Genome-wide analyses of 200,453 individuals yield new insights into the causes and consequences of clonal hematopoiesis.

Genome-wide analyses of 200,453 individuals yield new insights into the causes and consequences of clonal hematopoiesis.
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DOI:
10.1038/s41588-022-01121-z
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发表时间:
2022-08
期刊:
影响因子:
30.8
通讯作者:
Vassiliou, George S.
Vassiliou, George S.
中科院分区:
生物学1区
文献类型:
--
作者:
Kar, Siddhartha P.;Quiros, Pedro M.;Gu, Muxin;Jiang, Tao;Mitchell, Jonathan;Langdon, Ryan;Iyer, Vivek;Barcena, Clea;Vijayabaskar, M. S.;Fabre, Margarete A.;Carter, Paul;Petrovski, Slave;Burgess, Stephen;Vassiliou, George S.

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克隆造血(CH),由体细胞驱动突变驱动的造血干细胞及其后代的克隆扩增,影响了超过三分之一的人,但仍然知之甚少。在这里,我们分析了来自200,453名英国生物银行参与者的遗传数据,以绘制CH遗传易感性的景观,将欧洲血统人群中与CH相关的种系数量从4增加到14。新基因座上的基因涉及DNA损伤修复(PARP 1、ATM、CHEK 2)、造血干细胞迁移/归巢(CD 164)和髓系肿瘤发生(SETBP 1)。几种关联是CH亚型特异性的,包括TCL 1A和CD 164的变体,它们与DNMT 3A-与TET 2-突变CH(两种最常见的CH亚型)具有相反的关联,这表明这两个基因座在CH发展中起关键作用。孟德尔随机化分析显示,吸烟和较长的白细胞端粒长度是CH的因果风险因素,CH的遗传易感性增加了骨髓增生性肿瘤、非血液学恶性肿瘤、房颤和血液表观遗传老化的风险。对来自200,453名英国生物银行参与者的全外显子组测序数据的分析确定了与克隆造血相关的基因座,并强调了克隆造血与其他性状之间的因果关系。
Clonal hematopoiesis (CH), the clonal expansion of a blood stem cell and its progeny driven by somatic driver mutations, affects over a third of people, yet remains poorly understood. Here we analyze genetic data from 200,453 UK Biobank participants to map the landscape of inherited predisposition to CH, increasing the number of germline associations with CH in European-ancestry populations from 4 to 14. Genes at new loci implicate DNA damage repair (PARP1, ATM, CHEK2), hematopoietic stem cell migration/homing (CD164) and myeloid oncogenesis (SETBP1). Several associations were CH-subtype-specific including variants at TCL1A and CD164 that had opposite associations with DNMT3A- versus TET2-mutant CH, the two most common CH subtypes, proposing key roles for these two loci in CH development. Mendelian randomization analyses showed that smoking and longer leukocyte telomere length are causal risk factors for CH and that genetic predisposition to CH increases risks of myeloproliferative neoplasia, nonhematological malignancies, atrial fibrillation and blood epigenetic ageing. Analysis of whole-exome sequencing data from 200,453 UK Biobank participants identifies loci associated with clonal hematopoiesis and highlights causal links between clonal hematopoiesis and other traits.
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