RT Journal Article T1 Functional Genetic Variants in ATG10 Are Associated with Acute Myeloid Leukemia. A1 Castro, Isabel A1 Sampaio-Marques, Belém A1 C Areias, Anabela A1 Sousa, Hugo A1 Fernandes, Ângela A1 Sanchez-Maldonado, José Manuel A1 Cunha, Cristina A1 Carvalho, Agostinho A1 Sainz, Juan A1 Ludovico, Paula K1 ATG10 K1 acute myeloid leukemia K1 autophagy K1 single nucleotide polymorphism AB Acute myeloid leukemia (AML) is the most common acute leukemia, characterized by a heterogeneous genetic landscape contributing, among others, to the occurrence of metabolic reprogramming. Autophagy, a key player on metabolism, plays an essential role in AML. Here, we examined the association of three potentially functional genetic polymorphisms in the ATG10 gene, central for the autophagosome formation. We screened a multicenter cohort involving 309 AML patients and 356 healthy subjects for three ATG10 SNPs: rs1864182T>G, rs1864183C>T and rs3734114T>C. The functional consequences of the ATG10 SNPs in its canonical function were investigated in vitro using peripheral blood mononuclear cells from a cohort of 46 healthy individuals. Logistic regression analysis adjusted for age and gender revealed that patients carrying the ATG10rs1864182G allele showed a significantly decreased risk of developing AML (OR [odds ratio] = 0.58, p = 0.001), whereas patients carrying the homozygous ATG10rs3734114C allele had a significantly increased risk of developing AML (OR = 2.70, p = 0.004). Functional analysis showed that individuals carrying the ATG10rs1864182G allele had decreased autophagy when compared to homozygous major allele carriers. Our results uncover the potential of screening for ATG10 genetic variants in AML prevention strategies, in particular for subjects carrying other AML risk factors such as elderly individuals with clonal hematopoiesis of indeterminate potential. SN 2072-6694 YR 2021 FD 2021-03-16 LK https://hdl.handle.net/10668/28432 UL https://hdl.handle.net/10668/28432 LA en DS RISalud RD Apr 19, 2025