AU - Druzd-Sitek, Agnieszka AU - Orciuolo, Enrico AU - Li, Yang AU - Norman, Aaron D AU - Zaucha, Jan Maciej AU - Reis, Rui Manuel AU - Markiewicz, Miroslaw AU - Rodríguez Sevilla, Juan José AU - Andersen, Vibeke AU - Jamroziak, Krzysztof AU - Hemminki, Kari AU - Berndt, Sonja I AU - Rajkumar, Vicent AU - Mazur, Grzegorz AU - Kumar, Shaji K AU - Ludovico, Paula AU - Nagler, Arnon AU - Chanock, Stephen J AU - Dumontet, Charles AU - Machiela, Mitchell J AU - Varkonyi, Judit AU - Camp, Nicola J AU - Ziv, Elad AU - Vangsted, Annette Juul AU - Brown, Elizabeth E AU - Campa, Daniele AU - Vachon, Celine M AU - Netea, Mihai G AU - Canzian, Federico AU - Försti, Asta AU - Sainz, Juan TI - Polymorphisms within Autophagy-Related Genes as Susceptibility Biomarkers for Multiple Myeloma: A Meta-Analysis of Three Large Cohorts and Functional Characterization. JO - International journal of molecular sciences VL - 24 IS - 10 SN - 1422-0067 CY - Basel PB - Molecular Diversity Preservation International M1 - DKFZ-2023-01054 SP - 8500 PY - 2023 AB - Multiple myeloma (MM) arises following malignant proliferation of plasma cells in the bone marrow, that secrete high amounts of specific monoclonal immunoglobulins or light chains, resulting in the massive production of unfolded or misfolded proteins. Autophagy can have a dual role in tumorigenesis, by eliminating these abnormal proteins to avoid cancer development, but also ensuring MM cell survival and promoting resistance to treatments. To date no studies have determined the impact of genetic variation in autophagy-related genes on MM risk. We performed meta-analysis of germline genetic data on 234 autophagy-related genes from three independent study populations including 13,387 subjects of European ancestry (6863 MM patients and 6524 controls) and examined correlations of statistically significant single nucleotide polymorphisms (SNPs; p < 1 × 10-9) with immune responses in whole blood, peripheral blood mononuclear cells (PBMCs), and monocyte-derived macrophages (MDM) from a large population of healthy donors from the Human Functional Genomic Project (HFGP). We identified SNPs in six loci, CD46, IKBKE, PARK2, ULK4, ATG5, and CDKN2A associated with MM risk (p = 4.47 × 10-4-5.79 × 10-14). Mechanistically, we found that the ULK4rs6599175 SNP correlated with circulating concentrations of vitamin D3 (p = 4.0 × 10-4), whereas the IKBKErs17433804 SNP correlated with the number of transitional CD24+CD38+ B cells (p = 4.8 × 10-4) and circulating serum concentrations of Monocyte Chemoattractant Protein (MCP)-2 (p = 3.6 × 10-4). We also found that the CD46rs1142469 SNP correlated with numbers of CD19+ B cells, CD19+CD3- B cells, CD5+IgD- cells, IgM- cells, IgD-IgM- cells, and CD4-CD8- PBMCs (p = 4.9 × 10-4-8.6 × 10-4) and circulating concentrations of interleukin (IL)-20 (p = 0.00082). Finally, we observed that the CDKN2Ars2811710 SNP correlated with levels of CD4+EMCD45RO+CD27- cells (p = 9.3 × 10-4). These results suggest that genetic variants within these six loci influence MM risk through the modulation of specific subsets of immune cells, as well as vitamin D3-, MCP-2-, and IL20-dependent pathways. KW - Humans KW - Multiple Myeloma: genetics KW - Multiple Myeloma: pathology KW - Leukocytes, Mononuclear: pathology KW - Biomarkers KW - Immunoglobulin M KW - Autophagy KW - autophagy (Other) KW - genetic susceptibility (Other) KW - genetic variants (Other) KW - multiple myeloma (Other) KW - Biomarkers (NLM Chemicals) KW - Immunoglobulin M (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:37239846 C2 - pmc:PMC10218542 DO - DOI:10.3390/ijms24108500 UR - https://inrepo02.dkfz.de/record/276324 ER -