Clonal hematopoiesis: Mutation-specific adaptation to environmental change.

Clonal hematopoiesis: Mutation-specific adaptation to environmental change.
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克隆造血:突变特异性适应环境变化。

DOI:
10.1016/j.stem.2022.05.006
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发表时间:
2022-06-02
期刊:
影响因子:
23.9
通讯作者:
King, Katherine Y.
King, Katherine Y.
中科院分区:
医学1区
文献类型:
--
作者:
Florez, Marcus A.;Tran, Brandon T.;Wathan, Trisha K.;DeGregori, James;Pietras, Eric M.;King, Katherine Y.

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Clonal hematopoiesis of indeterminate potential (CHIP) describes a widespread expansion of genetically variant hematopoietic cells that increases exponentially with age and is associated with increased risks of cancers, cardiovascular disease, and other maladies. Here we discuss how environmental contexts associated with CHIP, such as old age, infections, chemotherapy, or cigarette smoking, alter tissue microenvironments to facilitate the selection and expansion of specific CHIP mutant clones. Further, we consider major remaining gaps in knowledge, including intrinsic effects, clone size thresholds and factors affecting clonal competition, that will determine future application of this field in transplant and preventive medicine.
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