Silvia Rasi, Valeria Spina, Alessio Bruscaggin, Tiziana Vaisitti, Claudio Tripodo, Francesco Forconi, Lorenzo De Paoli, Marco Fangazio, Elisa Sozzi, Emanuele Cencini, Luca Laurenti, Roberto Marasca, Carlo Visco, Zijun Y Xu-Monette, Valter Gattei, Ken H Young, Fabio Malavasi, Silvia Deaglio, Gianluca Gaidano, Davide Rossi
Richter syndrome (RS) represents the transformation of chronic lymphocytic leukaemia (CLL) to aggressive lymphoma. Risk factors of CLL transformation to RS are only partly known. We explored the role of the host genetic background as a risk factor for RS occurrence. Forty-five single nucleotide polimorphisms (SNPs) known to be relevant for CLL prognosis were genotyped in a consecutive cohort of 331 CLL, of which 21 had transformed to RS. After correcting for multiple testing and adjusting for previously reported RS risk factors, the LRP4 rs2306029 TT variant genotype was the sole SNP independently associated with a higher risk of RS transformation (Hazard Ratio: 4·17; P = 0·001; q = 0·047)...
February 2011: British Journal of Haematology