Evidence map›Paper›PMID 35979940›Full record

ArticleESC heart failure2022

Clonal haematopoiesis of indeterminate potential-related mutations and outcome in dilated and ischaemic cardiomyopathy.

Jasmine M F Wu, Tarek Bekfani, Anna Hinze, Julian Georg Westphal, Berit Steinacker, Max Zeller, Charlotte Hartmann, Sven Möbius-Winkler, Andreas Hochhaus, P Christian Schulze and 1 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
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 2 institutions in 1 country.

Jasmine M F WuDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Tarek BekfaniDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Anna HinzeDepartment of Internal Medicine II, Division of Hematology and Oncology, University Hospital Jena, FSU Jena, Jena, Germany.
Julian Georg WestphalDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Berit SteinackerDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Max ZellerDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Charlotte HartmannDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Sven Möbius-WinklerDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Andreas HochhausDepartment of Internal Medicine II, Division of Hematology and Oncology, University Hospital Jena, FSU Jena, Jena, Germany.
P Christian SchulzeDepartment of Internal Medicine I, Division of Cardiology, University Hospital Jena, FSU Jena, Am Klinikum 1, 07747, Jena, Germany.
Thomas ErnstDepartment of Internal Medicine II, Division of Hematology and Oncology, University Hospital Jena, FSU Jena, Jena, Germany.
Jena University Hospital · DEUniversity Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsClonal haematopoiesis of indeterminate potential (CHIP)-associated mutation is a risk factor for the development of ischaemic cardiomyopathy (ICM), but its association with non-ischaemic dilated cardiomyopathy (DCM) remains unclear. We aimed to determine the prevalence of CHIP in patients with DCM and define its risk for disease progression. METHODS AND

resultsNext-generation sequencing targeting 54 common CHIP-associated genes was performed in 48 ICM and 52 DCM patients. The patients were monitored for a median of 3.1 years, and a COX proportional hazards model was used to examine the association between CHIP and adverse clinical outcome with regard to all-cause death or all-cause hospitalization. Overall, the prevalence of CHIP mutations was 19% and 13% in DCM and ICM, respectively. Seventeen per cent of ICM patients over 75 years were CHIP carriers. In DCM cohort, mutation event had already been observed in the patients who were under the age of 45 (13%). Among 54 genes analysed, DNMT3A had the highest mutation frequency, followed by TET2 and CUX1. Kaplan-Meier curve over a median of 3.1 year tracking period showed a trend towards poor clinical outcome in the DCM patients who carried DNMT3A or TET2 mutation; however, such association was not statistically significant.

conclusionsThe prevalence of CHIP is detected at a young age in DCM, and accumulation of mutational frequency in DCM patients is independent of age. However, a larger patient cohort is required to validate the association between CHIP and clinical progression in the DCM patients.

Indexed as

Cardiomyopathy, DilatedMyocardial IschemiaClonal HematopoiesisHumansMutationRisk FactorsClinical outcomeClonal haematopoiesis of indeterminate potential (CHIP)Dilated cardiomyopathyDNMT3ATET2

Identifiers

PMID35979940
PMCPMC9773636
OpenAlexW4292489486

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LicenceCC BY-NC-ND
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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.