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Title | Inherited causes of clonal haematopoiesis in 97,691 whole genomes. |
Publication Type | Journal Article |
Year of Publication | 2020 |
Authors | Bick, AG, Weinstock, JS, Nandakumar, SK, Fulco, CP, Bao, EL, Zekavat, SM, Szeto, MD, Liao, X, Leventhal, MJ, Nasser, J, Chang, K, Laurie, C, Burugula, BBharathi, Gibson, CJ, Lin, AE, Taub, MA, Aguet, F, Ardlie, K, Mitchell, BD, Barnes, KC, Moscati, A, Fornage, M, Redline, S, Psaty, BM, Silverman, EK, Weiss, ST, Palmer, ND, Vasan, RS, Burchard, EG, Kardia, SLR, He, J, Kaplan, RC, Smith, NL, Arnett, DK, Schwartz, DA, Correa, A, de Andrade, M, Guo, X, Konkle, BA, Custer, B, Peralta, JM, Gui, H, Meyers, DA, McGarvey, ST, Der Chen, IYii-, M Shoemaker, B, Peyser, PA, Broome, JG, Gogarten, SM, Wang, FFei, Wong, Q, Montasser, ME, Daya, M, Kenny, EE, North, KE, Launer, LJ, Cade, BE, Bis, JC, Cho, MH, Lasky-Su, J, Bowden, DW, L Cupples, A, C Y Mak, A, Becker, LC, Smith, JA, Kelly, TN, Aslibekyan, S, Heckbert, SR, Tiwari, HK, Yang, IV, Heit, JA, Lubitz, SA, Johnsen, JM, Curran, JE, Wenzel, SE, Weeks, DE, Rao, DC, Darbar, D, Moon, J-Y, Tracy, RP, Buth, EJ, Rafaels, N, Loos, RJF, Durda, P, Liu, Y, Hou, L, Lee, J, Kachroo, P, Freedman, BI, Levy, D, Bielak, LF, Hixson, JE, Floyd, JS, Whitsel, EA, Ellinor, PT, Irvin, MR, Fingerlin, TE, Raffield, LM, Armasu, SM, Wheeler, MM, Sabino, EC, Blangero, J, L Williams, K, Levy, BD, Sheu, WHuey-Herng, Roden, DM, Boerwinkle, E, Manson, JAE, Mathias, RA, Desai, P, Taylor, KD, Johnson, AD, Auer, PL, Kooperberg, C, Laurie, CC, Blackwell, TW, Smith, AV, Zhao, H, Lange, E, Lange, L, Rich, SS, Rotter, JI, Wilson, JG, Scheet, P, Kitzman, JO, Lander, ES, Engreitz, JM, Ebert, BL, Reiner, AP, Jaiswal, S, Abecasis, G, Sankaran, VG, Kathiresan, S, Natarajan, P |
Corporate Authors | NHLBI Trans-Omics for Precision Medicine Consortium |
Journal | Nature |
Volume | 586 |
Issue | 7831 |
Pagination | 763-768 |
Date Published | 2020 10 |
ISSN | 1476-4687 |
Keywords | Adult, Africa, African Continental Ancestry Group, Aged, Aged, 80 and over, alpha Karyopherins, Cell Self Renewal, Clonal Hematopoiesis, DNA-Binding Proteins, Female, Genetic Predisposition to Disease, Genome, Human, Germ-Line Mutation, Hematopoietic Stem Cells, Humans, Intracellular Signaling Peptides and Proteins, Male, Middle Aged, National Heart, Lung, and Blood Institute (U.S.), Phenotype, Precision Medicine, Proto-Oncogene Proteins, Tripartite Motif Proteins, United States, Whole Genome Sequencing |
Abstract | Age is the dominant risk factor for most chronic human diseases, but the mechanisms through which ageing confers this risk are largely unknown. The age-related acquisition of somatic mutations that lead to clonal expansion in regenerating haematopoietic stem cell populations has recently been associated with both haematological cancer and coronary heart disease-this phenomenon is termed clonal haematopoiesis of indeterminate potential (CHIP). Simultaneous analyses of germline and somatic whole-genome sequences provide the opportunity to identify root causes of CHIP. Here we analyse high-coverage whole-genome sequences from 97,691 participants of diverse ancestries in the National Heart, Lung, and Blood Institute Trans-omics for Precision Medicine (TOPMed) programme, and identify 4,229 individuals with CHIP. We identify associations with blood cell, lipid and inflammatory traits that are specific to different CHIP driver genes. Association of a genome-wide set of germline genetic variants enabled the identification of three genetic loci associated with CHIP status, including one locus at TET2 that was specific to individuals of African ancestry. In silico-informed in vitro evaluation of the TET2 germline locus enabled the identification of a causal variant that disrupts a TET2 distal enhancer, resulting in increased self-renewal of haematopoietic stem cells. Overall, we observe that germline genetic variation shapes haematopoietic stem cell function, leading to CHIP through mechanisms that are specific to clonal haematopoiesis as well as shared mechanisms that lead to somatic mutations across tissues. |
DOI | 10.1038/s41586-020-2819-2 |
Alternate Journal | Nature |
PubMed ID | 33057201 |
PubMed Central ID | PMC7944936 |
Grant List | K01 HL136700 / HL / NHLBI NIH HHS / United States P50 HL118006 / HL / NHLBI NIH HHS / United States R01 HL148565 / HL / NHLBI NIH HHS / United States R01 HL138737 / HL / NHLBI NIH HHS / United States U01 HL089856 / HL / NHLBI NIH HHS / United States K08 HL141601 / HL / NHLBI NIH HHS / United States HHSN268201800001C / HL / NHLBI NIH HHS / United States 18SFRN34250007 / AH / American Heart Association-American Stroke Association / United States UG3 HL151865 / HL / NHLBI NIH HHS / United States R01 HL117626 / HL / NHLBI NIH HHS / United States R01 HL055673 / HL / NHLBI NIH HHS / United States F30 HL149180 / HL / NHLBI NIH HHS / United States R01 HL113323 / HL / NHLBI NIH HHS / United States R01 HL139731 / HL / NHLBI NIH HHS / United States R35 CA253125 / CA / NCI NIH HHS / United States DP5 OD029586 / OD / NIH HHS / United States R01 HL133040 / HL / NHLBI NIH HHS / United States R01 HL120393 / HL / NHLBI NIH HHS / United States R01 HL091357 / HL / NHLBI NIH HHS / United States UM1 HG008895 / HG / NHGRI NIH HHS / United States R01 HG009974 / HG / NHGRI NIH HHS / United States U01 HL130114 / HL / NHLBI NIH HHS / United States T32 HL129982 / HL / NHLBI NIH HHS / United States R35 HL135818 / HL / NHLBI NIH HHS / United States P01 HL132825 / HL / NHLBI NIH HHS / United States U54 GM115428 / GM / NIGMS NIH HHS / United States R01 HL148050 / HL / NHLBI NIH HHS / United States R01 HL149836 / HL / NHLBI NIH HHS / United States K01 HL135405 / HL / NHLBI NIH HHS / United States |