RT Journal Article T1 Intermediate Molecular Phenotypes to Identify Genetic Markers of Anthracycline-Induced Cardiotoxicity Risk A1 Gómez Vecino, Aurora A1 Corchado Cobos, Roberto A1 Blanco Gómez, Adrián A1 García Sancha, Natalia A1 Martín García, Ana A1 Mendiburu-Eliçabe Garganta, Marina A1 Prieto, Carlos A1 Ruiz Pinto, Sara A1 Pita, Guillermo A1 Velasco Ruiz, Alejandro A1 Patino Alonso, Carmen A1 Galindo Villardón, Purificación A1 Linarejos Vera Pedrosa, María A1 Jalife, José A1 Mao, Jian-Hua A1 Macías de Plasencia, Guillermo A1 Castellanos Martín, Andrés A1 Sáez Freire, María del Mar A1 Fraile Martín, Susana A1 Rodrigues Teixeira, Telmo A1 García Macías, Carmen A1 Galvis Jiménez, Julie Milena A1 Castillo Lluva, Sonia A1 García Sánchez, Asunción A1 Isidoro García, María A1 Fuentes, Manuel A1 García Cenador, María Begoña A1 García Criado, Francisco Javier A1 García Hernández, Juan Luis A1 Hernández García, María Ángeles A1 Cruz Hernández, Juan Jesús A1 Rodríguez Sánchez, César Augusto A1 Martín García-Sancho, Alejandro A1 Pérez López, Estefanía A1 Pérez Martínez, Antonio A1 Gutiérrez Larraya, Federico A1 Cartón, Antonio J. A1 García Sáenz, José Ángel A1 Patiño-García, Ana A1 Martín, Miguel A1 Alonso Gordoa, Teresa A1 Vulsteke, Christof A1 Croes, Lieselot A1 Hatse, Sigrid A1 Van Brussel, Thomas A1 Lambrechts, Diether A1 Wildiers, Hans A1 Hang, Chang A1 Holgado Madruga, Marina A1 González-Neira, Anna A1 Sánchez, Pedro L. A1 Pérez Losada, Jesús AB Cardiotoxicity due to anthracyclines (CDA) affects cancer patients, but we cannot predict who may suffer from this complication. CDA is a complex trait with a polygenic component that is mainly unidentified. We propose that levels of intermediate molecular phenotypes (IMPs) in the myocardium associated with histopathological damage could explain CDA susceptibility, so variants of genes encoding these IMPs could identify patients susceptible to this complication. Thus, a genetically heterogeneous cohort of mice (n = 165) generated by backcrossing were treated with doxorubicin and docetaxel. We quantified heart fibrosis using an Ariol slide scanner and intramyocardial levels of IMPs using multiplex bead arrays and QPCR. We identified quantitative trait loci linked to IMPs (ipQTLs) and cdaQTLs via linkage analysis. In three cancer patient cohorts, CDA was quantified using echocardiography or Cardiac Magnetic Resonance. CDA behaves as a complex trait in the mouse cohort. IMP levels in the myocardium were associated with CDA. ipQTLs integrated into genetic models with cdaQTLs account for more CDA phenotypic variation than that explained by cda-QTLs alone. Allelic forms of genes encoding IMPs associated with CDA in mice, including AKT1, MAPK14, MAPK8, STAT3, CAS3, and TP53, are genetic determinants of CDA in patients. Two genetic risk scores for pediatric patients (n = 71) and women with breast cancer (n = 420) were generated using machine-learning Least Absolute Shrinkage and Selection Operator (LASSO) regression. Thus, IMPs associated with heart damage identify genetic markers of CDA risk, thereby allowing more personalized patient management. SN 2073-4409 YR 2023 FD 2023-07-27 LK https://hdl.handle.net/20.500.14352/100426 UL https://hdl.handle.net/20.500.14352/100426 LA eng NO Gómez-Vecino A, Corchado-Cobos R, Blanco-Gómez A, García-Sancha N, Castillo-Lluva S, Martín-García A, et al. Intermediate Molecular Phenotypes to Identify Genetic Markers of Anthracycline-Induced Cardiotoxicity Risk. Cells 2023;12:1956. https://doi.org/10.3390/cells12151956. NO Ministerio de Ciencia, Innovación y Universidades (España) NO Comisión Europea NO Junta de Castilla y León NO Instituto de Salud Carlos III NO Ministerio de Economía, Comercio y Empresa (España) NO Federación Española de Enfermedades Raras NO Departamento de Defensa (Estados Unidos) NO National Institutes of Health (Estados Unidos) NO Universidad de California (Estados Unidos) NO Instituto Nacional del Cáncer (Estados Unidos) NO Fundación "la Caixa" NO Agencia Estatal de Investigación DS Docta Complutense RD 6 oct 2024