Longitudinal dynamics of clonal hematopoiesis identifies gene-specific fitness effects.

Longitudinal dynamics of clonal hematopoiesis identifies gene-specific fitness effects.
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DOI:
10.1038/s41591-022-01883-3
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发表时间:
2022-07
期刊:
影响因子:
82.9
通讯作者:
Chandra, Tamir
Chandra, Tamir
中科院分区:
医学1区
文献类型:
--
作者:
Robertson, Neil A.;Latorre-Crespo, Eric;Terradas-Terradas, Maria;Lemos-Portela, Jorge;Purcell, Alison C.;Livesey, Benjamin J.;Hillary, Robert F.;Murphy, Lee;Fawkes, Angie;MacGillivray, Louise;Copland, Mhairi;Marioni, Riccardo E.;Marsh, Joseph A.;Harris, Sarah E.;Cox, Simon R.;Deary, Ian J.;Schumacher, Linus J.;Kirschner, Kristina;Chandra, Tamir

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不确定潜能的克隆性造血(CHIP)在60岁以上的患病率迅速增加,并与恶性肿瘤、心脏病和缺血性卒中的风险增加相关。CHIP由造血干细胞和祖细胞(HSPC)中的体细胞突变驱动。由于HSPC中的突变通常驱动白血病,我们假设HSPC适应性在很大程度上有助于从CHIP转化为白血病。HSPC适应性定义为相对于不携带或仅携带中性突变的细胞的增殖优势。如果不同基因的突变导致不同的健康优势,这可能使患者分层。我们使用纵向测序量化了12年以上老年人突变的适应性影响,并开发了一种过滤方法,该方法考虑了个体突变背景以及突变共现,以量化个体内变异的生长潜力。我们发现,基因特异性的健身差异可以超过个体间的变化,因此,可以形成个性化的临床管理的基础。从纵向队列的血液样本的分析揭示了不确定的潜力的克隆造血的动态的见解,并提出了一个模型,可用于个性化的克隆监测随着时间的推移。
Clonal hematopoiesis of indeterminate potential (CHIP) increases rapidly in prevalence beyond age 60 and has been associated with increased risk for malignancy, heart disease and ischemic stroke. CHIP is driven by somatic mutations in hematopoietic stem and progenitor cells (HSPCs). Because mutations in HSPCs often drive leukemia, we hypothesized that HSPC fitness substantially contributes to transformation from CHIP to leukemia. HSPC fitness is defined as the proliferative advantage over cells carrying no or only neutral mutations. If mutations in different genes lead to distinct fitness advantages, this could enable patient stratification. We quantified the fitness effects of mutations over 12 years in older age using longitudinal sequencing and developed a filtering method that considers individual mutational context alongside mutation co-occurrence to quantify the growth potential of variants within individuals. We found that gene-specific fitness differences can outweigh inter-individual variation and, therefore, could form the basis for personalized clinical management. An analysis of blood samples from longitudinal cohorts reveals insights on the dynamics of clonal hematopoiesis of indeterminate potential and proposes a model that could be used for individualized clone monitoring over time.
在健康个体中预测急性髓样白血病的风险。
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