Evidence map›Paper›PMID 34645798›Full record

ArticleNature communications2021

Clonal hematopoiesis is associated with risk of severe Covid-19.

Kelly L Bolton, Youngil Koh, Michael B Foote, Hogune Im, Justin Jee, Choong Hyun Sun, Anton Safonov, Ryan Ptashkin, Joon Ho Moon, Ji Yeon Lee and 35 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 3 pooled it
28.2field-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

96 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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  15. Clonal Hematopoiesis of Indeterminate Potential After Radiation Therapy.International journal of radiation oncology, biology, physics · 2026
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36 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

45 authors at 11 institutions in 3 countries.

Kelly L Bolton *Department of Medicine, Washington University, St Louis, MO, USA. bolton@wustl.edu.
Youngil Koh *Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-4750-931X
Michael B Foote *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3027-2405
Hogune Im *Genome Opinion Inc., Seoul, Korea.ORCID 0000-0002-2812-4617
Justin Jee *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-9783-0139
Choong Hyun Sun *Genome Opinion Inc., Seoul, Korea.
Anton Safonov *Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ryan PtashkinDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Joon Ho MoonDepartment of Internal Medicine, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Ji Yeon LeeDepartment of Internal Medicine, National Medical Center, Seoul, Korea.ORCID 0000-0002-7026-8235
Jongtak JungDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0003-3497-0796
Chang Kyung KangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0003-1952-072X
Kyoung-Ho SongDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0002-4517-3840
Pyoeng Gyun ChoeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0001-6794-7918
Wan Beom ParkDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0003-0022-9625
Hong Bin KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0001-6262-372X
Myoung-Don OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-2344-7695
Han SongGenome Opinion Inc., Seoul, Korea.ORCID 0000-0002-5905-6012
Sugyeong KimGenome Opinion Inc., Seoul, Korea.
Minal PatelCenter for Hematologic Malignancies, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andriy DerkachDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-2178-8493
Erika GedvilaiteDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1749-0045
Kaitlyn A TkachukDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Brian J WileyDepartment of Medicine, Washington University, St Louis, MO, USA.
Ireaneus C ChanDepartment of Medicine, Washington University, St Louis, MO, USA.
Lior Z BraunsteinDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Teng GaoComputational Oncology Service, Department of Epidemiology & Biostatistics, Center for Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-0196-689X
Elli PapaemmanuilComputational Oncology Service, Department of Epidemiology & Biostatistics, Center for Computational Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1709-8983
N Esther BabadyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Melissa S PessinDepartment of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3990-6494
Mini KambojDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-3122-6374
Luis A DiazDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Marc LadanyiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael J RauhDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, ON, Canada.
Pradeep NatarajanCardiovascular Research Center, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-8402-7435
Mitchell J MachielaDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0001-6538-9705
Philip AwadallaOntario Institute for Cancer Research, Toronto, ON, Canada.ORCID 0000-0001-9946-6393
Vijai JosephClinical Genetics Research Lab, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-7933-151X
Kenneth OffitClinical Genetics Research Lab, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Larry NortonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael F BergerDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3882-5000
Ross L LevineDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-7884-1905
Eu Suk Kim *Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. eskim@snubh.org.ORCID 0000-0001-7132-0157
Nam Joong Kim *Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea. molder@unitel.co.kr.ORCID 0000-0001-6793-9467
Ahmet Zehir *Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. zehira@mskcc.org.ORCID 0000-0001-5406-4104
Memorial Sloan Kettering Cancer Center · USSeoul National University Hospital · KRGenome and Company (South Korea) · KRSeoul National University Bundang Hospital · KRWashington University in St. Louis · USBrigham and Women's Hospital · USKyungpook National University Hospital · KRNational Cancer Institute · USNational Medical Center · KROntario Institute for Cancer Research · CAQueen's University · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Investigational Cancer Therapeutics Training Program (ICTTP)T32CA009207 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Omar Abdel-Wahab, Alexander Drilon · 1985 to 2026
$13.7M
SPORE in Thyroid CancerP50CA172012 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI FAGIN, JAMES A · 2014 to 2018
$10.3M
Impact of Oncologic Therapy on Clonal Hematopoiesis and Subsequent Risk of Therapy-Related LeukemiaK08CA241318 · NCI · WASHINGTON UNIVERSITY · PI BOLTON, KELLY LEIGH · 2019 to 2023
$1.2M
NCI NIH HHS K08 CA241318NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA172012NCI NIH HHS T32 CA009207
6 · The paper itself

Abstract

Acquired somatic mutations in hematopoietic stem and progenitor cells (clonal hematopoiesis or CH) are associated with advanced age, increased risk of cardiovascular and malignant diseases, and decreased overall survival. These adverse sequelae may be mediated by altered inflammatory profiles observed in patients with CH. A pro-inflammatory immunologic profile is also associated with worse outcomes of certain infections, including SARS-CoV-2 and its associated disease Covid-19. Whether CH predisposes to severe Covid-19 or other infections is unknown. Among 525 individuals with Covid-19 from Memorial Sloan Kettering (MSK) and the Korean Clonal Hematopoiesis (KoCH) consortia, we show that CH is associated with severe Covid-19 outcomes (OR = 1.85, 95%=1.15-2.99, p = 0.01), in particular CH characterized by non-cancer driver mutations (OR = 2.01, 95% CI = 1.15-3.50, p = 0.01). We further explore the relationship between CH and risk of other infections in 14,211 solid tumor patients at MSK. CH is significantly associated with risk of Clostridium Difficile (HR = 2.01, 95% CI: 1.22-3.30, p = 6×10

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolClonal HematopoiesisCohort StudiesCOVID-19FemaleHematopoietic Stem CellsHumansInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID34645798
PMCPMC8514469
OpenAlexW3207691701

What OpenQuestion holds

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LicenceCC BY
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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.