Evidence map›Paper›PMID 29386642›Full record

ArticleNature communications2018

Cellular stressors contribute to the expansion of hematopoietic clones of varying leukemic potential.

Terrence N Wong, Christopher A Miller, Matthew R M Jotte, Nusayba Bagegni, Jack D Baty, Amy P Schmidt, Amanda F Cashen, Eric J Duncavage, Nichole M Helton, Mark Fiala and 12 more

Abstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

125 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Clinical Impact and Dynamics of Clonal Hematopoiesis withJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  5. Low-FrequencyCancers · 2026
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  6. Influence ofBiomedicines · 2026
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  7. Review
  8. Article
  9. Article
  10. Acute Myeloid Leukemia With a Non-CanonicalJournal of medical cases · 2026
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Terrence N WongDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Christopher A MillerDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Matthew R M JotteDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Nusayba BagegniDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Jack D BatyDivision of Biostatistics, Washington University, St. Louis, MO, 63110, USA.
Amy P SchmidtDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Amanda F CashenDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Eric J DuncavageDepartment of Pathology and Immunology, Washington University School of Medicine, St Louis, MO, 63110, USA.
Nichole M HeltonDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Mark FialaDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Robert S FultonMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Sharon E HeathDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Megan JankeDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Kierstin LuberDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Peter WesterveltDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Ravi VijDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
John F DiPersioDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
John S WelchDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Timothy A GraubertMassachusetts General Hospital, Boston, MA, 02114, USA.
Matthew J WalterDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Timothy J LeyDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Daniel C LinkDivision of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA. dlink@dom.wustl.edu.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Specimen Acquistition and Expression ProfilingP01CA101937 · NCI · WASHINGTON UNIVERSITY · PI LEY, TIMOTHY J. · 2003 to 2023
$58.8M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI TODD A FEHNIGER · 2013 to 2026
$31.6M
Molecular Pathogenesis of Acute Myeloid LeukemiaR35CA197561 · NCI · WASHINGTON UNIVERSITY · PI Timothy J. Ley · 2015 to 2026
$11.0M
COMPREHENSIVE INFORMATIC ANALYSES OF AML GENOMES AND EPIGENOMESR50CA211782 · NCI · WASHINGTON UNIVERSITY · PI Christopher A Miller · 2017 to 2026
$1.5M
TARGETED SINGLE-MOLECULE SEQUENCING ASSAY INCORPORATING MOLECULAR BARCODESR33CA217700 · NCI · WASHINGTON UNIVERSITY · PI DUNCAVAGE, ERIC J, WALTER, MATTHEW J · 2017 to 2019
$1.1M
CLONAL EVOLUTION OF HEMATOPOIETIC STEM CELLS DURING CHEMOTHERAPY AND TRANSPLANTATIONK08CA197369 · NCI · WASHINGTON UNIVERSITY · PI WONG, TERRENCE NEAL · 2016 to 2020
$607k
NCATS NIH HHS UL1 TR002345NCI NIH HHS K08 CA197369NCI NIH HHS P01 CA101937NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA171963NCI NIH HHS R33 CA217700NCI NIH HHS R35 CA197561NCI NIH HHS R50 CA211782
6 · The paper itself

Abstract

Hematopoietic clones harboring specific mutations may expand over time. However, it remains unclear how different cellular stressors influence this expansion. Here we characterize clonal hematopoiesis after two different cellular stressors: cytotoxic therapy and hematopoietic transplantation. Cytotoxic therapy results in the expansion of clones carrying mutations in DNA damage response genes, including TP53 and PPM1D. Analyses of sorted populations show that these clones are typically multilineage and myeloid-biased. Following autologous transplantation, most clones persist with stable chimerism. However, DNMT3A mutant clones often expand, while PPM1D mutant clones often decrease in size. To assess the leukemic potential of these expanded clones, we genotyped 134 t-AML/t-MDS samples. Mutations in non-TP53 DNA damage response genes are infrequent in t-AML/t-MDS despite several being commonly identified after cytotoxic therapy. These data suggest that different hematopoietic stressors promote the expansion of distinct long-lived clones, carrying specific mutations, whose leukemic potential depends partially on the mutations they harbor.

Indexed as

Hematopoietic Stem Cell TransplantationSelection, GeneticAdolescentAdultAgedAntineoplastic AgentsCase-Control StudiesClone CellsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3AFemaleGenes, p53Hematopoietic Stem CellsHumansLeukemiaLymphomaAntineoplastic AgentsDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanPPM1D protein, humanProtein Phosphatase 2C

Identifiers

PMID29386642
PMCPMC5792556

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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.