Clonal hematopoiesis in human aging and disease.

Clonal hematopoiesis in human aging and disease.
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DOI:
10.1126/science.aan4673
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发表时间:
2019-11-01
期刊:
Science (New York, N.Y.)
影响因子:
--
通讯作者:
Ebert BL
Ebert BL
中科院分区:
其他
文献类型:
--
作者:
Jaiswal S;Ebert BL

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随着人们年龄的增长,他们的组织积累了越来越多的体细胞突变。虽然这些突变中的大多数很少或没有功能性后果,但可能会出现赋予细胞适应性优势的突变。当这一过程发生在造血系统中时,大部分循环血细胞可能来自单个突变的干细胞。这种生长被称为“克隆造血”,在老年人群中非常普遍。在这里,我们讨论了克隆造血知识的最新进展、其与恶性肿瘤的关系、其与非恶性衰老疾病的联系以及其对免疫功能的潜在影响。克隆造血提供了对可能发生在所有体细胞组织中的突变和选择过程的一瞥。
As people age, their tissues accumulate an increasing number of somatic mutations. While most of these mutations are of little or no functional consequence, a mutation may arise that confers a fitness advantage on a cell. When this process happens in the hematopoietic system, a substantial proportion of circulating blood cells may derive from a single mutated stem cell. This outgrowth, called “clonal hematopoiesis,” is highly prevalent in the elderly population. Here we discuss recent advances in our knowledge of clonal hematopoiesis, its relationship to malignancies, its link to non-malignant diseases of aging, and its potential impact on immune function. Clonal hematopoiesis provides a glimpse into the process of mutation and selection that likely occurs in all somatic tissues.
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