Shared and distinct genetic etiologies for different types of clonal hematopoiesis

Abstract Clonal hematopoiesis (CH)—age-related expansion of mutated hematopoietic clones—can differ in frequency and cellular fitness by CH type (e.g., mutations in driver genes (CHIP), gains/losses and copy-neutral loss of chromosomal segments (mCAs), and loss of sex chromosomes). Co-occurring CH r...

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Main Authors: Derek W. Brown, Liam D. Cato, Yajie Zhao, Satish K. Nandakumar, Erik L. Bao, Eugene J. Gardner, Aubrey K. Hubbard, Alexander DePaulis, Thomas Rehling, Lei Song, Kai Yu, Stephen J. Chanock, John R. B. Perry, Vijay G. Sankaran, Mitchell J. Machiela
Format: Article
Language:English
Published: Nature Portfolio 2023-09-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-41315-5
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author Derek W. Brown
Liam D. Cato
Yajie Zhao
Satish K. Nandakumar
Erik L. Bao
Eugene J. Gardner
Aubrey K. Hubbard
Alexander DePaulis
Thomas Rehling
Lei Song
Kai Yu
Stephen J. Chanock
John R. B. Perry
Vijay G. Sankaran
Mitchell J. Machiela
author_facet Derek W. Brown
Liam D. Cato
Yajie Zhao
Satish K. Nandakumar
Erik L. Bao
Eugene J. Gardner
Aubrey K. Hubbard
Alexander DePaulis
Thomas Rehling
Lei Song
Kai Yu
Stephen J. Chanock
John R. B. Perry
Vijay G. Sankaran
Mitchell J. Machiela
author_sort Derek W. Brown
collection DOAJ
description Abstract Clonal hematopoiesis (CH)—age-related expansion of mutated hematopoietic clones—can differ in frequency and cellular fitness by CH type (e.g., mutations in driver genes (CHIP), gains/losses and copy-neutral loss of chromosomal segments (mCAs), and loss of sex chromosomes). Co-occurring CH raises questions as to their origin, selection, and impact. We integrate sequence and genotype array data in up to 482,378 UK Biobank participants to demonstrate shared genetic architecture across CH types. Our analysis suggests a cellular evolutionary trade-off between different types of CH, with LOY occurring at lower rates in individuals carrying mutations in established CHIP genes. We observed co-occurrence of CHIP and mCAs with overlap at TET2, DNMT3A, and JAK2, in which CHIP precedes mCA acquisition. Furthermore, individuals carrying overlapping CH had high risk of future lymphoid and myeloid malignancies. Finally, we leverage shared genetic architecture of CH traits to identify 15 novel loci associated with leukemia risk.
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spelling doaj.art-77165817170e4e85a1c42338d2c3eefb2023-11-20T10:03:32ZengNature PortfolioNature Communications2041-17232023-09-0114111310.1038/s41467-023-41315-5Shared and distinct genetic etiologies for different types of clonal hematopoiesisDerek W. Brown0Liam D. Cato1Yajie Zhao2Satish K. Nandakumar3Erik L. Bao4Eugene J. Gardner5Aubrey K. Hubbard6Alexander DePaulis7Thomas Rehling8Lei Song9Kai Yu10Stephen J. Chanock11John R. B. Perry12Vijay G. Sankaran13Mitchell J. Machiela14Division of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Hematology/Oncology, Boston Children’s Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical SchoolMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge School of Clinical MedicineDivision of Hematology/Oncology, Boston Children’s Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical SchoolDivision of Hematology/Oncology, Boston Children’s Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical SchoolMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge School of Clinical MedicineDivision of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Cancer Epidemiology and Genetics, National Cancer InstituteDivision of Cancer Epidemiology and Genetics, National Cancer InstituteMRC Epidemiology Unit, Wellcome-MRC Institute of Metabolic Science, University of Cambridge School of Clinical MedicineDivision of Hematology/Oncology, Boston Children’s Hospital and Department of Pediatric Oncology, Dana-Farber Cancer Institute, Harvard Medical SchoolDivision of Cancer Epidemiology and Genetics, National Cancer InstituteAbstract Clonal hematopoiesis (CH)—age-related expansion of mutated hematopoietic clones—can differ in frequency and cellular fitness by CH type (e.g., mutations in driver genes (CHIP), gains/losses and copy-neutral loss of chromosomal segments (mCAs), and loss of sex chromosomes). Co-occurring CH raises questions as to their origin, selection, and impact. We integrate sequence and genotype array data in up to 482,378 UK Biobank participants to demonstrate shared genetic architecture across CH types. Our analysis suggests a cellular evolutionary trade-off between different types of CH, with LOY occurring at lower rates in individuals carrying mutations in established CHIP genes. We observed co-occurrence of CHIP and mCAs with overlap at TET2, DNMT3A, and JAK2, in which CHIP precedes mCA acquisition. Furthermore, individuals carrying overlapping CH had high risk of future lymphoid and myeloid malignancies. Finally, we leverage shared genetic architecture of CH traits to identify 15 novel loci associated with leukemia risk.https://doi.org/10.1038/s41467-023-41315-5
spellingShingle Derek W. Brown
Liam D. Cato
Yajie Zhao
Satish K. Nandakumar
Erik L. Bao
Eugene J. Gardner
Aubrey K. Hubbard
Alexander DePaulis
Thomas Rehling
Lei Song
Kai Yu
Stephen J. Chanock
John R. B. Perry
Vijay G. Sankaran
Mitchell J. Machiela
Shared and distinct genetic etiologies for different types of clonal hematopoiesis
Nature Communications
title Shared and distinct genetic etiologies for different types of clonal hematopoiesis
title_full Shared and distinct genetic etiologies for different types of clonal hematopoiesis
title_fullStr Shared and distinct genetic etiologies for different types of clonal hematopoiesis
title_full_unstemmed Shared and distinct genetic etiologies for different types of clonal hematopoiesis
title_short Shared and distinct genetic etiologies for different types of clonal hematopoiesis
title_sort shared and distinct genetic etiologies for different types of clonal hematopoiesis
url https://doi.org/10.1038/s41467-023-41315-5
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