Evidence map›Paper›PMID 25931582›Full record

ArticleBlood2015

Clonal hematopoiesis of indeterminate potential and its distinction from myelodysplastic syndromes.

David P Steensma, Rafael Bejar, Siddhartha Jaiswal, R Coleman Lindsley, Mikkael A Sekeres, Robert P Hasserjian, Benjamin L Ebert

3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 1,078 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,078citing papers in PubMed, 4 pooled it
93.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03907553 completednot on this map

Aging of Hematopoietic Stem Cells - Molecular Architecture of Marrow Dysplasia and Clinical Contribution of Ineffective Hematopoiesis to Frailty in the Elderly

TypeobservationalSponsorIstituto Clinico HumanitasRan2003Enrolled5,000ConditionsAnemia, Clonal HematopoiesisArmstargeted genome sequencing
NCT04053439 recruitingnot on this mapstarted 2019, after this paper: background citation

A Single Centre Cohort Study to Determine if Clonal Hematopoieses of Indeterminate Potential (CHIP) is a Risk Factor for Chemotherapy-Related Complications in Lymphoma Patients >= 60 Receiving Cytotoxic Chemotherapy

TypeobservationalSponsorSunnybrook Health Sciences CentreRan2019 to 2026Enrolled188ConditionsLymphoma, Chemotherapeutic ToxicityArmsBlood test for determination of CHIP
NCT04689750 recruitingnot on this mapstarted 2021, after this paper: background citation

Impact of Donor Clonal Haematopoiesis of Indeterminate Potential (CHIP) on Recipient Outcome Following Allogeneic Haematopoietic Stem Cell Transplantation (Allo-HSCT)

TypeobservationalSponsorThe University of Hong KongRan2021 to 2026Enrolled850ConditionsClonal HematopoiesisArmsNext generation sequencing
3 · Its place in the literature

Who cites it

1,078 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,891 citations in OpenAlex.

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  10. EZH2 Inhibition and Myeloid Risk: A Feature of On-Target Biology.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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1,018 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

David P SteensmaDepartment of Medical Oncology, Division of Hematological Malignancies, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, MA;
Rafael BejarDivision of Hematology-Oncology, Moores Cancer Center at the University of California at San Diego, La Jolla, CA;
Siddhartha JaiswalDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA;
R Coleman LindsleyDepartment of Medical Oncology, Division of Hematological Malignancies, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Boston, MA;
Mikkael A SekeresDepartment of Hematologic Oncology and Blood Disorders, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH; and.
Robert P HasserjianDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Benjamin L EbertDivision of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA;
Brigham and Women's Hospital · USCleveland Clinic · USDana-Farber Brigham Cancer Center · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USMoores Cancer Center

Funding

TRANSFUSION BIOLOGY AND MEDICINET32HL066987 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI JOHN P MANIS · 2001 to 2026
$10.2M
Characterization of Genetic Abnormalities in MDS and Their Clinical ImpactK08DK091360 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BEJAR, RAFAEL · 2012 to 2016
$789k
NHLBI NIH HHS T32 HL066987NIDDK NIH HHS K08 DK091360
6 · The paper itself

Abstract

Recent genetic analyses of large populations have revealed that somatic mutations in hematopoietic cells leading to clonal expansion are commonly acquired during human aging. Clonally restricted hematopoiesis is associated with an increased risk of subsequent diagnosis of myeloid or lymphoid neoplasia and increased all-cause mortality. Although myelodysplastic syndromes (MDS) are defined by cytopenias, dysplastic morphology of blood and marrow cells, and clonal hematopoiesis, most individuals who acquire clonal hematopoiesis during aging will never develop MDS. Therefore, acquisition of somatic mutations that drive clonal expansion in the absence of cytopenias and dysplastic hematopoiesis can be considered clonal hematopoiesis of indeterminate potential (CHIP), analogous to monoclonal gammopathy of undetermined significance and monoclonal B-cell lymphocytosis, which are precursor states for hematologic neoplasms but are usually benign and do not progress. Because mutations are frequently observed in healthy older persons, detection of an MDS-associated somatic mutation in a cytopenic patient without other evidence of MDS may cause diagnostic uncertainty. Here we discuss the nature and prevalence of CHIP, distinction of this state from MDS, and current areas of uncertainty regarding diagnostic criteria for myeloid malignancies.

Indexed as

Clonal EvolutionHematopoiesisDiagnosis, DifferentialHematologic NeoplasmsHumansMonoclonal Gammopathy of Undetermined SignificanceMutationMyelodysplastic SyndromesPrecancerous Conditions

Identifiers

PMID25931582
PMCPMC4624443
OpenAlexW1985823023

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.