SNPwatch: Researchers Find First SNPs Linked To Common Type of Leukemia

SNPwatch gives you the latest news about research linking various traits and conditions to individual genetic variations. These studies are exciting because they offer a glimpse into how genetics may affect our bodies and health; but in most cases, more work is needed before this research can provide information of value to individuals. For that reason it is important to remember that like all information we provide, the studies we describe in SNPwatch are for research and educational purposes only. SNPwatch is not intended to be a substitute for professional medical advice; you should always seek the advice of your physician or other appropriate healthcare professional with any questions you may have regarding diagnosis, cure, treatment or prevention of any disease or other medical condition.

Researchers have added chronic lymphocytic leukemia (CLL), the most common type of leukemia in western countries, to the long list of diseases that have been associated with common genetic variants.CLL is caused by abnormal, uncontrolled growth of immune cells called B-cells. Usually there are no obvious symptoms and the disease is detected only during a routine blood test. In the United States, about 15,000 new cases of the disease are diagnosed each year.Because there is a familial basis to the disease it tends to run in families, a role for genetics in CLL has long been suspected. First-degree relatives of patients have a seven-fold increased risk for the disease. But so far, no clear contenders for the “CLL gene” have been found. This suggested to researchers that instead of there being one or two genes with large effects to be found, there might instead be multiple genetic risk factors for CLL, each contributing a small amount to the risk.By studying about 1,500 British people with CLL and about 3,000 controls, Di Bernardo et al found six distinct SNPs associated with CLL. These results, published online today in Nature Genetics, not only begin to shed light on the genetics of the disease, but they also give researchers clues about its biological basis.(All six SNPs are available from 23andMe. See the table at the end of this post for more information.)For the about 54% of people of European ancestry who have three or fewer “risky” copies out of a possible 12 (two copies each for six SNPs), there is no significant difference in the risk of developing CLL. Having six risky copies ups a person’s odds about 3.8 times over those with none, and the 2.1% of that population who are unlucky enough to have seven risky copies have approximately eight-fold increased odds of developing CLL.Although it’s far from certain that these six SNPs are actually causative factors for CLL, the authors note in their report that it will be intriguing to see if the SNPs are associated with CLL in non-Europeans. Both Asian and African populations have lower frequencies of the risky versions of each of the six SNPs — and lower rates of CLL.“Effect” is the increase in odds of developing CLL conferred by each copy of the riskier version of a SNP.
SNPRisk VersionEffect
Image: Mary Ann Thompson/GNU Free Documentation License

    You state: “Because it tends to run in families”. This is in fact not true. Recent figures of familial CLL is perhaps 12%. All other cases are spontaneous.

    Familial high linkage disequilibrium SNPs on chromosome 2q21.2.
    Two other chromosomal positions 6p22.1 and 18q21.1 were also indicated. ( Pub Med ID: 17687107)

    To early to know if these new SNPs will effect that percentage.

    Studies using HemeScan array have identified perhaps 70 other genetic aberrations in CLL tests. The closes thing to a Philadelphia gene in CLL is the VH gene mutation status.

    C. Dwyer
    dx CLL 2000, stage 0, wbc 87K