Evidence map›Paper›PMID 35714308›Full record

ArticleBlood2022

TET2-mutant clonal hematopoiesis and risk of gout.

Mridul Agrawal, Abhishek Niroula, Pierre Cunin, Marie McConkey, Veronica Shkolnik, Peter G Kim, Waihay J Wong, Lachelle D Weeks, Amy E Lin, Peter G Miller and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
21.1field-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

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
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  10. Review
  11. Exacerbation of inflammatory bone loss in TET2-driven clonal hematopoiesis.Journal of immunology (Baltimore, Md. : 1950) · 2026
    Article
  12. Review
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  19. Article
  20. Is Gout an Autoinflammatory Disease?Current rheumatology reports · 2026
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 7 institutions in 2 countries.

Mridul AgrawalDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Abhishek NiroulaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Pierre CuninDivision of Immunology, Boston Children's Hospital, Boston, MA.ORCID 0000-0001-8550-2306
Marie McConkeyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Veronica ShkolnikDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Peter G KimDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Waihay J WongDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0003-2023-6590
Lachelle D WeeksDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0001-8726-6212
Amy E LinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-0554-2832
Peter G MillerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-6797-9335
Christopher J GibsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Aswin SekarDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Inga-Marie SchaeferDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0001-9710-5500
Donna NeubergDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA.
Richard M StoneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Alexander G BickDivision of Genetic Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Md Mesbah UddinCardiovascular Research Center, Massachusetts General Hospital, Boston, MA.ORCID 0000-0003-1846-0411
Gabriel K GriffinBroad Institute of Harvard and MIT, Cambridge, MA.
Siddhartha JaiswalDepartment of Pathology and Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-9597-0477
Pradeep NatarajanCardiovascular Research Center, Massachusetts General Hospital, Boston, MA.ORCID 0000-0001-8402-7435
Peter A NigrovicDivision of Immunology, Boston Children's Hospital, Boston, MA.ORCID 0000-0002-2126-3702
Deepak A RaoDivision of Rheumatology, Inflammation, Immunity, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; and.ORCID 0000-0001-9672-7746
Benjamin L EbertDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0003-0197-5451
Dana-Farber Cancer Institute · USBroad Institute · USBrigham and Women's Hospital · USBoston Children's Hospital · USHoward Hughes Medical Institute · USStanford University · USVanderbilt University Medical Center · US

Funding

TYROSINE KINASE ONCOGENESIS IN MYELOID LEUKEMIAP01CA066996 · NCI · DANA-FARBER CANCER INSTITUTE · PI SCOTT A ARMSTRONG · 1996 to 2026
$52.5M
Targeting SYK Kinase in AMLP50CA206963 · NCI · DANA-FARBER CANCER INST · PI ASTER, JON C. · 2017 to 2021
$10.6M
Joint Biology Consortium Resource-based CenterP30AR070253 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter A Nigrovic, Jeffrey Andrew Sparks · 2016 to 2026
$9.4M
Functional Genomic Dissection of Refractory AnemiaR01HL082945 · NHLBI · DANA-FARBER CANCER INSTITUTE · PI EBERT, BENJAMIN LEVINE · 2005 to 2022
$6.8M
Clonal hematopoiesis in the Womens Health Initiative Memory StudyR01HL148565 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ALEXANDER P REINER, Eric A. Whitsel · 2019 to 2026
$5.9M
Clonal hematopoiesis in humans: determinants of development and progressionR01HL148050 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL, NATARAJAN, PRADEEP · 2019 to 2022
$5.9M
The role of clonal hematopoiesis in the development and therapy of myeloid malignanciesR35CA253125 · NCI · DANA-FARBER CANCER INST · PI EBERT, BENJAMIN LEVINE · 2020 to 2024
$4.9M
CLONAL HEMATOPOIESIS OF INDETERMINATE POTENTIAL IN CHRONIC KIDNEY DISEASE PATIENTSR01DK125782 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KELLY, TANIKA NICOLE · 2021 to 2025
$3.3M
Clonal hematopoiesis of indeterminate potential and HIV in the REPRIEVE trialR01HL151283 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NATARAJAN, PRADEEP · 2020 to 2023
$2.5M
Clonal hematopoiesis in human aging and diseaseDP2HL157540 · NHLBI · STANFORD UNIVERSITY · PI JAISWAL, SIDDHARTHA · 2020 to 2020
$2.4M
Targeting cell cycle dysregulation in GISTK08CA241085 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI SCHAEFER, INGA-MARIE · 2019 to 2023
$1.5M
Role of PPM1D and PPM1D mutations in hematopoiesis and response to stressK08CA263183 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MILLER, PETER GRANT · 2021 to 2025
$1.1M
NCI NIH HHS K08 CA241085NCI NIH HHS K08 CA263183NCI NIH HHS P01 CA066996NCI NIH HHS P50 CA206963NCI NIH HHS R35 CA253125NHLBI NIH HHS DP2 HL157540NHLBI NIH HHS R01 HL082945NHLBI NIH HHS R01 HL148050NHLBI NIH HHS R01 HL148565NHLBI NIH HHS R01 HL151283NIAMS NIH HHS K08 AR072791NIAMS NIH HHS P30 AR070253NIDDK NIH HHS R01 DK125782
6 · The paper itself

Abstract

Gout is a common inflammatory arthritis caused by precipitation of monosodium urate (MSU) crystals in individuals with hyperuricemia. Acute flares are accompanied by secretion of proinflammatory cytokines, including interleukin-1β (IL-1β). Clonal hematopoiesis of indeterminate potential (CHIP) is an age-related condition predisposing to hematologic cancers and cardiovascular disease. CHIP is associated with elevated IL-1β, thus we investigated CHIP as a risk factor for gout. To test the clinical association between CHIP and gout, we analyzed whole exome sequencing data from 177 824 individuals in the MGB Biobank (MGBB) and UK Biobank (UKB). In both cohorts, the frequency of gout was higher among individuals with CHIP than without CHIP (MGBB, CHIP with variant allele fraction [VAF] ≥2%: odds ratio [OR], 1.69; 95% CI, 1.09-2.61; P = .0189; UKB, CHIP with VAF ≥10%: OR, 1.25; 95% CI, 1.05-1.50; P = .0133). Moreover, individuals with CHIP and a VAF ≥10% had an increased risk of incident gout (UKB: hazard ratio [HR], 1.28; 95% CI, 1.06-1.55; P = .0107). In murine models of gout pathogenesis, animals with Tet2 knockout hematopoietic cells had exaggerated IL-1β secretion and paw edema upon administration of MSU crystals. Tet2 knockout macrophages elaborated higher levels of IL-1β in response to MSU crystals in vitro, which was ameliorated through genetic and pharmacologic Nlrp3 inflammasome inhibition. These studies show that TET2-mutant CHIP is associated with an increased risk of gout in humans and that MSU crystals lead to elevated IL-1β levels in Tet2 knockout murine models. We identify CHIP as an amplifier of NLRP3-dependent inflammatory responses to MSU crystals in patients with gout.

Indexed as

DioxygenasesGoutAnimalsClonal HematopoiesisDNA-Binding ProteinsHumansInflammasomesInterleukin-1betaMiceNLR Family, Pyrin Domain-Containing 3 ProteinUric AcidDioxygenasesDNA-Binding ProteinsInflammasomesInterleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinTET2 protein, humanTet2 protein, mouseUric Acid

Identifiers

PMID35714308
PMCPMC9461470
OpenAlexW4283071596

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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.