Evidence map›Paper›PMID 33636128›Full record

ArticleCell2021

Increased stem cell proliferation in atherosclerosis accelerates clonal hematopoiesis.

Alexander Heyde, David Rohde, Cameron S McAlpine, Shuang Zhang, Friedrich F Hoyer, Jeffrey M Gerold, David Cheek, Yoshiko Iwamoto, Maximilian J Schloss, Katrien Vandoorne and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 174 papers.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed
30.1field-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

174 citing papers in PubMed, 251 citations in OpenAlex.

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  14. Mathematical modeling ofProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Article
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  18. Genetic factors contributing to atherosclerosis.Current opinion in cardiology · 2026
    Review
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  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 4 institutions in 4 countries.

Alexander HeydeDepartment of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA.
David RohdeCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Cameron S McAlpineCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Shuang ZhangCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Friedrich F HoyerCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Jeffrey M GeroldDepartment of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA.
David CheekCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Yoshiko IwamotoCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Maximilian J SchlossCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Katrien VandoorneCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Oriol Iborra-EgeaInstitut del Cor, Hospital Universitari Germans Trias i Pujol, CIBERCV, 08916 Badalona, Barcelona, Spain.
Christian Muñoz-GuijosaInstitut del Cor, Hospital Universitari Germans Trias i Pujol, CIBERCV, 08916 Badalona, Barcelona, Spain.
Antoni Bayes-GenisInstitut del Cor, Hospital Universitari Germans Trias i Pujol, CIBERCV, 08916 Badalona, Barcelona, Spain.
Johannes G ReiterCanary Center for Cancer Early Detection, Department of Radiology, Stanford University, Palo Alto, CA 94305, USA.
Morgan CraigDépartement de Mathématiques et de Statistique and Sainte-Justine University Hospital Research Centre, Université de Montréal, Montréal, QC H3T 1C5, Canada.
Filip K SwirskiCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA.
Matthias NahrendorfCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA; Department of Internal Medicine I, University Hospital Würzburg, 97080 Würzburg, Germany.
Martin A NowakDepartment of Organismic and Evolutionary Biology, Harvard University, Cambridge, MA 02138, USA; Department of Mathematics, Harvard University, Cambridge, MA 02138, USA.
Kamila NaxerovaCenter for Systems Biology, Department of Radiology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, MA 02114, USA. Electronic address: naxerova.kamila@mgh.harvard.edu.
Harvard University · USHospital Universitari Germans Trias i Pujol · ESPalo Alto University · USUniversité de Montréal · CA

Funding

PROJECT 4: Somatic evolution of the hematopoietic system in cardiovascular diseaseP01HL142494 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Kamila Naxerova · 2019 to 2026
$19.5M
Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
Imaging organ system interfaces in ischemic heart diseaseR35HL139598 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NAHRENDORF, MATTHIAS · 2018 to 2024
$6.9M
Cardiac MR and CT ResearchT32HL076136 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G · 2004 to 2019
$4.9M
Illuminating the evolutionary history of colorectal cancer metastasis: basic principles and clinical applicationsR37CA225655 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI NAXEROVA, KAMILA · 2018 to 2024
$3.0M
Influence of sleep on hematopoietic stem cell diversity and clonality in cardiovascular diseaseR00HL151750 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MCALPINE, CAMERON STUART · 2021 to 2023
$747k
Influence of sleep on hematopoietic stem cell diversity and clonality in cardiovascular diseaseK99HL151750 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MCALPINE, CAMERON STUART · 2020 to 2020
$171k
NCI NIH HHS R37 CA225655NHGRI NIH HHS T32 HG002295NHLBI NIH HHS K99 HL151750NHLBI NIH HHS P01 HL142494NHLBI NIH HHS R00 HL151750NHLBI NIH HHS R35 HL139598NHLBI NIH HHS T32 HL076136
6 · The paper itself

Abstract

Clonal hematopoiesis, a condition in which individual hematopoietic stem cell clones generate a disproportionate fraction of blood leukocytes, correlates with higher risk for cardiovascular disease. The mechanisms behind this association are incompletely understood. Here, we show that hematopoietic stem cell division rates are increased in mice and humans with atherosclerosis. Mathematical analysis demonstrates that increased stem cell proliferation expedites somatic evolution and expansion of clones with driver mutations. The experimentally determined division rate elevation in atherosclerosis patients is sufficient to produce a 3.5-fold increased risk of clonal hematopoiesis by age 70. We confirm the accuracy of our theoretical framework in mouse models of atherosclerosis and sleep fragmentation by showing that expansion of competitively transplanted Tet2

Indexed as

Clonal HematopoiesisAgingAnimalsApolipoproteins EAtherosclerosisBone MarrowCell ProliferationClonal EvolutionDisease Models, AnimalFemaleHematopoietic Stem CellsHumansMiceMice, Inbred C57BLModels, BiologicalSleep DeprivationApoe protein, mouseApolipoproteins Eatherosclerosisclonal hematopoiesishematopoietic stem cellsomatic evolution

Identifiers

PMID33636128
PMCPMC8109274
OpenAlexW3130296909

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.