RT Journal Article T1 Polymorphisms within the TNFSF4 and MAPKAPK2 Loci Influence the Risk of Developing Invasive Aspergillosis: A Two-Stage Case Control Study in the Context of the aspBIOmics Consortium. A1 Sánchez-Maldonado, Jose Manuel A1 Moñiz-Díez, Ana A1 Ter Horst, Rob A1 Campa, Daniele A1 Cabrera-Serrano, Antonio José A1 Martínez-Bueno, Manuel A1 Garrido-Collado, María Del Pilar A1 Hernández-Mohedo, Francisca A1 Fernández-Puerta, Laura A1 López-Nevot, Miguel Ángel A1 Cunha, Cristina A1 González-Sierra, Pedro Antonio A1 Springer, Jan A1 Lackner, Michaela A1 Alcazar-Fuoli, Laura A1 Fianchi, Luana A1 Aguado, José María A1 Pagano, Livio A1 López-Fernández, Elisa A1 Clavero, Esther A1 Potenza, Leonardo A1 Luppi, Mario A1 Moratalla, Lucia A1 Solano, Carlos A1 Sampedro, Antonio A1 Cuenca-Estrella, Manuel A1 Lass-Flörl, Cornelia A1 Pcraga Study Group, A1 Canzian, Federico A1 Loeffler, Juergen A1 Li, Yang A1 Einsele, Hermann A1 Netea, Mihai G A1 Vázquez, Lourdes A1 Carvalho, Agostinho A1 Jurado, Manuel A1 Sainz, Juan K1 B cells K1 MAPKAPK2 K1 TNFSF14 K1 TNFSF4 K1 TSLP K1 genetic susceptibility K1 invasive aspergillosis K1 monocytes K1 serum biomarkers AB Here, we assessed whether 36 single nucleotide polymorphisms (SNPs) within the TNFSF4 and MAPKAPK2 loci influence the risk of developing invasive aspergillosis (IA). We conducted a two-stage case control study including 911 high-risk patients diagnosed with hematological malignancies that were ascertained through the aspBIOmics consortium. The meta-analysis of the discovery and replication populations revealed that carriers of the TNFSF4rs7526628T/T genotype had a significantly increased risk of developing IA (p = 0.00022). We also found that carriers of the TNFSF4rs7526628T allele showed decreased serum levels of TNFSF14 protein (p = 0.0027), and that their macrophages had a decreased fungicidal activity (p = 0.048). In addition, we observed that each copy of the MAPKAPK2rs12137965G allele increased the risk of IA by 60% (p = 0.0017), whereas each copy of the MAPKAPK2rs17013271T allele was estimated to decrease the risk of developing the disease (p = 0.0029). Mechanistically, we found that carriers of the risk MAPKAPK2rs12137965G allele showed increased numbers of CD38+IgM-IgD- plasmablasts in blood (p = 0.00086), whereas those harboring two copies of the allele had decreased serum concentrations of thymic stromal lymphopoietin (p = 0.00097). Finally, we also found that carriers of the protective MAPKAPK2rs17013271T allele had decreased numbers of CD27-IgM-IgD- B cells (p = 0.00087) and significantly lower numbers of CD14+ and CD14+CD16- cells (p = 0.00018 and 0.00023). Altogether, these results suggest a role of the TNFSF4 and MAPKAPK2 genes in determining IA risk. YR 2020 FD 2020-12-23 LK https://hdl.handle.net/10668/28426 UL https://hdl.handle.net/10668/28426 LA en DS RISalud RD Apr 8, 2025