Evidence map›Paper›PMID 29995854›Full record

ArticleNature2018

Insights into clonal haematopoiesis from 8,342 mosaic chromosomal alterations.

Po-Ru Loh, Giulio Genovese, Robert E Handsaker, Hilary K Finucane, Yakir A Reshef, Pier Francesco Palamara, Brenda M Birmann, Michael E Talkowski, Samuel F Bakhoum, Steven A McCarroll and 1 more

Open access · greenAbstract read
In one paragraph

Article in Nature, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 276 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
276citing papers in PubMed, 4 pooled it
31.5field-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.

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

276 citing papers in PubMed, 4 syntheses or guidelines pooled it, 424 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Mosaic Chromosomal Alterations and Human Longevity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Pooled it
  4. Pooled it
  5. Germline Variation and Somatic Alterations in Ewing Sarcoma.Methods in molecular biology (Clifton, N.J.) · 2027
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Pervasive Somatic Mutations inbioRxiv : the preprint server for biology · 2026
    Article
  11. Review
  12. Genetic mechanisms of mitotic error in 840,853 blood genomes.medRxiv : the preprint server for health sciences · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Genetic influences on haematopoiesis.Nature reviews. Genetics · 2026
    Review
  17. Article
  18. Article
  19. Article
  20. Mosaic loss of Y chromosome associates with lung function, emphysema, and epigenetic aging.American journal of respiratory and critical care medicine · 2026
    Article

216 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

11 authors at 6 institutions in 2 countries.

Po-Ru LohDivision of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. poruloh@broadinstitute.org.
Giulio GenoveseProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. giulio.genovese@gmail.com.
Robert E HandsakerProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Hilary K FinucaneProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Yakir A ReshefDepartment of Computer Science, Harvard University, Cambridge, MA, USA.
Pier Francesco PalamaraDepartment of Statistics, University of Oxford, Oxford, UK.
Brenda M BirmannChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Michael E TalkowskiProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
Samuel F BakhoumDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Steven A McCarrollProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. mccarroll@genetics.med.harvard.edu.
Alkes L PriceProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, MA, USA. aprice@hsph.harvard.edu.
Broad Institute · USHarvard University · USBrigham and Women's Hospital · USMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USUniversity of Oxford · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Medical Scientist Training ProgramT32GM007753 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WALENSKY, LOREN DAVID · 1985 to 2021
$50.0M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Statistical methods for studies of rare variantsR01MH101244 · NIMH · HARVARD MEDICAL SCHOOL · PI Benjamin Michael Neale, ALKES L PRICE · 2013 to 2026
$9.4M
Structurally complex genome loci in human populations and human phenotypesR01HG006855 · NHGRI · HARVARD MEDICAL SCHOOL · PI Steven Andrew McCarroll · 2012 to 2026
$8.2M
Clinical Diagnostic Sequencing of Structural VariationR01HD081256 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI TALKOWSKI, MICHAEL E · 2015 to 2025
$7.2M
Methods for Genome-wide Association Studies in Admixed PopulationsR01HG006399 · NHGRI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI PRICE, ALKES L · 2011 to 2024
$6.3M
Orchestra: A high performance biomedical supercomputing collaborativeS10RR028832 · NCRR · HARVARD MEDICAL SCHOOL · PI DANUSER, GAUDENZ · 2010 to 2010
$3.7M
The role of chromosomal instability in tumor evolutionDP5OD026395 · OD · SLOAN-KETTERING INST CAN RESEARCH · PI BAKHOUM, SAMUEL F · 2018 to 2022
$2.2M
Improving Polygenic Prediction using Next-Generation Data SetsR01GM105857 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI SUNYAEV, SHAMIL · 2014 to 2017
$2.0M
Fast and accurate phasing using the positional Burrows-Wheeler transform (PBWT)R21HG009513 · NHGRI · HARVARD SCHOOL OF PUBLIC HEALTH · PI PRICE, ALKES L · 2017 to 2018
$437k
Fast and powerful extensions of mixed model methods for GWASF32HG007805 · NHGRI · HARVARD SCHOOL OF PUBLIC HEALTH · PI LOH, PO-RU · 2014 to 2017
$150k
Medical Research Council MC_PC_17228Medical Research Council MC_QA137853NCI NIH HHS P30 CA008748NCRR NIH HHS S10 RR028832NHGRI NIH HHS F32 HG007805NHGRI NIH HHS R01 HG006399NHGRI NIH HHS R01 HG006855NHGRI NIH HHS R21 HG009513NHGRI NIH HHS UM1 HG008900NICHD NIH HHS R01 HD081256NIGMS NIH HHS R01 GM105857NIGMS NIH HHS T32 GM007753NIH HHS DP5 OD026395NIMH NIH HHS R01 MH101244
6 · The paper itself

Abstract

The selective pressures that shape clonal evolution in healthy individuals are largely unknown. Here we investigate 8,342 mosaic chromosomal alterations, from 50 kb to 249 Mb long, that we uncovered in blood-derived DNA from 151,202 UK Biobank participants using phase-based computational techniques (estimated false discovery rate, 6-9%). We found six loci at which inherited variants associated strongly with the acquisition of deletions or loss of heterozygosity in cis. At three such loci (MPL, TM2D3-TARSL2, and FRA10B), we identified a likely causal variant that acted with high penetrance (5-50%). Inherited alleles at one locus appeared to affect the probability of somatic mutation, and at three other loci to be objects of positive or negative clonal selection. Several specific mosaic chromosomal alterations were strongly associated with future haematological malignancies. Our results reveal a multitude of paths towards clonal expansions with a wide range of effects on human health.

Indexed as

Chromosome AberrationsMosaicismAdultAgedAllelesBiological Specimen BanksChromosome BreakageChromosome Fragile SitesChromosomes, Human, Pair 10Clone CellsFemaleHealthHematologic NeoplasmsHematopoiesisHumansMale

Identifiers

PMID29995854
PMCPMC6054542
OpenAlexW2843925039

What OpenQuestion holds

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Registered trials

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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.